Laparoendoscopic Single-Site Sentinel Lymph Node Detection in Endometrial Cancer.

PubMed

Demirayak, Gökhan; Comba, Cihan; Özdemir, İsa Aykut

2017-11-13

To demonstrate the feasibility of sentinel lymph node (SLN) biopsy using a laparoendoscopic single-site (LESS) approach in endometrial cancer (EC). A step-by-step video demonstration of the surgical procedure (Canadian Task Force Classification III). The satisfaction of patients who undergo LESS hysterectomy is greater than that reported by patients who undergo multiport laparoscopic hysterectomy, owing to better cosmesis and reduced postoperative analgesic requirements [1]. SLN biopsy is associated with significantly lower estimated blood loss, shorter operation time, and less morbidity compared with systematic lymphadenectomy [2]. LESS surgery can be more feasible and safer with the use of SLN biopsy compared with complete lymphadenectomy in patients with early-stage EC. This 69-year-old woman with grade 2 endometrioid EC underwent SLN mapping followed by LESS SLN biopsy, total hysterectomy, and bilateral salpingo-oophorectomy. Before the umbilical incision was made, 1.25 mg/mL of indocyanine green was injected into the cervical stroma at the 3 o'clock and 9 o'clock positions to both deep and superficial levels. A 10-mm 30° standard-length optical camera for near-infrared fluorescence imaging was used. The total operative time was 75 minutes, and the estimated blood loss was 20 mL. SLNs were detected bilaterally between proximal parts of the external iliac arteries and veins. After SLN resection, total hysterectomy and bilateral salpingo-oophorectomy were performed. No postoperative complications occurred. The patient was discharged at 30 hours after surgery. In the final pathology, stage 1A G2 EC was detected. LESS SLN biopsy and TLH-BSO is a feasible procedure and sentinel lymph node concept may increase the use of LESS in EC. Copyright © 2017 American Association of Gynecologic Laparoscopists. Published by Elsevier Inc. All rights reserved.

Sentinel Lymph Nodes for Breast Carcinoma A Paradigm Shift

PubMed Central

Maguire, Aoife; Brogi, Edi

2016-01-01

Context Sentinel lymph node biopsy has been established as the new standard of care for axillary staging in most patients with invasive breast carcinoma. Historically, all patients with a positive sentinel lymph node biopsy result underwent axillary lymph node dissection. Recent trials show that axillary lymph node dissection can be safely omitted in women with clinically node negative, T1 or T2 invasive breast cancer treated with breast-conserving surgery and whole-breast radiotherapy. This change in practice also has implications on the pathologic examination and reporting of sentinel lymph nodes. Objective To review recent clinical and pathologic studies of sentinel lymph nodes and explore how these findings influence the pathologic evaluation of sentinel lymph nodes. Data Sources Sources were published articles from peer-reviewed journals in PubMed (US National Library of Medicine) and published guidelines from the American Joint Committee on Cancer, the Union for International Cancer Control, the American Society of Clinical Oncology, and the National Comprehensive Cancer Network. Conclusions The main goal of sentinel lymph node examination should be to detect all macrometastases (>2 mm). Grossly sectioning sentinel lymph nodes at 2-mm intervals and evaluation of one hematoxylin-eosin–stained section from each block is the preferred method of pathologic evaluation. Axillary lymph node dissection can be safely omitted in clinically node-negative patients with negative sentinel lymph nodes, as well as in a selected group of patients with limited sentinel lymph node involvement. The pathologic features of the primary carcinoma and its sentinel lymph node metastases contribute to estimate the extent of non–sentinel lymph node involvement. This information is important to decide on further axillary treatment. PMID:27472237

Analysing trends and forecasting malaria epidemics in Madagascar using a sentinel surveillance network: a web-based application.

PubMed

Girond, Florian; Randrianasolo, Laurence; Randriamampionona, Lea; Rakotomanana, Fanjasoa; Randrianarivelojosia, Milijaona; Ratsitorahina, Maherisoa; Brou, Télesphore Yao; Herbreteau, Vincent; Mangeas, Morgan; Zigiumugabe, Sixte; Hedje, Judith; Rogier, Christophe; Piola, Patrice

2017-02-13

The use of a malaria early warning system (MEWS) to trigger prompt public health interventions is a key step in adding value to the epidemiological data routinely collected by sentinel surveillance systems. This study describes a system using various epidemic thresholds and a forecasting component with the support of new technologies to improve the performance of a sentinel MEWS. Malaria-related data from 21 sentinel sites collected by Short Message Service are automatically analysed to detect malaria trends and malaria outbreak alerts with automated feedback reports. Roll Back Malaria partners can, through a user-friendly web-based tool, visualize potential outbreaks and generate a forecasting model. The system already demonstrated its ability to detect malaria outbreaks in Madagascar in 2014. This approach aims to maximize the usefulness of a sentinel surveillance system to predict and detect epidemics in limited-resource environments.

Oral health sentinel-based surveillance: a pilot study on dentinal hypersensitivity pain.

PubMed

Guerra, F; Corridore, D; Cocco, F; Arrica, M; Rinaldo, F; Mazur, M; Sanavia, C; Nardi, G M; Campus, G; Ottolenghi, L

2017-01-01

Aim of the study is to assess the development of a structured sentinel system for oral health data collection at national level. Furthermore, this pilot study aims to investigate the prevalence data on dentinal sensitivity pain collected through a nationwide network of epidemiological sentinels (dental hygienists). Each sentinel was given a specific number of examinees and periodicity of data collection. Overall, 116 adults were recruited from 19 Regions, 42,24% male and 57,76% female, with a mean age of 26. DH result was consistent with literature data, being 45%. All sentinel completed the standard forms and assured a good compliance. The overall good customer satisfaction assures adhesion of the sentinels to the procedure, and the regular data collection. The pilot study proved the effectiveness of a structured nationwide network of epidemiological sentinels (dental hygienists) for oral health data collection at national level. This methodology can be an essential starting point for periodic comparative studies.

Sentinel Node Biopsy in Melanoma: A Short Update

PubMed Central

Ferrara, Gerardo; Partenzi, Antonietta; Filosa, Alessandra

2018-01-01

Several controversies are still ongoing about sentinel node biopsy in melanoma. It is basically a staging procedure for melanoma > 0.75 mm in thickness or for thinner melanoma in the presence of ulceration, high mitotic rate, and/or lymphovascular invasion. Complete lymph node dissection after a positive sentinel node can also allow a better locoregional disease control but seems not to prevent the development of distant metastases. The use of sentinel node biopsy in atypical Spitz tumors should be discouraged because of their peculiar biological properties. PMID:29719827

[Is there still a place for extemporaneous exam in breast cancer?].

PubMed

Michy, T; Le Bouëdec, G; Mishellany, F; Penault-Llorca, F; Dauplat, J

2006-02-01

The rise of preoperative diagnosis thanks to new methods of micro and macrobiopsy and the development of sentinel lymph node have dramatically modified the surgical management of patients with breast tumor. The purpose of this study is to know if extemporaneous exams still have a place in the management of breast cancer. Retrospective study which compares the qualitiative evolution of frozen sections in breast tumor at Jean-Perrin center before the practice of percutaneous strereotaxic biopsy and after the training of sentinel lymph node operative biopsy. The results were in favour of a different distribution of anatomocytopathological activity with a decrease of frozen section in breast tumor and an increase of cytological imprints on sentinel nodes. The interest of histologic preoperative diagnosis and the failure of consensus in the sentinel lymph node just leave a restrictive position to frozen section in breast cancer.

Data mining tools for Sentinel 1 and Sentinel 2 data exploitation

NASA Astrophysics Data System (ADS)

Espinoza Molina, Daniela; Datcu, Mihai

2016-10-01

With the new planned Sentinel missions, the availability of Earth Observation data is increasing everyday offering a larger number of applications that can be created using these data. Currently, three of the five missions were launched and they are delivering a wealth of data and imagery of the Earth's surface as, for example, the Sentinel-1 carries an advanced radar instrument to provide an all-weather, day-and-night supply of Earth imagery. The second mission, the Sentinel-2, carries an optical instrument payload that will sample 13 spectral bands at different resolutions. Even though, we count on tools for automated loading and visual exploration of the Sentinel data, we still face the problem of extracting relevant structures from the images, finding similar patterns in a scene, exploiting the data, and creating final user applications based on these processed data. In this paper, we present our approach for processing radar and multi-spectral Sentinel data. Our approach is mainly composed of three steps: 1) the generation of a data model that explains the information contained in a Sentinel product. The model is formed by primitive descriptors and metadata entries, 2) the storage of this model in a database system, 3) the semantic definition of the image content based on machine learning algorithms and relevance feedback methods.

Sentinel-1 mission scientific exploitation activities

NASA Astrophysics Data System (ADS)

Desnos, Yves louis; Foumelis, Michael; Engdahl, Marcus

2017-04-01

The Sentinel-1 mission is the European Imaging Radar Observatory for the Copernicus joint initiative of the European Commission (EC) and the European Space Agency (ESA). Sentinel-1 mission is composed of a constellation of two satellites, Sentinel-1A and Sentinel-1B (launched in April 2014 and April 2016, respectively), sharing the same orbital plane and featuring a short repeat cycle of 6 days optimised for Synthetic Aperture Radar (SAR) interferometry science and applications. The full operation capacity was achieved after the completion of the Sentinel-1B in-orbit commissioning on 14 September 2016. Sentinel-1 data are freely available via the ESA's Sentinels Scientific Data Hub since October 2014. The data uptake by the science community has been unprecedented and numerous results have been published to date. The objective of the current paper is to provide a brief overview of the latest ESA activities, in the frame of the Scientific Exploitation of Operational Missions (SEOM) programme, aimed to facilitate the scientific exploitation of Sentinel-1 mission as well as discuss future opportunities for research.

Sentinel lymph node biopsy from the vantage point of an oncologic surgeon.

PubMed

Wilson, Lori L

2009-01-01

Sentinel lymph node biopsy has greatly influenced the surgical management of clinically localized primary melanoma. Lymphatic mapping and sentinel lymph node biopsy have been used for the selective management of the draining regional lymph node basin of primary cutaneous melanoma. Oncologic surgeons have adopted this procedure to selectively identify occult nodal status in melanoma patients who are at a higher risk of regional metastasis. The current standard of treatment of tumor-positive sentinel lymph node metastasis is immediate completion lymphadenectomy, but considerable debate surrounds the utility of this procedure. This contribution reviews development, technical aspects, selective management of the lymph node basin, and sentinel lymph node biopsy techniques.

Sentinel-5: the new generation European operational atmospheric chemistry mission in polar orbit

NASA Astrophysics Data System (ADS)

Pérez Albiñana, Abelardo; Erdmann, Matthias; Wright, Norrie; Martin, Didier; Melf, Markus; Bartsch, Peter; Seefelder, Wolfgang

2017-08-01

Sentinel-5 is an Earth Observation instrument to be flown on the Metop Second Generation (Metop-SG) satellites with the fundamental objective of monitoring atmospheric composition from polar orbit. The Sentinel-5 instrument consists of five spectrometers to measure the solar spectral radiance backscattered by the earth atmosphere in five bands within the UV (270nm) to SWIR (2385nm) spectral range. Data provided by Sentinel-5 will allow obtaining the distribution of important atmospheric constituents such as ozone, on a global daily basis and at a finer spatial resolution than its precursor instruments on the first generation of Metop satellites. The launch of the first Metop-SG satellite is foreseen for 2021. The Sentinel-5 instrument is being developed by Airbus DS under contract to the European Space Agency. The Sentinel-5 mission is part of the Space Component of the Copernicus programme, a joint initiative by ESA, EUMETSAT and the European Commission. The Preliminary Design Review (PDR) for the Sentinel-5 development was successfully completed in 2015. This paper provides a description of the Sentinel-5 instrument design and data calibration.

The Basal Ediacaran Noonday Formation, Eastern California, and implications for Laurentian equivalents

NASA Astrophysics Data System (ADS)

Petterson, R.; Prave, A. R.; Wernicke, B. P.

2009-12-01

The Neoproterozoic-Cambrian succession in the Death Valley region of SW Laurentia is among the best exposed and easily accessible in the world, and comprises one of the most complete sections in Laurentia. The largest single exposure of these strata occurs in the Panamint Range on the west flank of Death Valley, but this area has received little attention in comparison to exposures to the east of Death Valley, primarily because of structural complexity and metamorphism. The eastern strata, though unmetamorphosed, occur in isolated fault-bounded exposures and are relatively incomplete compared to the Panamint stratigraphy. This, combined with a lack of fossil or radiometric age control, has hindered confident regional correlation, as well as placement in the context of hallmark Neoproterozoic events observed in other successions around the globe. New mapping, measured sections and high-resolution C-isotope data reported here from the Noonday Formation in the Panamints delineate its regional stratigraphic architecture and establish its age through correlation with sections with radiometric age control. Carbon isotopic trends in the Panamints match to within 1-2‰ reproducibility previous results obtained for correlative strata in the eastern sections, indicating that metamorphism did not significantly alter C isotopic ratios. The combined litho- and chemostratigraphic data form the basis for a revised stratigraphic framework for the Noonday Formation. A composite section shows that, where most complete, the Noonday consists of three members, from the base upward, the Sentinel Peak, Radcliff, and Mahogany Flats members. New mapping and chemostratigraphic data permit robust regional correlation of a thin dolostone marker horizon at the base of the Noonday in the Panamints as little as 2 m thick (Sentinel Peak Member) with a tube-bearing microbial dolostone in the eastern Death Valley region more than 200 m thick. The data also reveal that the Radcliff Member is bounded by disconformable surfaces and their correlative conformities. These surfaces are recognizable throughout the region and are used to construct a regionally unified stratigraphic nomenclature. We present a chemostratigraphic profile spanning most of Noonday time. The profile is a remarkable match for the Maiberg cap carbonate sequence in Namibia, including the decline to a minimum at -5‰, a recovery to near 0‰, and then subsequent decline to 2‰. Correlation of these curves (1) firmly places the Noonday at the base of the Ediacaran Period, (2) indicates deposition of ~200 m of Sentinel Peak and Radcliff strata occurred between 635 and 632 Ma, (3) supports the hypothesis that the Wildrose Diamictite of the Kingston Peak Formation, which lies in sharp contact below the Sentinel Peak Member, represents at least part of the Marinoan glacial interval; (4) helps identify correlative cap carbonate sequences in key Laurentian sections, which include the Ravensthroat Formation in the MacKenzie Mountains, dolostones capping the upper diamictite of the Pocatello Formation in eastern Idaho, and the middle part of the Mina el Mezquite Formation in Sonora.

29 CFR 1902.34 - Certification of completion of developmental steps.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 29 Labor 5 2010-07-01 2010-07-01 false Certification of completion of developmental steps. 1902.34... for Determinations Under Section 18(e) of the Act Completion of Developmental Steps-Certification § 1902.34 Certification of completion of developmental steps. (a) Upon the completion of all of the...

Outcome following sentinel lymph node biopsy-guided decisions in breast cancer patients with conversion from positive to negative axillary lymph nodes after neoadjuvant chemotherapy.

PubMed

Kang, Young-Joon; Han, Wonshik; Park, Soojin; You, Ji Young; Yi, Ha Woo; Park, Sungmin; Nam, Sanggeun; Kim, Joo Heung; Yun, Keong Won; Kim, Hee Jeong; Ahn, Sei Hyun; Park, Seho; Lee, Jeong Eon; Lee, Eun Sook; Noh, Dong-Young; Lee, Jong Won

2017-11-01

Many breast cancer patients with positive axillary lymph nodes achieve complete node remission after neoadjuvant chemotherapy. The usefulness of sentinel lymph node biopsy in this situation is uncertain. This study evaluated the outcomes of sentinel biopsy-guided decisions in patients who had conversion of axillary nodes from clinically positive to negative following neoadjuvant chemotherapy. We reviewed the records of 1247 patients from five hospitals in Korea who had breast cancer with clinically axillary lymph node-positive status and negative conversion after neoadjuvant chemotherapy, between 2005 and 2012. Patients who underwent axillary operations with sentinel biopsy-guided decisions (Group A) were compared with patients who underwent complete axillary lymph node dissection without sentinel lymph node biopsy (Group B). Axillary node recurrence and distant recurrence-free survival were compared. There were 428 cases in Group A and 819 in Group B. Kaplan-Meier analysis showed that recurrence-free survivals were not significantly different between Groups A and B (4-year axillary recurrence-free survival: 97.8 vs. 99.0%; p = 0.148). Multivariate analysis also indicated the two groups had no significant difference in axillary and distant recurrence-free survival. For breast cancer patients who had clinical conversion of axillary lymph nodes from positive to negative following neoadjuvant chemotherapy, sentinel biopsy-guided axillary surgery, and axillary lymph node dissection without sentinel lymph node biopsy had similar rates of recurrence. Thus, sentinel biopsy-guided axillary operation in breast cancer patients who have clinically axillary lymph node positive to negative conversion following neoadjuvant chemotherapy is a useful strategy.

29 CFR 1952.242 - Completed developmental steps.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 29 Labor 9 2010-07-01 2010-07-01 false Completed developmental steps. 1952.242 Section 1952.242... Completed developmental steps. (a) In accordance with § 1952.243(d) Alaska completed its interim training... completed on or before October 1, 1976, all developmental steps specified in the plan as approved on July 31...

29 CFR 1952.222 - Completed developmental steps.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 29 Labor 9 2010-07-01 2010-07-01 false Completed developmental steps. 1952.222 Section 1952.222... Completed developmental steps. (a) In accordance with § 1952.223(b), the Tennessee Occupational Safety and..., as having completed all developmental steps specified in its plan as approved on June 28, 1973, on or...

Geocoding uncertainty analysis for the automated processing of Sentinel-1 data using Sentinel-1 Toolbox software

NASA Astrophysics Data System (ADS)

Dostálová, Alena; Naeimi, Vahid; Wagner, Wolfgang; Elefante, Stefano; Cao, Senmao; Persson, Henrik

2016-10-01

One of the major advantages of the Sentinel-1 data is its capability to provide very high spatio-temporal coverage allowing the mapping of large areas as well as creation of dense time-series of the Sentinel-1 acquisitions. The SGRT software developed at TU Wien aims at automated processing of Sentinel-1 data for global and regional products. The first step of the processing consists of the Sentinel-1 data geocoding with the help of S1TBX software and their resampling to a common grid. These resampled images serve as an input for the product derivation. Thus, it is very important to select the most reliable processing settings and assess the geocoding uncertainty for both backscatter and projected local incidence angle images. Within this study, selection of Sentinel-1 acquisitions over 3 test areas in Europe were processed manually in the S1TBX software, testing multiple software versions, processing settings and digital elevation models (DEM) and the accuracy of the resulting geocoded images were assessed. Secondly, all available Sentinel-1 data over the areas were processed using selected settings and detailed quality check was performed. Overall, strong influence of the used DEM on the geocoding quality was confirmed with differences up to 80 meters in areas with higher terrain variations. In flat areas, the geocoding accuracy of backscatter images was overall good, with observed shifts between 0 and 30m. Larger systematic shifts were identified in case of projected local incidence angle images. These results encourage the automated processing of large volumes of Sentinel-1 data.

[Risk factors of non-sentinel lymph node metastasis in breast cancer patients with positive sentinel lymph node ≤ 2].

PubMed

Gao, Yajun; He, Yingjian; Fan, Zhaoqing; Ouyang, Tao

2014-08-13

To explore retrospectively the risk factors of non-sentinel lymph node (NSLN) metastasis in breast cancer patients with sentinel lymph node metastasis ≤ 2 and examine the likelihood of non-sentinel lymph node prediction. A sentinel lymph node biopsy database containing 455 breast cancer patients admitted between July 2005 and February 2012 at Beijing Cancer Hospital was analyzed retrospectively. The patients had ≤ 2 positive sentinel lymph node and complete axillary lymph node dissection. The SLNS⁺/SLNS ratio (P = 0.001), histological grade (P = 0.075), size of mass (P = 0.023) and onset age (P = 0.074) were correlated with NSLN metastases. Only SLNS⁺/SLNS (OR 0.502 95% CI 0.322-0.7844) , histological grade ratio (histological grade ratio II, III and others vs grade I OR 2.696, 2.102, 3.662) were significant independent predictors for NSLN metastases . The ROC value was 0.62 (0.56, 0.68). For ≤ 2 positive sentinel lymph nodes of breast cancer, ratio of SLNS⁺/SLNS and histological grading are independent factors affecting NSLN metastases. However, the results remain unsatisfactory for predicting the status of NSLN.

Muscular Sarcocystosis in travelers returning from Tioman Island, Malaysia — 2011

USDA-ARS?s Scientific Manuscript database

In October 2011, the GeoSentinel global surveillance system for travel-related morbidity detected an unusual cluster of illnesses among travelers returning from Tioman Island, Malaysia. Complete information was received for 17 of 32 (53%) patients reported to GeoSentinel; 9 probable and 1 confirmed ...

Sentinel Lymph Node Biopsy in Breast Cancer: A Clinical Review and Update

PubMed Central

Haji, Altaf; Battoo, Azhar; Qurieshi, Mariya; Mir, Wahid; Shah, Mudasir

2017-01-01

Sentinel lymph node biopsy has become a standard staging tool in the surgical management of breast cancer. The positive impact of sentinel lymph node biopsy on postoperative negative outcomes in breast cancer patients, without compromising the oncological outcomes, is its major advantage. It has evolved over the last few decades and has proven its utility beyond early breast cancer. Its applicability and efficacy in patients with clinically positive axilla who have had a complete clinical response after neoadjuvant chemotherapy is being aggressively evaluated at present. This article discusses how sentinel lymph node biopsy has evolved and is becoming a useful tool in new clinical scenarios of breast cancer management. PMID:28970846

Sentinel-4: the geostationary component of the GMES atmosphere monitoring missions

NASA Astrophysics Data System (ADS)

Bazalgette Courrèges-Lacoste, G.; Arcioni, M.; Meijer, Y.; Bézy, J.-L.; Bensi, P.; Langen, J.

2017-11-01

The implementation of operational atmospheric composition monitoring missions is foreseen in the context of the Global Monitoring for Environment and Security (GMES) initiative. Sentinel-4 will address the geostationary observations and Sentinel-5 the low Earth orbit ones. The two missions are planned to be launched on-board Eumetsat's Meteosat Third Generation (MTG) and Post-EPS satellites, respectively. This paper presents an overview of the GMES Sentinel- 4 mission, which has been assessed at Phase-0 level. It describes the key requirements and outlines the main aspects of the candidate implementation concepts available at completion of Phase-0. The paper will particularly focus on the observation mode, the estimated performance and the related technology developments.

Sentinel Lymph Node Biopsy in Breast Cancer: A Clinical Review and Update.

PubMed

Zahoor, Sheikh; Haji, Altaf; Battoo, Azhar; Qurieshi, Mariya; Mir, Wahid; Shah, Mudasir

2017-09-01

Sentinel lymph node biopsy has become a standard staging tool in the surgical management of breast cancer. The positive impact of sentinel lymph node biopsy on postoperative negative outcomes in breast cancer patients, without compromising the oncological outcomes, is its major advantage. It has evolved over the last few decades and has proven its utility beyond early breast cancer. Its applicability and efficacy in patients with clinically positive axilla who have had a complete clinical response after neoadjuvant chemotherapy is being aggressively evaluated at present. This article discusses how sentinel lymph node biopsy has evolved and is becoming a useful tool in new clinical scenarios of breast cancer management.

Black sentinel lymph node and 'scary stickers'.

PubMed

Yang, Arthur S; Creagh, Terrence A

2013-04-01

An unusual case is presented of a young adult patient with two black-stained, radio-nucleotide tracer-active sentinel lymph nodes biopsied following her primary cutaneous melanoma treatment. This was subsequently confirmed to be secondary to cutaneous tattoos, averting the need of an elective regional node dissection. History of tattooing and tattoo removal should therefore be obtained as a routine in all melanoma patients considered for sentinel node biopsy (SLN). SLN biopsy and any subsequent completion node dissection should be strictly staged so that proper histologic diagnosis of the sentinel node is available for correct decision making and treatment. Copyright © 2012 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.

Sentinel node biopsy before neoadjuvant chemotherapy spares breast cancer patients axillary lymph node dissection.

PubMed

van Rijk, Maartje C; Nieweg, Omgo E; Rutgers, Emiel J T; Oldenburg, Hester S A; Olmos, Renato Valdés; Hoefnagel, Cornelis A; Kroon, Bin B R

2006-04-01

Neoadjuvant chemotherapy in breast cancer patients is a valuable method to determine the efficacy of chemotherapy and potentially downsize the primary tumor, which facilitates breast-conserving therapy. In 18 studies published about sentinel node biopsy after neoadjuvant chemotherapy, the sentinel node was identified in on average 89%, and the false-negative rate was on average 10%. Because of these mediocre results, no author dares to omit axillary clearance just yet. In our institute, sentinel lymph node biopsy is performed before neoadjuvant chemotherapy. The aim of this study was to evaluate our experience with this approach. Sentinel node biopsy was performed before neoadjuvant chemotherapy in 25 T2N0 patients by using lymphoscintigraphy, a gamma ray detection probe, and patent blue dye. Axillary lymph node dissection was performed after chemotherapy if the sentinel node contained metastases. Ten patients had a tumor-positive axillary sentinel node, and one patient had an involved lateral intramammary node. Four patients had additional involved nodes in the completion lymph node dissection specimen. The other 14 patients (56%) had a tumor-negative sentinel node and did not undergo axillary lymph node dissection. No recurrences have been observed after a median follow-up of 18 months. Fourteen (56%) of the 25 patients were spared axillary lymph node dissection when the sentinel node was found to be disease free. Performing sentinel node biopsy before neoadjuvant chemotherapy seems successful and reliable in patients with T2N0 breast cancer.

The Value of Sentinel Lymph Node Biopsy in Oral Cavity Cancers

PubMed Central

Kaya, İsa; Göde, Sercan; Öztürk, Kerem; Turhal, Göksel; Aliyev, Araz; Akyıldız, Serdar; Duygun, Ülkem Yararbaş; Uluöz, Ümit; Yavuzer, Atilla

2015-01-01

Objective The aim of this study was to establish the effectiveness of sentinel lymph node biopsy in the detection of metastasis in N0 necks of T1–T2 early-stage oral cavity cancers. Materials and Methods Twenty neck dissections were performed in 18 patients diagnosed with T1 and T2 oral cavity cancer, with an indication for elective neck dissection between November 2007 and January 2011. The male to female ratio was 12:8, with a mean age of 54.5 years (range 28–76). Eight of the dissections were performed for lower lip cancer, 7 for tongue cancer, and 5 for floor of the mouth cancer. Sentinel lymph node biopsy was used to detect metastatic lymph nodes. Tc99m radionuclide injection was administered to the periphery of the tumor 24 h before the operation, and a lymphoscintigraphy image was obtained 30 min after the injection. Sentinel lymph nodes were localized and excised on the day of surgery using static lymphoscintigraphy images and a gamma probe. Sentinel lymph nodes were sent for a frozen section examination, and either a selective or a comprehensive neck dissection was performed for each neck according to the results. Results After the final histopathological examination of the specimens, the negative predictive value, the positive predictive value, the accuracy of the sentinel lymph node biopsy, and frozen section accuracy were found to be 100%. Conclusion Sentinel lymph node biopsy was found to be an efficient method in the pathological staging and management of the N0 neck in early T-stage oral cavity cancers. PMID:29391982

Interval sentinel lymph nodes in melanoma: a digital pathology analysis of Ki67 expression and microvascular density.

PubMed

Marinaccio, Christian; Giudice, Giuseppe; Nacchiero, Eleonora; Robusto, Fabio; Opinto, Giuseppina; Lastilla, Gaetano; Maiorano, Eugenio; Ribatti, Domenico

2016-08-01

The presence of interval sentinel lymph nodes in melanoma is documented in several studies, but controversies still exist about the management of these lymph nodes. In this study, an immunohistochemical evaluation of tumor cell proliferation and neo-angiogenesis has been performed with the aim of establishing a correlation between these two parameters between positive and negative interval sentinel lymph nodes. This retrospective study reviewed data of 23 patients diagnosed with melanoma. Bioptic specimens of interval sentinel lymph node were retrieved, and immunohistochemical reactions on tissue sections were performed using Ki67 as a marker of proliferation and CD31 as a blood vessel marker for the study of angiogenesis. The entire stained tissue sections for each case were digitized using Aperio Scanscope Cs whole-slide scanning platform and stored as high-resolution images. Image analysis was carried out on three selected fields of equal area using IHC Nuclear and Microvessel analysis algorithms to determine positive Ki67 nuclei and vessel number. Patients were divided into positive and negative interval sentinel lymph node groups, and the positive interval sentinel lymph node group was further divided into interval positive with micrometastasis and interval positive with macrometastasis subgroups. The analysis revealed a significant difference between positive and negative interval sentinel lymph nodes in the percentage of Ki67-positive nuclei and mean vessel number suggestive of an increased cellular proliferation and angiogenesis in positive interval sentinel lymph nodes. Further analysis in the interval positive lymph node group showed a significant difference between micro- and macrometastasis subgroups in the percentage of Ki67-positive nuclei and mean vessel number. Percentage of Ki67-positive nuclei was increased in the macrometastasis subgroup, while mean vessel number was increased in the micrometastasis subgroup. The results of this study suggest that the correlation between tumor cell proliferation and neo-angiogenesis in interval sentinel lymph nodes in melanoma could be used as a good predictive marker to distinguish interval positive sentinel lymph nodes with micrometastasis from interval positive lymph nodes with macrometastasis subgroups.

29 CFR 1952.384 - Completed developmental steps.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 29 Labor 9 2010-07-01 2010-07-01 false Completed developmental steps. 1952.384 Section 1952.384 Labor Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION....384 Completed developmental steps. (a) In accordance with the requirements of § 1952.10, Puerto Rico's...

Understanding Smoking after Acute Illness: An Application of the Sentinel Event Method

PubMed Central

Abar, Beau; Bock, Beth; Chapman, Gretchen; Boudreaux, Edwin D.

2016-01-01

The Sentinel Event Theory provides a stepwise approach for building models to understand how negative events can spark health behavior change. This study tested a preliminary model using the Sentinel Events Method in a sample (N = 300) of smokers who sought care for acute cardiac symptoms. Patients completed measures on: smoking-related causal attribution, perceived severity of the acute illness event, illness-related fear, and intentions to quit smoking. Patients were followed up one week after the health event and a 7 day time line follow back (TLFB) was completed to determine abstinence from tobacco. Structural equation models were performed using average predictor scale scores at baseline, as well as three different time anchors for ratings of illness severity and illness-related fear. Quit intentions, actual illness severity, and age were consistent, positive, independent predictors of 7 day point prevalence abstinence. Additional research on the influences of perceptions and emotional reactions is warranted. PMID:25563437

Laparoscopic Sentinel Lymph Node Mapping with Indocyanine Green Using the iSpies Platform: Initial Experience Argentina.

PubMed

Di Guilmi, Julian; Darin, Maria Cecilia; Toscano, Maria; Maya, Gustavo

To demonstrate the initial experience in Argentina using the iSpies indocyanine green (ICG) platform in sentinel lymph node mapping in patients with early-stage cervical cancer. Step-by-step demonstration of the technique using a video and pictures (educative video) (Canadian Task Force classification III). Laparoscopic and robotic sentinel lymph node mapping using ICG has been shown to be safe and feasible; however, in developing countries, the opportunities to use fluorescent imaging through a minimally invasive approach are very limited, given the cost restrictions of acquiring the near-infrared technology and the fluorescent dyes. A 47-year-old woman presented with a stage IB1 squamous cervical cancer. Physical examination revealed a 1.5-cm tumor without evidence of parametrial involvement. Magnetic resonance imaging did not show any evidence of metastatic disease. The patient underwent laparoscopic radical hysterectomy with sentinel lymph node mapping. On laparoscopic exposure of the pelvic spaces, a cervical injection of ICG (1 mL superficial and deep) was administered using a spinal needle at the 3 o'clock and 9 o'clock positions. Sentinel lymph node mapping was then performed using the ICG (Pulsion Medical Systems, Feldkirchen, Germany) and an iSpies near-infrared camera (Karl Storz Endoskope, Tuttlingen, Germany). Bilateral sentinel lymph nodes were detected on the left external iliac artery and in the right obturator space. Both were confirmed ex vivo. The total operative time was 170 minutes. No intraoperative or postoperative complications were reported, and the patient was discharged at 48 hours after surgery. Estimated blood loss was minimal. Sentinel lymph node mapping alone is not the standard of care in our institution, and thus bilateral lymphadenectomy was performed. Ultrastaging is routinely performed when a sentinel lymph node is evaluated. Final pathology revealed a tumor confined to the cervix, with tumor-free margins, and a total of 10 lymph nodes that were negative for any evidence of disease. Disadvantages of this technology compared with the Pinpoint ICG system (Novadaq Technologies; Bonita Springs, FL) is the lack of simultaneous white vision and fluorescence ICG detection, and the to manually change normal vision to infrared vision. An advantage of the Storz iSpies system is its availability in our country, considering that the technology developed by Novadaq is not yet approved in Argentina. Although ICG sentinel lymph node mapping is becoming a standard of care [1,2], a lack of ICG dye or laparoscopic near-infrared technologies could be a deterrent to its use in developing countries. A focus on expanding this technology in countries with limited resources would allow patients the opportunity to avoid the morbidity associated with full lymphadenectomy. Copyright © 2017 American Association of Gynecologic Laparoscopists. Published by Elsevier Inc. All rights reserved.

29 CFR 1956.62 - Completion of developmental steps and certification. [Reserved

Code of Federal Regulations, 2010 CFR

2010-07-01

... 29 Labor 9 2010-07-01 2010-07-01 false Completion of developmental steps and certification. [Reserved] 1956.62 Section 1956.62 Labor Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND... EMPLOYEE PLANS New Jersey § 1956.62 Completion of developmental steps and certification. [Reserved] ...

Use of sentinel lymph node biopsy to select patients for local–regional therapy after neoadjuvant chemotherapy

PubMed Central

Erdahl, Lillian M.; Boughey, Judy C.

2014-01-01

Use of sentinel lymph node biopsy for axillary staging of patients with breast cancer treated with neoadjuvant chemotherapy has been widely debated. Questions arise regarding the accuracy of sentinel lymph node biopsy in axillary staging for these patients and its use to determine further local–regional therapy, including surgery and radiation therapy. For patients who are clinically node-negative at presentation, sentinel lymph node biopsy enables accurate staging of the axilla after neoadjuvant chemotherapy, and determination of which patients should go on to further axillary surgery and regional nodal radiation therapy. Importantly, performing axillary staging after completion of chemotherapy, rather than before chemotherapy, enables assessment of response to chemotherapy and the extent of residual disease. This information can assist the planning of adjuvant treatment. Recent data indicate that sentinel node biopsy can also be used to assess disease response after neoadjuvant chemotherapy for patients with clinical N1 disease at presentation. PMID:24683440

A Note on the Temporary Misregistration of Landsat-8 Operational Land Imager (OLI) and Sentinel-2 Multi Spectral Instrument (MSI) Imagery

NASA Technical Reports Server (NTRS)

Storey, James; Roy, David P.; Masek, Jeffrey; Gascon, Ferran; Dwyer, John; Choate, Michael

2016-01-01

The Landsat-8 and Sentinel-2 sensors provide multi-spectral image data with similar spectral and spatial characteristics that together provide improved temporal coverage globally. Both systems are designed to register Level 1 products to a reference image framework, however, the Landsat-8 framework, based upon the Global Land Survey images, contains residual geolocation errors leading to an expected sensor-to-sensor misregistration of 38 m (2sigma). These misalignments vary geographically but should be stable for a given area. The Landsat framework will be readjusted for consistency with the Sentinel-2 Global Reference Image, with completion expected in 2018. In the interim, users can measure Landsat-to-Sentinel tie points to quantify the misalignment in their area of interest and if appropriate to reproject the data to better alignment.

A note on the temporary misregistration of Landsat-8 Operational Land Imager (OLI) and Sentinel-2 Multi Spectral Instrument (MSI) imagery

USGS Publications Warehouse

Storey, James C.; Roy, David P.; Masek, Jeffrey; Gascon, Ferran; Dwyer, John L.; Choate, Michael J.

2016-01-01

The Landsat-8 and Sentinel-2 sensors provide multi-spectral image data with similar spectral and spatial characteristics that together provide improved temporal coverage globally. Both systems are designed to register Level 1 products to a reference image framework, however, the Landsat-8 framework, based upon the Global Land Survey images, contains residual geolocation errors leading to an expected sensor-to-sensor misregistration of 38 m (2σ). These misalignments vary geographically but should be stable for a given area. The Landsat framework will be readjusted for consistency with the Sentinel-2 Global Reference Image, with completion expected in 2018. In the interim, users can measure Landsat-to-Sentinel tie points to quantify the misalignment in their area of interest and if appropriate to reproject the data to better alignment.

Outcome of Sentinel Hospital-based and CDC-based ART Service Delivery: A Prospective Open Cohort of People Living with HIV in China.

PubMed

Ning, Chuanyi; Smith, Kumi M; McCann, Chase D; Hu, Fengyu; Lan, Yun; Zhang, Fuchun; Liang, Hao; Zhao, Jinmin; Tucker, Joseph D; Cai, Weiping

2017-02-14

The primary objective of this study was to obtain insights into the outcomes of people living with HIV who accessed services through HIV/AIDS sentinel hospital-based and ART service delivery in China. Post-hoc analyses of an open cohort from an observational database of 22 qualified HIV/AIDS sentinel hospital-based and two CDC-based drug delivery facilities (DDFs) in Guangdong Province was completed. Linkage to care, mortality and survival rates were calculated according to WHO criteria. 12,966 individuals received ART from HIV/AIDS sentinel hospitals and 1,919 from DDFs, with linkage to care rates of 80.7% and 79.9%, respectively (P > 0.05). Retention rates were 94.1% and 84.0% in sentinel hospitals and DDFs, respectively (P < 0.01). Excess mortality was 1.4 deaths/100 person-years (95% CI: 1.1, 1.8) in DDFs compared to 0.4 deaths/100 person-years (95% CI: 0.3, 0.5) in hospitals (P < 0.01). A Cox-regression analysis revealed that mortality was much higher in patients receiving ART from the DDFs than sentinel hospitals, with an adjusted HR of 3.3 (95% CI: 2.3, 4.6). A crude HR of treatment termination in DDFs was 7.5 fold higher (95% CI: 6.3, 9.0) compared to sentinel hospitals. HIV/AIDS sentinel hospital had better retention, and substantially lower mortality compared to DDFs.

Managing quality and compliance.

PubMed

McNeil, Alice; Koppel, Carl

2015-01-01

Critical care nurses assume vital roles in maintaining patient care quality. There are distinct facets to the process including standard setting, regulatory compliance, and completion of reports associated with these endeavors. Typically, multiple niche software applications are required and user interfaces are varied and complex. Although there are distinct quality indicators that must be tracked as well as a list of serious or sentinel events that must be documented and reported, nurses may not know the precise steps to ensure that information is properly documented and actually reaches the proper authorities for further investigation and follow-up actions. Technology advances have permitted the evolution of a singular software platform, capable of monitoring quality indicators and managing all facets of reporting associated with regulatory compliance.

Sentinel Lymph Node Biopsy in Uterine Cervical Cancer Patients: Ready for Clinical Use? A Review of the Literature

PubMed Central

Palla, Viktoria-Varvara; Karaolanis, Georgios; Moris, Demetrios; Antsaklis, Aristides

2014-01-01

Sentinel lymph node biopsy has been widely studied in a number of cancer types. As far as cervical cancer is concerned, this technique has already been used, revealing both positive results and several issues to be solved. The debate on the role of sentinel lymph node biopsy in cervical cancer is still open although most of the studies have already revealed its superiority over complete lymphadenectomy and the best handling possible of the emerging practical problems. Further research should be made in order to standardize this method and include it in the clinical routine. PMID:24527233

Involving Patients and Families in the Analysis of Suicides, Suicide Attempts, and Other Sentinel Events in Mental Healthcare: A Qualitative Study in The Netherlands.

PubMed

Bouwman, Renée; de Graaff, Bert; de Beurs, Derek; van de Bovenkamp, Hester; Leistikow, Ian; Friele, Roland

2018-05-29

Involving patients and families in mental healthcare is becoming more commonplace, but little is known about how they are involved in the aftermath of serious adverse events related to quality of care (sentinel events, including suicides). This study explores the role patients and families have in formal processes after sentinel events in Dutch mental healthcare. We analyzed the existing policies of 15 healthcare organizations and spoke with 35 stakeholders including patients, families, their counselors, the national regulator, and professionals. Respondents argue that involving patients and families is valuable to help deal with the event emotionally, provide additional information, and prevent escalation. Results indicate that involving patients and families is only described in sentinel event policies to a limited extent. In practice, involvement consists mostly of providing aftercare and sharing information about the event by providers. Complexities such as privacy concerns and involuntary admissions are said to hinder involvement. Respondents also emphasize that involvement should not be obligatory and stress the need for patients and families to be involved throughout the process of treatment. There is no one-size-fits-all strategy for involving patients and families after sentinel events. The first step seems to be early involvement during treatment process itself.

Validation of sentinel lymph node biopsy in breast cancer women N1-N2 with complete axillary response after neoadjuvant chemotherapy. Multicentre study in Tarragona.

PubMed

Carrera, D; de la Flor, M; Galera, J; Amillano, K; Gomez, M; Izquierdo, V; Aguilar, E; López, S; Martínez, M; Martínez, S; Serra, J M; Pérez, M; Martin, L

2016-01-01

The aim of our study was to evaluate sentinel lymph node biopsy as a diagnostic test for assessing the presence of residual metastatic axillary lymph nodes after neoadjuvant chemotherapy, replacing the need for a lymphadenectomy in negative selective lymph node biopsy patients. A multicentre, diagnostic validation study was conducted in the province of Tarragona, on women with T1-T3, N1-N2 breast cancer, who presented with a complete axillary response after neoadjuvant chemotherapy. Study procedures consisted of performing an selective lymph node biopsy followed by lymphadenectomy. A total of 53 women were included in the study. Surgical detection rate was 90.5% (no sentinel node found in 5 patients). Histopathological analysis of the lymphadenectomy showed complete disease regression of axillary nodes in 35.4% (17/48) of the patients, and residual axillary node involvement in 64.6% (31/48) of them. In lymphadenectomy positive patients, 28 had a positive selective lymph node biopsy (true positive), while 3 had a negative selective lymph node biopsy (false negative). Of the 28 true selective lymph node biopsy positives, the sentinel node was the only positive node in 10 cases. All lymphadenectomy negative cases were selective lymph node biopsy negative. These data yield a sensitivity of 93.5%, a false negative rate of 9.7%, and a global test efficiency of 93.7%. Selective lymph node biopsy after chemotherapy in patients with a complete axillary response provides valid and reliable information regarding axillary status after neoadjuvant treatment, and might prevent lymphadenectomy in cases with negative selective lymph node biopsy. Copyright © 2016 Elsevier España, S.L.U. and SEMNIM. All rights reserved.

The Lymphatic Anatomy of the Breast and its Implications for Sentinel Lymph Node Biopsy: A Human Cadaver Study

PubMed Central

Pan, Wei-Ren; Mann, G. Bruce; Taylor, G. Ian

2007-01-01

Background Current understanding of the lymphatic system of the breast is derived mainly from the work of the anatomist Sappey in the 1850s, with many observations made during the development and introduction of breast lymphatic mapping and sentinel node biopsy contributing to our knowledge. Methods Twenty four breasts in 14 fresh human cadavers (5 male, 9 female) were studied. Lymph vessels were identified with hydrogen peroxide and injected with a lead oxide mixture and radiographed. The specimens were cross sectioned and radiographed to provide three dimensional images. Lymph (collecting) vessels were traced from the periphery to the first-tier lymph node. Results Lymph collecting vessels were found evenly spaced at the periphery of the anterior upper torso draining radially into the axillary lymph nodes. As they reached the breast some passed over and some through the breast parenchyma, as revealed in the cross-section studies. The pathways showed no significant difference between male and female specimens. We found also perforating lymph vessels that coursed beside the branches of the internal mammary vessels, draining into the ipsilateral internal mammary lymphatics. In some studies one sentinel node in the axilla drained almost the entire breast. In most more than one sentinel node was represented. Conclusion These anatomical findings are discordant with our current knowledge based on previous studies and demand closer examination by clinicians. These anatomical studies may help explain the percentage of false-negative sentinel node biopsy studies and suggest the peritumoral injection site for accurate sentinel lymph node detection. PMID:18043970

The Utility of Sentinel Node Biopsy for Sinonasal Melanoma.

PubMed

Oldenburg, Michael S; Price, Daniel L

2017-10-01

Objective  Report two positive sentinel node biopsies for sinonasal melanoma. Design  Retrospective review. Setting  Academic tertiary care center. Participants  Patients who underwent sentinel node biopsy for sinonasal melanoma between November 1, 2014 and November 1, 2015. Main Outcome Measures  Clinical course. Results  Two patients were identified. Patient 1 (83M) presented with a sinonasal melanoma anterior to the left inferior turbinate and was clinically N0 neck. Lymphoscintigraphy revealed two sentinel nodes in the ipsilateral and three in the contralateral cervical basins. The left level I sentinel node was positive for melanoma and lymphadenectomy showed no additional metastases. Patient 2 (71F) presented after incomplete resection of a sinonasal melanoma of the left posterior maxillary sinus wall and was clinically N0 neck. Lymphoscintigraphy with single-photon emission computed tomography (SPECT/CT) localization revealed one sentinel node in the parapharyngeal space and another in the ipsilateral cervical basin. Metastatic melanoma was found in both nodes and completion lymphadenectomy was negative for additional disease. Both patients developed distant metastasis in less than 1 year after surgical resection but responded well to adjuvant immunomodulatory chemotherapeutic agents. Conclusion  Sentinel node biopsy for sinonasal melanoma can provide crucial clinical evidence of regional metastasis prior to overt clinical signs and symptoms. This intraoperative tool has the potential to improve detection of regional metastasis and improve long-term outcomes of this aggressive malignancy.

Evaluation of the novel respiratory virus surveillance program: Pediatric Early Warning Sentinel Surveillance (PEWSS).

PubMed

Armour, Patricia A; Nguyen, Linh M; Lutman, Michelle L; Middaugh, John P

2013-01-01

Infections caused by respiratory viruses are associated with recurrent epidemics and widespread morbidity and mortality. Routine surveillance of these pathogens is necessary to determine virus activity, monitor for changes in circulating strains, and plan for public health preparedness. The Southern Nevada Health District in Las Vegas, Nevada, recruited five pediatric medical practices to serve as sentinel sites for the Pediatric Early Warning Sentinel Surveillance (PEWSS) program. Sentinel staff collected specimens throughout the year from ill children who met the influenza-like illness case definition and submitted specimens to the Southern Nevada Public Health Laboratory for molecular testing for influenza and six non-influenza viruses. Laboratory results were analyzed and reported to the medical and general communities in weekly bulletins year-round. PEWSS data were also used to establish viral respiratory seasonal baselines and in influenza vaccination campaigns. The surveillance program was evaluated using the Centers for Disease Control and Prevention's (CDC's) Updated Guidelines for Evaluating Public Health Surveillance Systems. PEWSS met three of six program usefulness criteria and seven of nine surveillance system attributes, which exceeded the CDC Guidelines evaluation criteria for a useful and complete public health surveillance program. We found that PEWSS is a useful and complete public health surveillance system that is simple, flexible, accessible, and stable.

Evaluation of the Novel Respiratory Virus Surveillance Program: Pediatric Early Warning Sentinel Surveillance (PEWSS)

PubMed Central

Nguyen, Linh M.; Lutman, Michelle L.; Middaugh, John P.

2013-01-01

Objectives Infections caused by respiratory viruses are associated with recurrent epidemics and widespread morbidity and mortality. Routine surveillance of these pathogens is necessary to determine virus activity, monitor for changes in circulating strains, and plan for public health preparedness. The Southern Nevada Health District in Las Vegas, Nevada, recruited five pediatric medical practices to serve as sentinel sites for the Pediatric Early Warning Sentinel Surveillance (PEWSS) program. Methods Sentinel staff collected specimens throughout the year from ill children who met the influenza-like illness case definition and submitted specimens to the Southern Nevada Public Health Laboratory for molecular testing for influenza and six non-influenza viruses. Results Laboratory results were analyzed and reported to the medical and general communities in weekly bulletins year-round. PEWSS data were also used to establish viral respiratory seasonal baselines and in influenza vaccination campaigns. The surveillance program was evaluated using the Centers for Disease Control and Prevention's (CDC's) Updated Guidelines for Evaluating Public Health Surveillance Systems. PEWSS met three of six program usefulness criteria and seven of nine surveillance system attributes, which exceeded the CDC Guidelines evaluation criteria for a useful and complete public health surveillance program. Conclusion We found that PEWSS is a useful and complete public health surveillance system that is simple, flexible, accessible, and stable. PMID:23997308

Completion Dissection or Observation for Sentinel-Node Metastasis in Melanoma.

PubMed

Faries, Mark B; Thompson, John F; Cochran, Alistair J; Andtbacka, Robert H; Mozzillo, Nicola; Zager, Jonathan S; Jahkola, Tiina; Bowles, Tawnya L; Testori, Alessandro; Beitsch, Peter D; Hoekstra, Harald J; Moncrieff, Marc; Ingvar, Christian; Wouters, Michel W J M; Sabel, Michael S; Levine, Edward A; Agnese, Doreen; Henderson, Michael; Dummer, Reinhard; Rossi, Carlo R; Neves, Rogerio I; Trocha, Steven D; Wright, Frances; Byrd, David R; Matter, Maurice; Hsueh, Eddy; MacKenzie-Ross, Alastair; Johnson, Douglas B; Terheyden, Patrick; Berger, Adam C; Huston, Tara L; Wayne, Jeffrey D; Smithers, B Mark; Neuman, Heather B; Schneebaum, Schlomo; Gershenwald, Jeffrey E; Ariyan, Charlotte E; Desai, Darius C; Jacobs, Lisa; McMasters, Kelly M; Gesierich, Anja; Hersey, Peter; Bines, Steven D; Kane, John M; Barth, Richard J; McKinnon, Gregory; Farma, Jeffrey M; Schultz, Erwin; Vidal-Sicart, Sergi; Hoefer, Richard A; Lewis, James M; Scheri, Randall; Kelley, Mark C; Nieweg, Omgo E; Noyes, R Dirk; Hoon, Dave S B; Wang, He-Jing; Elashoff, David A; Elashoff, Robert M

2017-06-08

Sentinel-lymph-node biopsy is associated with increased melanoma-specific survival (i.e., survival until death from melanoma) among patients with node-positive intermediate-thickness melanomas (1.2 to 3.5 mm). The value of completion lymph-node dissection for patients with sentinel-node metastases is not clear. In an international trial, we randomly assigned patients with sentinel-node metastases detected by means of standard pathological assessment or a multimarker molecular assay to immediate completion lymph-node dissection (dissection group) or nodal observation with ultrasonography (observation group). The primary end point was melanoma-specific survival. Secondary end points included disease-free survival and the cumulative rate of nonsentinel-node metastasis. Immediate completion lymph-node dissection was not associated with increased melanoma-specific survival among 1934 patients with data that could be evaluated in an intention-to-treat analysis or among 1755 patients in the per-protocol analysis. In the per-protocol analysis, the mean (±SE) 3-year rate of melanoma-specific survival was similar in the dissection group and the observation group (86±1.3% and 86±1.2%, respectively; P=0.42 by the log-rank test) at a median follow-up of 43 months. The rate of disease-free survival was slightly higher in the dissection group than in the observation group (68±1.7% and 63±1.7%, respectively; P=0.05 by the log-rank test) at 3 years, based on an increased rate of disease control in the regional nodes at 3 years (92±1.0% vs. 77±1.5%; P<0.001 by the log-rank test); these results must be interpreted with caution. Nonsentinel-node metastases, identified in 11.5% of the patients in the dissection group, were a strong, independent prognostic factor for recurrence (hazard ratio, 1.78; P=0.005). Lymphedema was observed in 24.1% of the patients in the dissection group and in 6.3% of those in the observation group. Immediate completion lymph-node dissection increased the rate of regional disease control and provided prognostic information but did not increase melanoma-specific survival among patients with melanoma and sentinel-node metastases. (Funded by the National Cancer Institute and others; MSLT-II ClinicalTrials.gov number, NCT00297895 .).

Intraoperative sentinel node identification in early stage cervical cancer using a combination of radiolabeled albumin injection and isosulfan blue dye injection.

PubMed

Martínez-Palones, José M; Gil-Moreno, Antonio; Pérez-Benavente, María A; Roca, Isabel; Xercavins, Jordi

2004-03-01

We investigated the feasibility of sentinel lymph node identification using radioisotopic lymphatic mapping with technetium-99m-labeled human serum albumin and isosulfan blue dye injection in patients undergoing radical hysterectomy with pelvic lymphadenectomy for treatment of early cervical cancer. Between September 2000 and October 2002, 25 patients with cervical cancer FIGO stage I (n=24) or stage II (n=1) underwent sentinel lymph node detection with preoperative lymphoscintigraphy (technetium-99m colloid albumin injection around the tumor) and intraoperative lymphatic mapping with blue dye and a handheld or laparoscopic gamma probe. Complete pelvic or paraaortic lymphadenectomy was performed in all cases by open surgery or laparoscopic surgery. In 23 evaluable patients, a total of 51 sentinel lymph nodes were detected by lymphoscintigraphy (mean 2.21 nodes per patient). Intraoperatively, 61 sentinel lymph nodes were identified, with a mean of 2.52 nodes per patient by gamma probe and a mean of 1.94 nodes per patient after isosulfan blue injection. Forty percent of sentinel nodes were found in the interiliac region and 25% in the external iliac area. Microscopic nodal metastases (four nodes) were confirmed in 12% of cases. All these lymph nodes were previously detected as sentinel lymph nodes. The remaining 419 nodes after pelvic lymphadenectomy were histologically negative. Sentinel lymph node identification with technetium-99m-labeled nanocolloid combined with blue dye injection is feasible and showed a 100% negative predictive value, and potentially identified women in whom lymph node dissection can be avoided.

The impact of superficial injections of radiocolloids and dynamic lymphoscintigraphy on sentinel node identification in oral cavity cancer: a same-day protocol.

PubMed

Tartaglione, Girolamo; Vigili, Maurizio G; Rahimi, Siavash; Celebrini, Alessandra; Pagan, Marco; Lauro, Luigi; Al-Nahhas, Adil; Rubello, Domenico

2008-04-01

To evaluate the role of dynamic lymphoscintigraphy with a same-day protocol for sentinel node biopsy in oral cavity cancer. Twenty-two consecutive patients affected by cT1-2N0 squamous cell carcinoma of the oral cavity were enrolled between September 2001 and November 2005. After a local anaesthetic (10% lidocaine spray), a dose of 30-50 MBq of Tc human serum albumin nanocolloid, in ml saline, was injected superficially (1-2 mm subendothelial injection) into four points around the lesion. Dynamic lymphoscintigraphy was acquired immediately (256x256 matrix, 5 min pre-set time, LEGP collimator) in lateral and anterior projections. The imaging was prolonged until the lymph nodes of at least two neck levels were visualized (time required min). About 3 h later (same-day protocol) the patients had a radioguided sentinel node biopsy. Elective neck dissection was performed in the first 13 patients; whereas the last nine patients had elective neck dissection only if the sentinel node was positive. Sentinel nodes were dissected into 1 mm thick block sections and studied by haematoxylin & eosin staining and immunohistochemistry (anticytokeratin antibody). The sentinel nodes were found on the 1st neck level in 13 cases, on the 2nd neck level in eight cases, and on the 3rd neck level in one case (100% sensitivity). The average number of sentinel nodes was 2.2 for each patient. The sentinel node was positive in eight patients (36%); with six of them having the sentinel node as the exclusive site of metastasis. No skip metastases were found in the 14 patients with negative sentinel node (100% specificity). Our preliminary data indicate that superficial injections of radiocolloid and dynamic lymphoscintigraphy provide a high success rate in sentinel node identification in oral cavity cancers. Dynamic lymphoscintigraphy helps in distinguishing sentinel node from second-tier lymph nodes. The same-day protocol is advisable in order to correctly identify the first sentinel node, avoiding multiple and unnecessary node biopsies, without reducing sensitivity.

Sentinel Node and Ovarian Tumors: A Series of 20 Patients.

PubMed

Nyberg, Reita H; Korkola, Pasi; Mäenpää, Johanna U

2017-05-01

Intraoperative detection of ovarian sentinel nodes has been shown to be feasible. We examined the detection rate and locations of sentinel nodes in patients with ovarian tumors. We also aimed to assess the reliability of sentinel node method in predicting regional lymph node metastasis. Twenty patients scheduled for laparotomy because of a pelvic mass were recruited to the study. In the beginning of the laparotomy, radioisotope and blue dye were injected under the serosa next to the junction of the ovarian tumor and suspensory ligament. The number and locations of the hot and/or blue nodes/spots were recorded during the operation. If the tumor was malignant according to the frozen section, systematic lymphadenectomies were performed, the sentinel nodes sampled separately, and their status compared with other regional lymph nodes. Eleven patients had a right-sided ovarian tumor, 7 patients a left-sided tumor, and 2 patients had bilateral tumors. A median of 2 sentinel nodes/locations per patient (range, 1-3) were found. Sixty percent of all sentinel nodes were located in the para-aortic region only, compared with 30% in both para-aortic and pelvic areas and 10% in pelvic area only. Both unilateral and bilateral locations were found. In 83% of the cases with more than 1 sentinel node location, they were located in separate anatomical regions. In 3 patients, systematic lymphadenectomies were performed. One of them had nodal metastases in 2 regions and also a metastasis in 1 of her 2 sentinel nodes in 1 of those regions. In patients with ovarian tumor(s), the detection of sentinel nodes is feasible. They are located in different anatomic areas both ipsilaterally and contralaterally, although most of them are found in the para-aortic region. The reliability of the sentinel node concept should be evaluated in the framework of a multicenter trial.

Assessment of Classification Accuracies of SENTINEL-2 and LANDSAT-8 Data for Land Cover / Use Mapping

NASA Astrophysics Data System (ADS)

Hale Topaloğlu, Raziye; Sertel, Elif; Musaoğlu, Nebiye

2016-06-01

This study aims to compare classification accuracies of land cover/use maps created from Sentinel-2 and Landsat-8 data. Istanbul metropolitan city of Turkey, with a population of around 14 million, having different landscape characteristics was selected as study area. Water, forest, agricultural areas, grasslands, transport network, urban, airport- industrial units and barren land- mine land cover/use classes adapted from CORINE nomenclature were used as main land cover/use classes to identify. To fulfil the aims of this research, recently acquired dated 08/02/2016 Sentinel-2 and dated 22/02/2016 Landsat-8 images of Istanbul were obtained and image pre-processing steps like atmospheric and geometric correction were employed. Both Sentinel-2 and Landsat-8 images were resampled to 30m pixel size after geometric correction and similar spectral bands for both satellites were selected to create a similar base for these multi-sensor data. Maximum Likelihood (MLC) and Support Vector Machine (SVM) supervised classification methods were applied to both data sets to accurately identify eight different land cover/ use classes. Error matrix was created using same reference points for Sentinel-2 and Landsat-8 classifications. After the classification accuracy, results were compared to find out the best approach to create current land cover/use map of the region. The results of MLC and SVM classification methods were compared for both images.

Geodetic integration of Sentinel-1A IW data using PSInSAR in Hungary

NASA Astrophysics Data System (ADS)

Farkas, Péter; Hevér, Renáta; Grenerczy, Gyula

2015-04-01

ESA's latest Synthetic Aperture Radar (SAR) mission Sentinel-1 is a huge step forward in SAR interferometry. With its default acquisition mode called the Interferometric Wide Swath Mode (IW) areas through all scales can be mapped with an excellent return time of 12 days (while only the Sentinel-1A is in orbit). Its operational data policy is also a novelty, it allows scientific users free and unlimited access to data. It implements a new type of ScanSAR mode called Terrain Observation with Progressive Scan (TOPS) SAR. It has the same resolution as ScanSAR but with better signal-to-noise ratio distribution. The bigger coverage is achieved by rotation of the antenna in the azimuth direction, therefore it requires very precise co-registration because even errors under a pixel accuracy can introduce azimuth phase variations caused by differences in Doppler-centroids. In our work we will summarize the benefits and the drawbacks of the IW mode. We would like to implement the processing chain of GAMMA Remote Sensing of such data for mapping surface motion with special attention to the co-registration step. Not only traditional InSAR but the advanced method of Persistent Scatterer InSAR (PSInSAR) will be performed and presented as well. PS coverage, along with coherence, is expected to be good due to the small perpendicular and temporal baselines. We would also like to integrate these measurements into national geodetic networks using common reference points. We have installed trihedral corner reflectors at some selected sites to aid precise collocation. Thus, we aim to demonstrate that Sentinel-1 can be effectively used for surface movement detection and monitoring and it can also provide valuable information for the improvement of our networks.

Lymphatic mapping and sentinel node biopsy in ovarian tumors: a study using intra-operative Tc-99m-Phytate and lymphoscintigraphy imaging.

PubMed

Hassanzadeh, Malihe; Hosseini Farahabadi, Elham; Yousefi, Zohreh; Kadkhodayan, Sima; Zarifmahmoudi, Leili; Sadeghi, Ramin

2016-09-07

Experience on sentinel node mapping in ovarian tumors is very limited. We evaluated the sentinel node concept in ovarian tumors using intra-operativeTc-99m-Phytate injection and lymphoscintigraphy imaging. Thirty-five patients with a pelvic mass due to an ovarian pathology were included in the study. The radiotracer was injected just after laparotomy and before removal of the tumor either beneath the normal cortex (10 patients) or in the utero-ovarian and suspensory ligaments of the ovary just beneath the peritoneum two injections of the radiotracer (25 patients). For malignant masses, the sentinel nodes were identified using a hand held gamma probe. Then standard pelvic and para-aortic lymphadenectomy was performed. In case of benign pathologies or borderline ovarian tumors on frozen section, lymphadenectomy was not performed. The morning after surgery, all patients were sent for lymphoscintigraphy imaging of the abdomen and pelvis. Sentinel node was identified only in 4 patients of the cortical injection group. At least one sentinel node could be identified in 21 patients of the sub-peritoneal group. Sentinel nodes were identified only in the para-aortic area in 21, pelvic/para-aortic areas in 2, and pelvic only area in 2 patients. Three patients had lymph node involvement and all had involved sentinel nodes (no false negative case). Sentinel node mapping using intra-operative injection of the radiotracer (in the utero-ovarian and suspensory ligaments of the ovary just beneath the peritoneum) is feasible in ovarian tumors. Technical aspects of this method should be explored in larger multicenter studies in the future.

Sentinel lymph node biopsy in breast cancer

PubMed Central

Alsaif, Abdulaziz A.

2015-01-01

Objectives: To report our experience in sentinel lymph node biopsy (SLNB) in early breast cancer. Methods: This is a retrospective study conducted at King Khalid University Hospital, Riyadh, Kingdom of Saudi Arabia between January 2005 and December 2014. There were 120 patients who underwent SLNB with frozen section examination. Data collected included the characteristics of patients, index tumor, and sentinel node (SN), SLNB results, axillary recurrence rate and SLNB morbidity. Results: There were 120 patients who had 123 cancers. Sentinel node was identified in 117 patients having 120 tumors (97.6% success rate). No SN was found intraoperatively in 3 patients. Frozen section results showed that 95 patients were SN negative, those patients had no immediate axillary lymph node dissection (ALND), whereas 25 patients were SN positive and subsequently had immediate ALND. Upon further examination of the 95 negative SN’s by hematoxylin & eosin (H&E) and immunohistochemical staining for doubtful H&E cases, 10 turned out to have micrometastases (6 had delayed ALND and 4 had no further axillary surgery). Median follow up of patients was 35.5 months and the mean was 38.8 months. There was one axillary recurrence observed in the SN negative group. The morbidity of SLNB was minimal. Conclusion: The obtainable results from our local experience in SLNB in breast cancer, concur with that seen in published similar literature in particular the axillary failure rate. Sentinel lymph node biopsy resulted in minimal morbidity. PMID:26318461

Beyond the Briganti nomogram: Individualisation of lymphadenectomy using selective sentinel node biopsy during radical prostatectomy for prostate cancer.

PubMed

Monserrat-Monfort, J J; Martinez-Sarmiento, M; Vera-Donoso, C D; Vera-Pinto, V; Sopena-Novales, P; Bello-Arqués, P; Boronat-Tormo, F

To validate the technique of selective sentinel node biopsy for diagnosing and staging intermediate to high-risk prostate cancer by comparing the technique with conventional extended lymphadenectomy (eLFD) in a prospective, longitudinal comparative study. We applied the technique to 45 patients. After an intraprostatic injection of 99m Tc-nanocolloid and preoperative single-photon emission computed tomography (SPECT/CT), we extracted the sentinel lymph nodes, guided by a portable Sentinella® gamma camera and a laparoscopic gamma-ray detection probe. The eLFD was completed to establish the negative predictive value of the technique. SPECT/CT showed radiotracer deposits outside the eLFD territory in 73% of the patients and the laparoscopic gamma probe in 60%. The mean number of active foci per patient was 4.3 in the SPECT/CT and 3.2 in the laparoscopic gamma probe. The mean number of extracted sentinel lymph nodes was 4.3 (0-14), with 26% outside the eLFD territory. The lymph nodes were metastatic in 10 patients (22%), 6/40 (15%) when the prostatectomy was the primary treatment. In all cases with metastatic lymph nodes, there was at least one positive sentinel node. Metastatic sentinel lymph nodes were found outside the eLFD territory in 3/10 patients (30%). The sensitivity was 100%, the specificity was 94.73%, the positive predictive value was 81.81%, and the negative predictive value was 100%. Selective sentinel node biopsy is superior to eLFD for diagnosing lymph node involvement and can avoid eLFD when metastatic sentinel lymph nodes are not found (85%), with the consequent functional advantages. Copyright © 2016 AEU. Publicado por Elsevier España, S.L.U. All rights reserved.

Sentinel-3 SAR Altimetry Toolbox - Scientific Exploitation of Operational Missions (SEOM) Program Element

NASA Astrophysics Data System (ADS)

Benveniste, Jérôme; Lucas, Bruno; Dinardo, Salvatore

2014-05-01

The prime objective of the SEOM (Scientific Exploitation of Operational Missions) element is to federate, support and expand the large international research community that the ERS, ENVISAT and the Envelope programmes have build up over the last 20 years for the future European operational Earth Observation missions, the Sentinels. Sentinel-3 builds directly on a proven heritage pioneered by ERS-1, ERS-2, Envisat and CryoSat-2, with a dual-frequency (Ku and C band) advanced Synthetic Aperture Radar Altimeter (SRAL) that provides measurements at a resolution of ~300m in SAR mode along track. Sentinel-3 will provide exact measurements of sea-surface height along with accurate topography measurements over sea ice, ice sheets, rivers and lakes. The first of the Sentinel-3 series is planned for launch in early 2015. The current universal altimetry toolbox is BRAT (Basic Radar Altimetry Toolbox) which can read all previous and current altimetry mission's data, but it does not have the capabilities to read the upcoming Sentinel-3 L1 and L2 products. ESA will endeavour to develop and supply this capability to support the users of the future Sentinel-3 SAR Altimetry Mission. BRAT is a collection of tools and tutorial documents designed to facilitate the processing of radar altimetry data. This project started in 2005 from the joint efforts of ESA (European Space Agency) and CNES (Centre National d'Etudes Spatiales, the French Space Agency), and it is freely available at http://earth.esa.int/brat. The tools enable users to interact with the most common altimetry data formats, the BratGUI is the front-end for the powerful command line tools that are part of the BRAT suite. BRAT can also be used in conjunction with Matlab/IDL (via reading routines) or in C/C++/Fortran via a programming API, allowing the user to obtain desired data, bypassing the data-formatting hassle. BRAT can be used simply to visualise data quickly, or to translate the data into other formats such as netCDF, ASCII text files, KML (Google Earth) and raster images (JPEG, PNG, etc.). Several kinds of computations can be done within BRAT involving combinations of data fields that the user can save for posterior reuse or using the already embedded formulas that include the standard oceanographic altimetry formulas. The Radar Altimeter Tutorial, that contains a strong introduction to altimetry, showing its applications in different fields such as Oceanography, Cryosphere, Geodesy, Hydrology among others. Included are also "use cases", with step-by-step examples, on how to use the toolbox in the different contexts. The Sentinel-3 SAR Altimetry Toolbox shall benefit from the current BRAT version. While developing the Sentinel-3 SAR Altimetry Toolbox we will revamp of the Graphical User Interface and provide, among other enhancements, support for reading the upcoming S3 datasets and specific "use-cases" for SAR altimetry in order to train the users and make them aware of the great potential of SAR altimetry for coastal and inland applications. As for any open source framework, contributions from users having developed their own functions are welcome. The ITT is expected to be launched in Q1 2014 and have the 1st version available before the launch of Sentinel-3.

Sentinel-3 SAR Altimetry Toolbox - Scientific Exploitation of Operational Missions (SEOM) Program Element

NASA Astrophysics Data System (ADS)

Benveniste, Jérôme; Dinardo, Salvatore; Lucas, Bruno Manuel

The prime objective of the SEOM (Scientific Exploitation of Operational Missions) element is to federate, support and expand the large international research community that the ERS, ENVISAT and the Envelope programmes have build up over the last 20 years for the future European operational Earth Observation missions, the Sentinels. Sentinel-3 builds directly on a proven heritage pioneered by ERS-1, ERS-2, Envisat and CryoSat-2, with a dual-frequency (Ku and C band) advanced Synthetic Aperture Radar Altimeter (SRAL) that provides measurements at a resolution of ~300m in SAR mode along track. Sentinel-3 will provide exact measurements of sea-surface height along with accurate topography measurements over sea ice, ice sheets, rivers and lakes. The first of the Sentinel-3 series is planned for launch in early 2015. The current universal altimetry toolbox is BRAT (Basic Radar Altimetry Toolbox) which can read all previous and current altimetry mission’s data, but it does not have the capabilities to read the upcoming Sentinel-3 L1 and L2 products. ESA will endeavour to develop and supply this capability to support the users of the future Sentinel-3 SAR Altimetry Mission. BRAT is a collection of tools and tutorial documents designed to facilitate the processing of radar altimetry data. This project started in 2005 from the joint efforts of ESA (European Space Agency) and CNES (Centre National d’Etudes Spatiales, the French Space Agency), and it is freely available at http://earth.esa.int/brat. The tools enable users to interact with the most common altimetry data formats, the BratGUI is the front-end for the powerful command line tools that are part of the BRAT suite. BRAT can also be used in conjunction with Matlab/IDL (via reading routines) or in C/C++/Fortran via a programming API, allowing the user to obtain desired data, bypassing the data-formatting hassle. BRAT can be used simply to visualise data quickly, or to translate the data into other formats such as netCDF, ASCII text files, KML (Google Earth) and raster images (JPEG, PNG, etc.). Several kinds of computations can be done within BRAT involving combinations of data fields that the user can save for posterior reuse or using the already embedded formulas that include the standard oceanographic altimetry formulas. The Radar Altimeter Tutorial, that contains a strong introduction to altimetry, showing its applications in different fields such as Oceanography, Cryosphere, Geodesy, Hydrology among others. Included are also “use cases”, with step-by-step examples, on how to use the toolbox in the different contexts. The Sentinel-3 SAR Altimetry Toolbox shall benefit from the current BRAT version. While developing the Sentinel-3 SAR Altimetry Toolbox we will revamp of the Graphical User Interface and provide, among other enhancements, support for reading the upcoming S3 datasets and specific “use-cases” for SAR altimetry in order to train the users and make them aware of the great potential of SAR altimetry for coastal and inland applications. As for any open source framework, contributions from users having developed their own functions are welcome. The ITT is expected to be launched in Q1 2014 and have the 1st version available before the launch of Sentinel-3.

Sentinel-3 SAR Altimetry Toolbox

NASA Astrophysics Data System (ADS)

Benveniste, Jerome; Lucas, Bruno; DInardo, Salvatore

2015-04-01

The prime objective of the SEOM (Scientific Exploitation of Operational Missions) element is to federate, support and expand the large international research community that the ERS, ENVISAT and the Envelope programmes have build up over the last 20 years for the future European operational Earth Observation missions, the Sentinels. Sentinel-3 builds directly on a proven heritage of ERS-2 and Envisat, and CryoSat-2, with a dual-frequency (Ku and C band) advanced Synthetic Aperture Radar Altimeter (SRAL) that provides measurements at a resolution of ~300m in SAR mode along track. Sentinel-3 will provide exact measurements of sea-surface height along with accurate topography measurements over sea ice, ice sheets, rivers and lakes. The first of the two Sentinels is expected to be launched in early 2015. The current universal altimetry toolbox is BRAT (Basic Radar Altimetry Toolbox) which can read all previous and current altimetry mission's data, but it does not have the capabilities to read the upcoming Sentinel-3 L1 and L2 products. ESA will endeavour to develop and supply this capability to support the users of the future Sentinel-3 SAR Altimetry Mission. BRAT is a collection of tools and tutorial documents designed to facilitate the processing of radar altimetry data. This project started in 2005 from the joint efforts of ESA (European Space Agency) and CNES (Centre National d'Etudes Spatiales), and it is freely available at http://earth.esa.int/brat. The tools enable users to interact with the most common altimetry data formats, the BratGUI is the front-end for the powerful command line tools that are part of the BRAT suite. BRAT can also be used in conjunction with Matlab/IDL (via reading routines) or in C/C++/Fortran via a programming API, allowing the user to obtain desired data, bypassing the data-formatting hassle. BRAT can be used simply to visualise data quickly, or to translate the data into other formats such as netCDF, ASCII text files, KML (Google Earth) and raster images (JPEG, PNG, etc.). Several kinds of computations can be done within BRAT involving combinations of data fields that the user can save for posterior reuse or using the already embedded formulas that include the standard oceanographic altimetry formulas. The Radar Altimeter Tutorial, that contains a strong introduction to altimetry, showing its applications in different fields such as Oceanography, Cryosphere, Geodesy, Hydrology among others. Included are also "use cases", with step-by-step examples, on how to use the toolbox in the different contexts. The Sentinel-3 SAR Altimetry Toolbox shall benefit from the current BRAT version. While developing the Sentinel-3 SAR Altimetry Toolbox we will revamp of the Graphical User Interface and provide, among other enhancements, support for reading the upcoming S3 datasets and specific "use-cases" for SAR altimetry in order to train the users and make them aware of the great potential of SAR altimetry for coastal and inland applications. As for any open source framework, contributions from users having developed their own functions are welcome. The Kick Off is expected to be happen in Q1 2015 and have the 1st version available before the launch of Sentinel-3.

Sentinel node detection in cervical cancer with (99m)Tc-phytate.

PubMed

Silva, Lucas B; Silva-Filho, Agnaldo L; Traiman, Paulo; Triginelli, Sérgio A; de Lima, Carla Flávia; Siqueira, Cristiano Ferrari; Barroso, Adelanir; Rossi, Telma Maria F F; Pedrosa, Moises Salgado; Miranda, Dairton; Melo, José Renan Cunha

2005-05-01

The aim of this study was to investigate the feasibility of sentinel lymph node (SLN) identification using radioisotopic lymphatic mapping with technetium-99 m-labeled phytate in patients undergoing radical hysterectomy with pelvic lymphadenectomy for treatment of early cervical cancer. Between July 2001 and February 2003, 56 patients with cervical cancer FIGO stage I (n = 53) or stage II (n = 3) underwent sentinel lymph node detection with preoperative lymphoscintigraphy ((99m)Tc-labeled phytate injected into the uterine cervix, at 3, 6, 9, and 12 o'clock, at a dose of 55-74 MBq in a volume of 0.8 ml) and intraoperative lymphatic mapping with a handheld gamma probe. Radical hysterectomy was aborted in three cases because parametrial invasion was found intraoperatively and we performed only sentinel node resection. The remaining 53 patients underwent radical hysterectomy with complete pelvic lymphadenectomy. Sentinel nodes were detected using a handheld gamma-probe and removed for pathological assessment during the abdominal radical hysterectomy and pelvic lymphadenectomy. One or more sentinel nodes were detected in 52 out of 56 eligible patients (92.8%). A total of 120 SLNs were detected by lymphoscintigraphy (mean 2.27 nodes per patient) and intraoperatively by gamma probe. Forty-four percent of SLNs were found in the external iliac area, 39% in the obturator region, 8.3% in interiliac region, and 6.7% in the common iliac area. Unilateral sentinel nodes were found in thirty-one patients (59%). The remaining 21 patients (41%) had bilateral sentinel nodes. Microscopic nodal metastases were confirmed in 17 (32%) cases. In 10 of these patients, only SLNs had metastases. The 98 sentinel nodes that were negative on hematoxylin and eosin were submitted to cytokeratin immunohistochemical analysis. Five (5.1%) micrometastases were identified with this technique. The sensitivity of the sentinel node was 82.3% (CI 95% = 56.6-96.2) and the negative predictive value was 92.1% (CI 95% = 78.6-98.3). The accuracy of sentinel node in predicting the lymph node status was 94.2%. Preoperative lymphoscintigraphy and intraoperative lymphatic mapping with (99m)Tc-labeled phytate are effective in identifying sentinel nodes in patients undergoing radical hysterectomy and to select women in whom lymph node dissection can be avoided.

Lymphoscintigraphy and radioguided sentinel node biopsy in oral cavity squamous cell carcinoma: same day protocol.

PubMed

Vigili, Maurizio Giovanni; Tartaglione, Girolamo; Rahimi, Siavash; Mafera, Barbara; Pagan, Marco

2007-02-01

The routine use of a sentinel node biopsy (SNB) protocol in oral cavity squamous cell carcinomas (SCC) has been challenged on the basis of the elevated number of sentinel nodes (SNs) detected (>2.5) and on the multiply neck level involvement reported in several studies. These data limit the practical application of the protocol, because in such cases, it seems easier and safer to perform a selective neck dissection. The aim of our study is to perform radioguided surgery 1-3 h after lymphoscintigraphy (same day protocol) to detect the lymph nodes closest to the tumour site. In our study, 12 patients affected by cT1-2 N0 SCC of the oral cavity were submitted to a same day protocol of a lymphoscintigraphic examination (1-3 h before surgery) and a radioguided SNB. We used a hand-held gamma probe and performed an elective neck dissection on all patients. The SNs were found in all cases with 83% localised in the ipsilateral neck in only levels I-II. The mean number of SN detected was 2.1, with a mean pathological size of 13.8 mm measured on pathological specimen. Metastases were found in 5/12 cases (41.6%), on levels I, II and III and all were identified by step serial sectioning and routine H&E staining. This study confirms the accuracy of SNB in predicting the presence of occult metastases. This protocol is designed to detect SNs, which are almost always on neck level I and II, thereby limiting the number of nodes examined and the extension of the surgical approach.

Erosion potential from Missoula floods in the Pasco Basin, Washington

DOE Office of Scientific and Technical Information (OSTI.GOV)

Craig, R.G.; Hanson, J.P.

Localities within the Pasco Basin preserve evidence of Missoula floods. Deposits are 46% sand-sized, 36% gravel-sized, and 18% finer than sand-sized. Mean thickness is 39 meters. High water marks at Wallula Gap require a discharge of approximately 12.5 Mcms. At Sentinel Gap, the slope-area method shows that the high water marks require a discharge of 34.6 Mcms. Since this discharge greatly exceeds any estimated for Missoula floods, there must have been backwater ponding from Wallula Gap. Projecting the slope of the water surface at the upper end of Wallula Gap to the downstream cross section at Gable Mountain leads tomore » a discharge of 9.5 Mcms at Sentinel Gap. The HEC-6 steady state code and four sediment transport equations were applied. Assuming sand-sized particles, DuBoys function estimated 4 to 9 meters of scour. Yang's equation estimated 3 to 4 meters of scour. These are a minimum. A hydrograph synthesized for the boundaries of the Pasco Basin shows the maxima of the flood would occur after 90 h at Sentinel Gap, and at 114 h at Wallula Gap. The 200 areas will remain inundated for four days and six hours. With a quasi-dynamic sediment transport computation, HEC-6 scour estimates range from 0.61 meters to 0.915 meters. This is a minimum amount and erosion is highly variable suggesting reworking of sediment. The Meyer-Peter Meuller equations show less than 1 meter of net scour in the 200 areas. More extensive erosion was achieved during particular time steps of this analysis suggesting that sediment re-working would occur.« less

Infrared near-Earth-object survey modeling for observatories interior to the Earth's orbit

NASA Astrophysics Data System (ADS)

Buie, M.

2014-07-01

The search for and dynamical characterization of the near-Earth population of objects (NEOs) has been a busy topic for surveys for many years. Most of the work thus far has been from ground-based optical surveys such as the Catalina Sky Survey and LINEAR. These surveys have essentially reached a complete inventory of objects down to 1 km diameter and have shown that the known objects do not pose any significant impact threat. Smaller objects are correspondingly smaller threats but there are more of them and fewer of them have so far been discovered. The next generation of surveys is looking to extend their reach down to much smaller sizes. From an impact risk perspective, those objects as small as 30--40 m are still of interest (similar in size to the Tunguska bolide). Smaller objects than this are largely of interest from a space resource or in-situ analysis efforts. A recent mission concept promoted by the B612 Foundation and Ball Aerospace calls for an infrared survey telescope in a Venus-like orbit, known as the Sentinel Mission. This wide-field facility has been designed to complete the inventory down to a 140 m diameter while also providing substantial constraints on the NEO population down to a Tunguska-sized object. I have been working to develop a suite of tools to provide survey modeling for this class of survey telescope. The purpose of the tool is to uncover hidden complexities that govern mission design and operation while also working to quantitatively understand the orbit quality provided on its catalog of objects without additional followup assets. The baseline mission design calls for a 6.5 year survey lifetime. This survey model is a statistically based tool for establishing completeness as a function of object size and survey duration. Effects modeled include the ability to adjust the field-of-regard (includes all pointing restrictions), field-of-view, focal plane array fill factor, and the observatory orbit. Consequences tracked include time-tagged detection times from which orbit quality can be derived and efficiency by dynamical class. The dominant noise term in the simulations comes from the noise in the background flux caused by thermal emission from zodiacal dust. The model used is sufficient for the study of reasonably low-inclination spacecraft orbits such as are being considered. Results to date are based on the 2002 Bottke NEA orbit-distribution model. The system can work with any orbit-distribution model and with any size-frequency distribution. This tool also serves to quantify the amount of data that will also be collected on main-belt objects by simply testing against the known catalog of bodies. The orbit quality work clearly shows the benefit of a self-followup survey such as Sentinel. Most objects discovered will be seen in multiple observing epochs and the resulting orbits will preclude losing track of them for decades to come (or longer). All of the ephemeris calculations, including investigation of orbit determination quality, are done with the OpenOrb software package. The presentation for this meeting will be based on results of modeling the Sentinel Mission and other similar variants. The focus will be on evaluating the survey completion for different dynamical classes as well as for different sized objects. Within the fidelity of such statistically-based models, the planned Sentinel observatory is well capable of a huge step forward in the efforts to build a complete catalog of all objects that could pose future harm to planet Earth.

Subserosal uterine injection of blue dye for the identification of the sentinel node in patients with endometrial cancer: a feasibility study.

PubMed

Biliatis, Ioannis; Thomakos, Nikolaos; Koutroumpa, Ioanna; Haidopoulos, Dimitris; Sotiropoulou, Maria; Antsaklis, Aris; Vlachos, George; Akrivos, Nikolaos; Rodolakis, Alexandros

2017-09-01

To define the detection rate, sensitivity, and negative predictive value (NPV) of the sentinel node technique in patients with endometrial cancer. Patients with endometrial cancer after informed consent underwent subserosal injection of blue dye during hysterectomy in a tertiary gynae/oncology department between 2010 and 2014. The procedure was performed in all cases by the same team including two gynae/oncologist consultants and one trainee. All relevant perioperative clinicopathological characteristics of the population were recorded prospectively. The identified sentinel nodes were removed separately and a completion bilateral pelvic lymphadenectomy followed in all cases. Simple statistics were used to calculate the sensitivity and NPV of the method on per patient basis. Fifty-four patients were included in this study. At least one sentinel node was mapped in 46 patients yielding a detection rate of 85.2%. Bilateral detection of sentinel nodes was accomplished in only 31 patients (57.4%). The mean number of sentinel nodes was 2.6 per patient and the commonest site of identification was the external iliac artery and vein area (66%). Six patients (11%) had a positive lymph node, and in five of them, this was the sentinel one yielding a sensitivity of 83.3% and an NPV of 97.5%. The overall detection rate improved significantly after the first 15 cases; however, this was not the case for the bilateral detection rate. Our study is in accordance with previous studies of sentinel node in endometrial cancer and further demonstrates and enhances the confidence in the technique. In the current era of an ongoing debate on whether a systematic lymphadenectomy in patients with endometrial cancer is still necessary, we believe that the sentinel node is an acceptable alternative and should be applied routinely in tertiary centres following a strict algorithm.

PREOPERATIVE MRI IMPROVES PREDICTION OF EXTENSIVE OCCULT AXILLARY LYMPH NODE METASTASES IN BREAST CANCER PATIENTS WITH A POSITIVE SENTINEL LYMPH NODE BIOPSY

PubMed Central

Loiselle, Christopher; Eby, Peter R.; Kim, Janice N.; Calhoun, Kristine E.; Allison, Kimberly H.; Gadi, Vijayakrishna K.; Peacock, Sue; Storer, Barry; Mankoff, David A.; Partridge, Savannah C.; Lehman, Constance D.

2014-01-01

Rationale and Objectives To test the ability of quantitative measures from preoperative Dynamic Contrast Enhanced MRI (DCE-MRI) to predict, independently and/or with the Katz pathologic nomogram, which breast cancer patients with a positive sentinel lymph node biopsy will have ≥ 4 positive axillary lymph nodes upon completion axillary dissection. Methods and Materials A retrospective review was conducted to identify clinically node-negative invasive breast cancer patients who underwent preoperative DCE-MRI, followed by sentinel node biopsy with positive findings and complete axillary dissection (6/2005 – 1/2010). Clinical/pathologic factors, primary lesion size and quantitative DCE-MRI kinetics were collected from clinical records and prospective databases. DCE-MRI parameters with univariate significance (p < 0.05) to predict ≥ 4 positive axillary nodes were modeled with stepwise regression and compared to the Katz nomogram alone and to a combined MRI-Katz nomogram model. Results Ninety-eight patients with 99 positive sentinel biopsies met study criteria. Stepwise regression identified DCE-MRI total persistent enhancement and volume adjusted peak enhancement as significant predictors of ≥4 metastatic nodes. Receiver operating characteristic (ROC) curves demonstrated an area under the curve (AUC) of 0.78 for the Katz nomogram, 0.79 for the DCE-MRI multivariate model, and 0.87 for the combined MRI-Katz model. The combined model was significantly more predictive than the Katz nomogram alone (p = 0.003). Conclusion Integration of DCE-MRI primary lesion kinetics significantly improved the Katz pathologic nomogram accuracy to predict presence of metastases in ≥ 4 nodes. DCE-MRI may help identify sentinel node positive patients requiring further localregional therapy. PMID:24331270

Sentinel lymph node dissection only versus complete axillary lymph node dissection in early invasive breast cancer: a systematic review and meta-analysis.

PubMed

Glechner, Anna; Wöckel, Achim; Gartlehner, Gerald; Thaler, Kylie; Strobelberger, Michaela; Griebler, Ursula; Kreienberg, Rolf

2013-03-01

The Z0011-study, a landmark randomised controlled trial (RCT) challenged the benefits of complete axillary lymph node dissection (ALND) compared with sentinel lymph node dissection only (SLND) in breast cancer patients with positive sentinel nodes. The study, however, has been criticised for lack of power and low applicability. The aim of this review was to systematically assess the evidence on the comparative benefits and harms of ALND versus SLND for sentinel node positive breast cancer patients. We systematically searched PubMed, Embase, the Cochrane Library, and reference lists of pertinent review articles from January 2006 to August 2011. We dually reviewed the literature and rated the risk of bias of each study. For effectiveness, we included RCTs and observational studies of at least 1 year follow-up. In addition, we considered studies conducted in sentinel node-negative women to assess the risk of harms. If data were sufficient, we conducted random effects meta-analysis of outcomes of interest. Meta-analysis of three studies with 50,120 patients indicated similar 5-year survival and regional recurrence rates between patients treated with ALND or SLND, although prognostic tumour characteristics varied among the 3 study-populations. Results from 6 studies on more than 11,500 patients reported a higher risk for harms for ALND than SLND. Long-term evidence on pertinent health outcomes is missing. The available evidence indicates that for some women with early invasive breast cancer SLND appears to be a justifiable alternative to ALND. Surgeons need to discuss advantages and disadvantages of both approaches with their patients. Copyright © 2012 Elsevier Ltd. All rights reserved.

Sentinel-2 ArcGIS Tool for Environmental Monitoring

NASA Astrophysics Data System (ADS)

Plesoianu, Alin; Cosmin Sandric, Ionut; Anca, Paula; Vasile, Alexandru; Calugaru, Andreea; Vasile, Cristian; Zavate, Lucian

2017-04-01

This paper addresses one of the biggest challenges regarding Sentinel-2 data, related to the need of an efficient tool to access and process the large collection of images that are available. Consequently, developing a tool for the automation of Sentinel-2 data analysis is the most immediate need. We developed a series of tools for the automation of Sentinel-2 data download and processing for vegetation health monitoring. The tools automatically perform the following operations: downloading image tiles from ESA's Scientific Hub or other venders (Amazon), pre-processing of the images to extract the 10-m bands, creating image composites, applying a series of vegetation indexes (NDVI, OSAVI, etc.) and performing change detection analyses on different temporal data sets. All of these tools run in a dynamic way in the ArcGIS Platform, without the need of creating intermediate datasets (rasters, layers), as the images are processed on-the-fly in order to avoid data duplication. Finally, they allow complete integration with the ArcGIS environment and workflows

Sentinel-3A Views Ocean Variability More Accurately at Finer Resolution

NASA Astrophysics Data System (ADS)

Heslop, E. E.; Sánchez-Román, A.; Pascual, A.; Rodríguez, D.; Reeve, K. A.; Faugère, Y.; Raynal, M.

2017-12-01

This is the first multiplatform evaluation involving data from the new Sentinel-3A altimeter. An experiment was undertaken in the Algerian Basin, employing an ocean glider and a ship mission, along the same track and synchronous with an overpass of the Sentinel-3A mission. This provided three independent views of the ocean velocity field, along a section that encompassed three different oceanographic regimes. The results demonstrate the capacity of Sentinel-3A to retrieve fine-scale oceanographic features ( 20 km). The intercomparison with in situ platforms showed a significant improvement, order 30% in resolution and 42% in velocity accuracy using a synthetic aperture radar mode with respect to lower-resolution mode of conventional altimetry. In addition, the three-platform view provided valuable insight into the variability of evolving oceanographic features, in an area of the Mediterranean that remains chronically under sampled.

SENTINEL-2 Global Reference Image Validation and Application to Multitemporal Performances and High Latitude Digital Surface Model

NASA Astrophysics Data System (ADS)

Gaudel, A.; Languille, F.; Delvit, J. M.; Michel, J.; Cournet, M.; Poulain, V.; Youssefi, D.

2017-05-01

In the frame of the Copernicus program of the European Commission, Sentinel-2 is a constellation of 2 satellites with a revisit time of 5 days in order to have temporal images stacks and a global coverage over terrestrial surfaces. Satellite 2A was launched in June 2015, and satellite 2B will be launched in March 2017. In cooperation with the European Space Agency (ESA), the French space agency (CNES) is in charge of the image quality of the project, and so ensures the CAL/VAL commissioning phase during the months following the launch. This cooperation is also extended to routine phase as CNES supports European Space Research Institute (ESRIN) and the Sentinel-2 Mission performance Centre (MPC) for validation in geometric and radiometric image quality aspects, and in Sentinel-2 GRI geolocation performance assessment whose results will be presented in this paper. The GRI is a set of S2A images at 10m resolution covering the whole world with a good and consistent geolocation. This ground reference enables accurate multi-temporal registration of refined Sentinel-2 products. While not primarily intended for the generation of DSM, Sentinel-2 swaths overlap between orbits would also allow for the generation of a complete DSM of land and ices over 60° of northern latitudes (expected accuracy: few S2 pixels in altimetry). This DSM would benefit from the very frequent revisit times of Sentinel-2, to monitor ice or snow level in area of frequent changes, or to increase measurement accuracy in areas of little changes.

Modeling soil organic matter (SOM) from satellite data using VISNIR-SWIR spectroscopy and PLS regression with step-down variable selection algorithm: case study of Campos Amazonicos National Park savanna enclave, Brazil

NASA Astrophysics Data System (ADS)

Rosero-Vlasova, O.; Borini Alves, D.; Vlassova, L.; Perez-Cabello, F.; Montorio Lloveria, R.

2017-10-01

Deforestation in Amazon basin due, among other factors, to frequent wildfires demands continuous post-fire monitoring of soil and vegetation. Thus, the study posed two objectives: (1) evaluate the capacity of Visible - Near InfraRed - ShortWave InfraRed (VIS-NIR-SWIR) spectroscopy to estimate soil organic matter (SOM) in fire-affected soils, and (2) assess the feasibility of SOM mapping from satellite images. For this purpose, 30 soil samples (surface layer) were collected in 2016 in areas of grass and riparian vegetation of Campos Amazonicos National Park, Brazil, repeatedly affected by wildfires. Standard laboratory procedures were applied to determine SOM. Reflectance spectra of soils were obtained in controlled laboratory conditions using Fieldspec4 spectroradiometer (spectral range 350nm- 2500nm). Measured spectra were resampled to simulate reflectances for Landsat-8, Sentinel-2 and EnMap spectral bands, used as predictors in SOM models developed using Partial Least Squares regression and step-down variable selection algorithm (PLSR-SD). The best fit was achieved with models based on reflectances simulated for EnMap bands (R2=0.93; R2cv=0.82 and NMSE=0.07; NMSEcv=0.19). The model uses only 8 out of 244 predictors (bands) chosen by the step-down variable selection algorithm. The least reliable estimates (R2=0.55 and R2cv=0.40 and NMSE=0.43; NMSEcv=0.60) resulted from Landsat model, while Sentinel-2 model showed R2=0.68 and R2cv=0.63; NMSE=0.31 and NMSEcv=0.38. The results confirm high potential of VIS-NIR-SWIR spectroscopy for SOM estimation. Application of step-down produces sparser and better-fit models. Finally, SOM can be estimated with an acceptable accuracy (NMSE 0.35) from EnMap and Sentinel-2 data enabling mapping and analysis of impacts of repeated wildfires on soils in the study area.

Towards Snowpack Characterization using C-band Synthetic Aperture Radar (SAR)

NASA Astrophysics Data System (ADS)

Park, J.; Forman, B. A.

2017-12-01

Sentinel 1A and 1B, operated by the European Space Agency (ESA), carries a C-band synthetic aperture radar (SAR) sensor that can be used to monitor terrestrial snow properties. This study explores the relationship between terrestrial snow-covered area, snow depth, and snow water equivalent with Sentinel 1 backscatter observations in order to better characterize snow mass. Ground-based observations collected by the National Oceanic and Atmospheric Administration - Cooperative Remote Sensing Science and Technology Center (NOAA-CREST) in Caribou, Maine in the United States are also used in the comparative analysis. Sentinel 1 Ground Range Detected (GRD) imagery with Interferometric Wide swath (IW) were preprocessed through a series of steps accounting for thermal noise, sensor orbit, radiometric calibration, speckle filtering, and terrain correction using ESA's Sentinel Application Platform (SNAP) software package, which is an open-source module written in Python. Comparisons of dual-polarized backscatter coefficients (i.e., σVV and σVH) with in-situ measurements of snow depth and SWE suggest that cross-polarized backscatter observations exhibit a modest correlation between both snow depth and SWE. In the case of the snow-covered area, a multi-temporal change detection method was used. Results using Sentinel 1 yield similar spatial patterns as when using hyperspectral observations collected by the MODerate Resolution Imaging Spectroradiometer (MODIS). These preliminary results suggest the potential application of Sentinel 1A/1B backscatter coefficients towards improved discrimination of snow cover, snow depth, and SWE. One goal of this research is to eventually merge C-band SAR backscatter observations with other snow information (e.g., passive microwave brightness temperatures) as part of a multi-sensor snow assimilation framework.

Bluetongue sentinel surveillance program and cross-sectional serological survey in cattle in Belgium in 2010-2011.

PubMed

Vangeel, I; De Leeuw, I; Méroc, E; Vandenbussche, F; Riocreux, F; Hooyberghs, J; Raemaekers, M; Houdart, P; Van der Stede, Y; De Clercq, K

2012-10-01

Bluetongue virus serotype 8 (BTV-8) emerged in Central Western Europe in 2006 causing a large scale epidemic in 2007 that involved several European Union (EU) countries including Belgium. As in several other EU member states, vaccination against BTV-8 with inactivated vaccines was initiated in Belgium in spring 2008 and appeared to be successful. Since 2009, no clinical cases of Bluetongue (BT) have been reported in Belgium and BTV-8 circulation seemed to have completely disappeared by spring 2010. Therefore, a series of repeated cross-sectional surveys, the BT sentinel surveillance program, based on virus detection in blood samples by means of real-time RT-PCR (RT-qPCR) were carried out in dairy cattle from the end of 2010 onwards with the aim to demonstrate the absence of BTV circulation in Belgium. This paper describes the results of the first two sampling rounds of this BT sentinel surveillance program carried out in October-November 2010 and January-February 2011. In addition, the level of BTV-specific maternal antibodies in young non-vaccinated animals was monitored and the level of herd immunity against BTV-8 after 3 consecutive years of compulsory BTV-8 vaccination was measured by ELISA. During the 1st sampling round of the BT sentinel surveillance program, 15 animals tested positive and 2 animals tested doubtful for BTV RNA by RT-qPCR. During the 2nd round, 17 animals tested positive and 5 animals tested doubtful. The positive/doubtful animals in both rounds were re-sampled 2-4 weeks after the original sampling and then all tested negative by RT-qPCR. These results demonstrate the absence of BTV circulation in Belgium in 2010 at a minimum expected prevalence of 2% and 95% confidence level. The study of the maternal antibodies in non-vaccinated animals showed that by the age of 7 months maternal antibodies against BTV had disappeared in most animals. The BTV seroprevalence at herd level after 3 years of compulsory BTV-8 vaccination was very high (97.4% [95% CI: 96.2-98.2]). The overall true within-herd BTV seroprevalence in 6-24 month old Belgian cattle in early 2011 was estimated at 73.4% (95% CI: 71.3-75.4). Copyright © 2012 Elsevier B.V. All rights reserved.

Preoperative lymphoscintigraphy and tumor histologic grade are associated with surgical detection of the sentinel lymph node.

PubMed

Arias Ortega, M; Torres Sousa, M Y; González García, B; Pardo García, R; González López, A; Delgado Portela, M

2014-01-01

To study which variables involved in the process of selective sentinel node biopsy (SSNB) influence the intraoperative detection of the sentinel lymph node. This was a prospective cross-sectional study in 210 patients (mean age, 54 years) diagnosed with breast cancer who underwent SSNB. We recorded clinical, radiological, radioisotope administration, surgical, and histological data as well as follow-up data. We did a descriptive analysis of the data and an associative analysis using multivariable regression. Deep injection alone was the most common route of radioisotope administration (72.7%). Most lesions were palpable (57.1%), presented as nodules (67.1%), measured less than 2 cm in diameter (64.8%), were located in the upper outer quadrant (49.1%), were ductal carcinomas (85.7%), were accompanied by infiltration (66.2%), and had a histologic grade of differentiation of ii (44.8%). Preoperative scintigraphy detected the sentinel node in 97.6% of cases and 95.7% were detected during the operation. One axillary relapse was observed. In the associative study, the variables "preoperative lymphoscintigraphy" and "histologic grade of differentiation of the tumor" were significantly associated with the detection of the sentinel lymph node during the operation. The probability of not detecting the sentinel lymph node during the surgical intervention is higher in patients with high histologic grade tumors or in patients in whom preoperative lymphoscintigraphy failed to detect the sentinel node. Copyright © 2012 SERAM. Published by Elsevier Espana. All rights reserved.

Evaluation of the Sentinel-3 Hydrologic Altimetry Processor prototypE (SHAPE) methods.

NASA Astrophysics Data System (ADS)

Benveniste, J.; Garcia-Mondéjar, A.; Bercher, N.; Fabry, P. L.; Roca, M.; Varona, E.; Fernandes, J.; Lazaro, C.; Vieira, T.; David, G.; Restano, M.; Ambrózio, A.

2017-12-01

Inland water scenes are highly variable, both in space and time, which leads to a much broader range of radar signatures than ocean surfaces. This applies to both LRM and "SAR" mode (SARM) altimetry. Nevertheless the enhanced along-track resolution of SARM altimeters should help improve the accuracy and precision of inland water height measurements from satellite. The SHAPE project - Sentinel-3 Hydrologic Altimetry Processor prototypE - which is funded by ESA through the Scientific Exploitation of Operational Missions Programme Element (contract number 4000115205/15/I-BG) aims at preparing for the exploitation of Sentinel-3 data over the inland water domain. The SHAPE Processor implements all of the steps necessary to derive rivers and lakes water levels and discharge from Delay-Doppler Altimetry and perform their validation against in situ data. The processor uses FBR CryoSat-2 and L1A Sentinel-3A data as input and also various ancillary data (proc. param., water masks, L2 corrections, etc.), to produce surface water levels. At a later stage, water level data are assimilated into hydrological models to derive river discharge. This poster presents the improvements obtained with the new methods and algorithms over the regions of interest (Amazon and Danube rivers, Vanern and Titicaca lakes).

In transit sentinel node drainage as a prognostic factor for patients with cutaneous melanoma.

PubMed

Brandão, Paulo H D M; Bertolli, Eduardo; Doria-Filho, Eduardo; Santos Filho, Ivan D A O; de Macedo, Mariana P; Pinto, Clovis A L; Duprat Neto, João P

2018-02-26

Minor basin or in transit node drainage can be found in patients with cutaneous melanoma who undergo sentinel node biopsy. Its clinical impact is still unclear. Our objective is to evaluate clinical outcomes in patients who presented with in transit sentinel node (ITN) drainage. Retrospective analysis of patients who underwent sentinel node biopsy (SNB) in a single Brazilian institution between 2000 and 2015. Our cohort comprised 1223 SNB. There were 64 patients (5.2%) with ITN. Melanoma of the limbs (OR 10.61, P < 0.0001) and acral subtype (OR 3.49, P < 0.0001) were associated with ITN drainage. Among these 64 patients, 14 (21.9%) had a positive SNB. The ITN was positive for metastases in five patients, four in a popliteal basin and one on the trunk. Regarding completion node dissection (CND), two patients had positive non-sentinel nodes (NSN), both in major basins. In patients who developed recurrence, time to recurrence was shorter (mean time 18 vs 31.4 months, P = 0.001) and time to death was shorter (mean time 31.6 vs 40 months, P = 0.039) in those who had ITN drainage. ITN drainage was associated with earlier recurrences and deaths from melanoma. © 2018 Wiley Periodicals, Inc.

Visualization of tumor blockage and rerouting of lymphatic drainage in penile cancer patients by use of SPECT/CT.

PubMed

Leijte, Joost A P; van der Ploeg, Iris M C; Valdés Olmos, Renato A; Nieweg, Omgo E; Horenblas, Simon

2009-03-01

The reliability of sentinel node biopsy is dependent on the accurate visualization and identification of the sentinel node(s). It has been suggested that extensive metastatic involvement of a sentinel node can lead to blocked inflow and rerouting of lymph fluid to a "neo-sentinel node" that may not yet contain tumor cells, causing a false-negative result. However, there is little evidence to support this hypothesis. Recently introduced hybrid SPECT/CT scanners provide both tomographic lymphoscintigraphy and anatomic detail. Such a scanner enabled the present study of the concept of tumor blockage and rerouting of lymphatic drainage in patients with palpable groin metastases. Seventeen patients with unilateral palpable and cytologically proven metastases in the groin underwent bilateral conventional lymphoscintigraphy and SPECT/CT before sentinel node biopsy of the contralateral groin. The pattern of lymphatic drainage in the 17 palpable groin metastases was evaluated for signs of tumor blockage or rerouting. On the CT images, the palpable node metastases could be identified in all 17 groins. Four of the 17 palpable node metastases (24%) showed uptake of radioactivity on the SPECT/CT images. In 10 groins, rerouting of lymphatic drainage to a neo-sentinel node was seen; one neo-sentinel node was located in the contralateral groin. A complete absence of lymphatic drainage was seen in the remaining 3 groins. The concept of tumor blockage and rerouting was visualized in 76% of the groins with palpable metastases. Precise physical examination and preoperative ultrasound with fine-needle aspiration cytology may identify nodes with considerable tumor invasion at an earlier stage and thereby reduce the incidence of false-negative results.

Copernicus Space Component: Status and Evolution

NASA Astrophysics Data System (ADS)

Jutz, Simon; Milagro Perez, Maria Pilar

2017-04-01

The Copernicus environment-monitoring programme with its fleet of Sentinel satellites forming the heart of the programme's space component, entered its operational phase in 2014 with the launch of the first dedicated satellite, Sentinel-1 A. In the meantime three more spacecraft have been launched in 2015 and 2016 and other three will be launched this year. To complete the caravan of Sentinel satellites, eight more spacecraft and 5 additional Sentinel instruments, embarked on European meteorological satellites, will be put in orbit and will cover all environmental domains. The data are distributed free of charge as part of a European policy seeking to stimulate downstream value-added Earth observation-related business. With this space configuration, an uninterrupted data delivery to users is guaranteed until at least 2030. Over 54000 users world-wide are accessing Sentinel data from several data access hubs developed by ESA. Over 13 PB of data have been already downloaded with an average of several TB of data products downloaded every day, making Copernicus a Big Data challenge. These figures will grow as new satellites will be put in orbit. In the meantime, and thinking of a near term future, new priorities have been introduced in the EU policies and new societal needs and challenges have arisen requiring new observations. This will lead to what has been called the Sentinels' expansion. The expansion of the Sentinel family is a joint EU-ESA endeavour which just started concerning the investigation of new domains/techniques for future satellite missions like a greenhouse gases emissions mission, polar ice/ocean interferometric altimetry, thermal Infrared, soil moisture or hyper-spectral land imaging. This presentation will therefore give an overview of the current status of the space component and corresponding data access, and some hints on the future perspectives of the Copernicus space component.

Ice/water Classification of Sentinel-1 Images

NASA Astrophysics Data System (ADS)

Korosov, Anton; Zakhvatkina, Natalia; Muckenhuber, Stefan

2015-04-01

Sea Ice monitoring and classification relies heavily on synthetic aperture radar (SAR) imagery. These sensors record data either only at horizontal polarization (RADARSAT-1) or vertically polarized (ERS-1 and ERS-2) or at dual polarization (Radarsat-2, Sentinel-1). Many algorithms have been developed to discriminate sea ice types and open water using single polarization images. Ice type classification, however, is still ambiguous in some cases. Sea ice classification in single polarization SAR images has been attempted using various methods since the beginning of the ERS programme. The robust classification using only SAR images that can provide useful results under varying sea ice types and open water tend to be not generally applicable in operational regime. The new generation SAR satellites have capability to deliver images in several polarizations. This gives improved possibility to develop sea ice classification algorithms. In this study we use data from Sentinel-1 at dual-polarization, i.e. HH (horizontally transmitted and horizontally received) and HV (horizontally transmitted, vertically received). This mode assembles wide SAR image from several narrower SAR beams, resulting to an image of 500 x 500 km with 50 m resolution. A non-linear scheme for classification of Sentinel-1 data has been developed. The processing allows to identify three classes: ice, calm water and rough water at 1 km spatial resolution. The raw sigma0 data in HH and HV polarization are first corrected for thermal and random noise by extracting the background thermal noise level and smoothing the image with several filters. At the next step texture characteristics are computed in a moving window using a Gray Level Co-occurence Matrix (GLCM). A neural network is applied at the last step for processing array of the most informative texture characteristics and ice/water classification. The main results are: * the most informative texture characteristics to be used for sea ice classification were revealed; * the best set of parameters including the window size, number of levels of quantization of sigma0 values and co-occurence distance was found; * a support vector machine (SVM) was trained on results of visual classification of 30 Sentinel-1 images. Despite the general high accuracy of the neural network (95% of true positive classification) problems with classification of young newly formed ice and rough water arise due to the similar average backscatter and texture. Other methods of smoothing and computation of texture characteristics (e.g. computation of GLCM from a variable size window) is assessed. The developed scheme will be utilized in NRT processing of Sentinel-1 data at NERSC within the MyOcean2 project.

Active and Passive Remote Sensing Data Time Series for Flood Detection and Surface Water Mapping

NASA Astrophysics Data System (ADS)

Bioresita, Filsa; Puissant, Anne; Stumpf, André; Malet, Jean-Philippe

2017-04-01

As a consequence of environmental changes surface waters are undergoing changes in time and space. A better knowledge of the spatial and temporal distribution of surface waters resources becomes essential to support sustainable policies and development activities. Especially because surface waters, are not only a vital sweet water resource, but can also pose hazards to human settlements and infrastructures through flooding. Floods are a highly frequent disaster in the world and can caused huge material losses. Detecting and mapping their spatial distribution is fundamental to ascertain damages and for relief efforts. Spaceborne Synthetic Aperture Radar (SAR) is an effective way to monitor surface waters bodies over large areas since it provides excellent temporal coverage and, all-weather day-and-night imaging capabilities. However, emergent vegetation, trees, wind or flow turbulence can increase radar back-scatter returns and pose problems for the delineation of inundated areas. In such areas, passive remote sensing data can be used to identify vegetated areas and support the interpretation of SAR data. The availability of new Earth Observation products, for example Sentinel-1 (active) and Sentinel-2 (passive) imageries, with both high spatial and temporal resolution, have the potential to facilitate flood detection and monitoring of surface waters changes which are very dynamic in space and time. In this context, the research consists of two parts. In the first part, the objective is to propose generic and reproducible methodologies for the analysis of Sentinel-1 time series data for floods detection and surface waters mapping. The processing chain comprises a series of pre-processing steps and the statistical modeling of the pixel value distribution to produce probabilistic maps for the presence of surface waters. Images pre-processing for all Sentinel-1 images comprise the reduction SAR effect like orbit errors, speckle noise, and geometric effects. A modified Split Based Approach (MSBA) is used in order to focus on surface water areas automatically and facilitate the estimation of class models for water and non-water areas. A Finite Mixture Model is employed as the underlying statistical model to produce probabilistic maps. Subsequently, bilateral filtering is applied to take into account spatial neighborhood relationships in the generation of final map. The elimination of shadows effect is performed in a post-processing step. The processing chain is tested on three case studies. The first case is a flood event in central Ireland, the second case is located in Yorkshire county / Great Britain, and the third test case covers a recent flood event in northern Italy. The tests showed that the modified SBA step and the Finite Mixture Models can be applied for the automatic surface water detection in a variety of test cases. An evaluation again Copernicus products derived from very-high resolution imagery was performed, and showed a high overall accuracy and F-measure of the obtained maps. This evaluation also showed that the use of probability maps and bilateral filtering improved the accuracy of classification results significantly. Based on this quantitative evaluation, it is concluded that the processing chain can be applied for flood mapping from Sentinel-1 data. To estimate robust statistical distributions the method requires sufficient surface waters areas in the observed zone and sufficient contrast between surface waters and other land use classes. Ongoing research addresses the fusion of Sentinel-1 and passive remote sensing data (e.g. Sentinel-2) in order to reduce the current shortcomings in the developed processing chain. In this work, fusion is performed at the feature level to better account for the difference image properties of SAR and optical sensors. Further, the processing chain is currently being optimized in terms of calculation time for a further integration as a flood mapping service on the A2S (Alsace Aval Sentinel) high-performance computing infrastructure of University of Strasbourg.

Land science with Sentinel-2 and Sentinel-3 data series synergy

NASA Astrophysics Data System (ADS)

Moreno, Jose; Guanter, Luis; Alonso, Luis; Gomez, Luis; Amoros, Julia; Camps, Gustavo; Delegido, Jesus

2010-05-01

Although the GMES/Sentinel satellite series were primarily designed to provide observations for operational services and routine applications, there is a growing interest in the scientific community towards the usage of Sentinel data for more advanced and innovative science. Apart from the improved spatial and spectral capabilities, the availability of consistent time series covering a period of over 20 years opens possibilities never explored before, such as systematic data assimilation approaches exploiting the time-series concept, or the incorporation in the modelling approaches of processes covering time scales from weeks to decades. Sentinel-3 will provide continuity to current ENVISAT MERIS/AATSR capabilities. The results already derived from MERIS/AATRS will be more systematically exploited by using OLCI in synergy with SLST. Particularly innovative is the case of Sentinel-2, which is specifically designed for land applications. Built on a constellation of two satellites operating simultaneously to provide 5 days geometric revisit time, the Sentinel-2 system will providing global and systematic acquisitions with high spatial resolution and with a high revisit time tailored towards the needs of land monitoring. Apart from providing continuity to Landsat and SPOT time series, the Sentinel-2 Multi-Spectral Instrument (MSI) incorporates new narrow bands around the red-edge for improved retrievals of biophysical parameters. The limitations imposed by the need of a proper cloud screening and atmospheric corrections have represented a serious constraint in the past for optical data. The fact that both Sentinel-2 and 3 have dedicated bands to allow such needed corrections for optical data represents an important step towards a proper exploitation, guarantying consistent time series showing actual variability in land surface conditions without the artefacts introduced by the atmosphere. Expected operational products (such as Land Cover maps, Leaf Area Index, Fractional Vegetation Cover, Fraction of Absorbed Photosynthetically Active Radiation, and Leaf Chlorophyll and Water Contents), will be enhanced with new scientific applications. Higher level products will also be provided, by means of mosaicking, averaging, synthesising or compositing of spatially and temporally resampled data. A key element in the exploitation of the Sentinel series will be the adequate use of data synergy, which will open new possibilities for improved Land Models. This paper analyses in particular the possibilities offered by mosaicking and compositing information derived from Sentinel-2 observations in high spatial resolution to complement dense time series derived from Sentinel-3 data with more frequent coverage. Interpolation of gaps in high spatial resolution time series (from Sentinel-2 data) by using medium/low resolution data from Sentinel-3 (OLCI and SLSTR) is also a way of making series more temporally consistent with high spatial resolution. The primary goal of such temporal interpolation / spatial mosaicking techniques is to derive consistent surface reflectance data virtually for every date and geographical location, no matter the initial spatial/temporal coverage of the original data used to produce the composite. As a result, biophysical products can be derived in a more consistent way from the spectral information of Sentinel-3 data by making use of a description of surface heterogeneity derived from Sentinel-2 data. Using data from dedicated experiments (SEN2FLEX, CEFLES2, SEN3EXP), that include a large dataset of satellite and airborne data and of ground-based measurements of atmospheric and vegetation parameters, different techniques are tested, including empirical / statistical approaches that builds nonlinear regression by mapping spectra to a high dimensional space, up to model inversion / data assimilation scenarios. Exploitation of the temporal domain and spatial multi-scale domain becomes then a driver for the systematic exploitation of GMES/Sentinels data time series. This paper review current status, and identifies research priorities in such direction.

Simultaneous mapping of pan and sentinel lymph nodes for real-time image-guided surgery.

PubMed

Ashitate, Yoshitomo; Hyun, Hoon; Kim, Soon Hee; Lee, Jeong Heon; Henary, Maged; Frangioni, John V; Choi, Hak Soo

2014-01-01

The resection of regional lymph nodes in the basin of a primary tumor is of paramount importance in surgical oncology. Although sentinel lymph node mapping is now the standard of care in breast cancer and melanoma, over 20% of patients require a completion lymphadenectomy. Yet, there is currently no technology available that can image all lymph nodes in the body in real time, or assess both the sentinel node and all nodes simultaneously. In this study, we report an optical fluorescence technology that is capable of simultaneous mapping of pan lymph nodes (PLNs) and sentinel lymph nodes (SLNs) in the same subject. We developed near-infrared fluorophores, which have fluorescence emission maxima either at 700 nm or at 800 nm. One was injected intravenously for identification of all regional lymph nodes in a basin, and the other was injected locally for identification of the SLN. Using the dual-channel FLARE intraoperative imaging system, we could identify and resect all PLNs and SLNs simultaneously. The technology we describe enables simultaneous, real-time visualization of both PLNs and SLNs in the same subject.

Total tumor load assessed by one-step nucleic acid amplification assay as an intraoperative predictor for non-sentinel lymph node metastasis in breast cancer.

PubMed

Nabais, Celso; Figueiredo, Joana; Lopes, Paulina; Martins, Manuela; Araújo, António

2017-04-01

This study aimed to determine the relationship between CK19 mRNA copy number in sentinel lymph nodes (SLN) assessed by one-step nucleic acid amplification (OSNA) technique, and non-sentinel lymph nodes (NSLN) metastization in invasive breast cancer. A model using total tumor load (TTL) obtained by OSNA technique was also constructed to evaluate its predictability. We conducted an observational retrospective study including 598 patients with clinically T1-T3 and node negative invasive breast cancer. Of the 88 patients with positive SLN, 58 patients fulfill the inclusion criteria. In the analyzed group 25.86% had at least one positive NSLN in axillary lymph node dissection. Univariate analysis showed that tumor size, TTL and number of SLN macrometastases were predictive factors for NSLN metastases. In multivariate analysis just the TTL was predictive for positive NSLN (OR 2.67; 95% CI 1.06-6.70; P = 0.036). The ROC curve for the model using TTL alone was obtained and an AUC of 0.805 (95% CI 0.69-0.92) was achieved. For TTL >1.9 × 10 5 copies/μL we got 73.3% sensitivity, 74.4% specificity and 88.9% negative predictive value to predict NSLN metastases. When using OSNA technique to evaluate SLN, NSLN metastases can be predicted intraoperatively. This prediction tool could help in decision for axillary lymph node dissection. Copyright © 2016 Elsevier Ltd. All rights reserved.

MACCS : Multi-Mission Atmospheric Correction and Cloud Screening tool for high-frequency revisit data processing

NASA Astrophysics Data System (ADS)

Petrucci, B.; Huc, M.; Feuvrier, T.; Ruffel, C.; Hagolle, O.; Lonjou, V.; Desjardins, C.

2015-10-01

For the production of Level2A products during Sentinel-2 commissioning in the Technical Expertise Center Sentinel-2 in CNES, CESBIO proposed to adapt the Venus Level-2 , taking advantage of the similarities between the two missions: image acquisition at a high frequency (2 days for Venus, 5 days with the two Sentinel-2), high resolution (5m for Venus, 10, 20 and 60m for Sentinel-2), images acquisition under constant viewing conditions. The Multi-Mission Atmospheric Correction and Cloud Screening (MACCS) tool was born: based on CNES Orfeo Toolbox Library, Venμs processor which was already able to process Formosat2 and VENμS data, was adapted to process Sentinel-2 and Landsat5-7 data; since then, a great effort has been made reviewing MACCS software architecture in order to ease the add-on of new missions that have also the peculiarity of acquiring images at high resolution, high revisit and under constant viewing angles, such as Spot4/Take5 and Landsat8. The recursive and multi-temporal algorithm is implemented in a core that is the same for all the sensors and that combines several processing steps: estimation of cloud cover, cloud shadow, water, snow and shadows masks, of water vapor content, aerosol optical thickness, atmospheric correction. This core is accessed via a number of plug-ins where the specificity of the sensor and of the user project are taken into account: products format, algorithmic processing chaining and parameters. After a presentation of MACCS architecture and functionalities, the paper will give an overview of the production facilities integrating MACCS and the associated specificities: the interest for this tool has grown worldwide and MACCS will be used for extensive production within the THEIA land data center and Agri-S2 project. Finally the paper will zoom on the use of MACCS during Sentinel-2 In Orbit Test phase showing the first Level-2A products.

The use of Sentinel-2 imagery for seagrass mapping: Kalloni Gulf (Lesvos Island, Greece) case study

NASA Astrophysics Data System (ADS)

Topouzelis, Konstantinos; Charalampis Spondylidis, Spyridon; Papakonstantinou, Apostolos; Soulakellis, Nikolaos

2016-08-01

Seagrass meadows play a significant role in ecosystems by stabilizing sediment and improving water clarity, which enhances seagrass growing conditions. It is high on the priority of EU legislation to map and protect them. The traditional use of medium spatial resolution satellite imagery e.g. Landsat-8 (30m) is very useful for mapping seagrass meadows on a regional scale. However, the availability of Sentinel-2 data, the recent ESA's satellite with its payload Multi-Spectral Instrument (MSI) is expected to improve the mapping accuracy. MSI designed to improve coastline studies due to its enhanced spatial and spectral capabilities e.g. optical bands with 10m spatial resolution. The present work examines the quality of Sentinel-2 images for seagrass mapping, the ability of each band in detection and discrimination of different habitats and estimates the accuracy of seagrass mapping. After pre-processing steps, e.g. radiometric calibration and atmospheric correction, image classified into four classes. Classification classes included sub-bottom composition e.g. seagrass, soft bottom, and hard bottom. Concrete vectors describing the areas covered by seagrass extracted from the high-resolution satellite image and used as in situ measurements. The developed methodology applied in the Gulf of Kalloni, (Lesvos Island - Greece). Results showed that Sentinel-2 images can be robustly used for seagrass mapping due to their spatial resolution, band availability and radiometric accuracy.

Regional lymph node staging in breast cancer: the increasing role of imaging and ultrasound-guided axillary lymph node fine needle aspiration.

PubMed

Mainiero, Martha B

2010-09-01

The status of axillary lymph nodes is a key prognostic indicator in patients with breast cancer and helps guide patient management. Sentinel lymph node biopsy is increasingly being used as a less morbid alternative to axillary lymph node dissection. However, when sentinel lymph node biopsy is positive, axillary dissection is typically performed for complete staging and local control. Axillary ultrasound and ultrasound-guided fine needle aspiration (USFNA) are useful for detecting axillary nodal metastasis preoperatively and can spare patients sentinel node biopsy, because those with positive cytology on USFNA can proceed directly to axillary dissection or neoadjuvant chemotherapy. Internal mammary nodes are not routinely evaluated, but when the appearance of these nodes is abnormal on imaging, further treatment or metastatic evaluation may be necessary. Copyright © 2010 Elsevier Inc. All rights reserved.

MACVIA clinical decision algorithm in adolescents and adults with allergic rhinitis.

PubMed

Bousquet, Jean; Schünemann, Holger J; Hellings, Peter W; Arnavielhe, Sylvie; Bachert, Claus; Bedbrook, Anna; Bergmann, Karl-Christian; Bosnic-Anticevich, Sinthia; Brozek, Jan; Calderon, Moises; Canonica, G Walter; Casale, Thomas B; Chavannes, Niels H; Cox, Linda; Chrystyn, Henry; Cruz, Alvaro A; Dahl, Ronald; De Carlo, Giuseppe; Demoly, Pascal; Devillier, Phillipe; Dray, Gérard; Fletcher, Monica; Fokkens, Wytske J; Fonseca, Joao; Gonzalez-Diaz, Sandra N; Grouse, Lawrence; Keil, Thomas; Kuna, Piotr; Larenas-Linnemann, Désirée; Lodrup Carlsen, Karin C; Meltzer, Eli O; Mullol, Jaoquim; Muraro, Antonella; Naclerio, Robert N; Palkonen, Susanna; Papadopoulos, Nikolaos G; Passalacqua, Giovanni; Price, David; Ryan, Dermot; Samolinski, Boleslaw; Scadding, Glenis K; Sheikh, Aziz; Spertini, François; Valiulis, Arunas; Valovirta, Erkka; Walker, Samantha; Wickman, Magnus; Yorgancioglu, Arzu; Haahtela, Tari; Zuberbier, Torsten

2016-08-01

The selection of pharmacotherapy for patients with allergic rhinitis (AR) depends on several factors, including age, prominent symptoms, symptom severity, control of AR, patient preferences, and cost. Allergen exposure and the resulting symptoms vary, and treatment adjustment is required. Clinical decision support systems (CDSSs) might be beneficial for the assessment of disease control. CDSSs should be based on the best evidence and algorithms to aid patients and health care professionals to jointly determine treatment and its step-up or step-down strategy depending on AR control. Contre les MAladies Chroniques pour un VIeillissement Actif en Languedoc-Roussillon (MACVIA-LR [fighting chronic diseases for active and healthy ageing]), one of the reference sites of the European Innovation Partnership on Active and Healthy Ageing, has initiated an allergy sentinel network (the MACVIA-ARIA Sentinel Network). A CDSS is currently being developed to optimize AR control. An algorithm developed by consensus is presented in this article. This algorithm should be confirmed by appropriate trials. Copyright © 2016 The Authors. Published by Elsevier Inc. All rights reserved.

Overview of Sentinel-2

NASA Astrophysics Data System (ADS)

Fernandez, Valerie; Martimort, Philippe; Spoto, Francois; Sy, Omar; Laberinti, Paolo

2013-10-01

GMES is a joint initiative of the European Commission (EC) and the European Space Agency (ESA), designed to establish a European capacity for the provision and use of operational monitoring information for environment and security applications. ESA's role in GMES is to provide the definition and the development of the space- and ground-related system elements. GMES Sentinel-2 mission provides continuity to services relying on multi-spectral highresolution optical observations over global terrestrial surfaces. The key mission objectives for Sentinel-2 are: (1) to provide systematic global acquisitions of high-resolution multi-spectral imagery with a high revisit frequency, (2) to provide enhanced continuity of multi-spectral imagery provided by the SPOT series of satellites, and (3) to provide observations for the next generation of operational products such as landcover maps, land change detection maps, and geophysical variables. Consequently, Sentinel-2 will directly contribute to the Land Monitoring, Emergency Response, and Security services. The corresponding user requirements have driven the design towards a dependable multi-spectral Earthobservation system featuring the MSI with 13 spectral bands spanning from the visible and the near infrared to the short wave infrared. The spatial resolution varies from 10 m to 60 m depending on the spectral band with a 290 km field of view. This unique combination of high spatial resolution, wide field of view and large spectral coverage will represent a major step forward compared to current multi-spectral missions. The mission foresees a series of satellites, each having a 7.25-year lifetime (extendable to 12 years) over a 20-year period starting with the launch of Sentinel-2A foreseen by mid-2014. During full operations two identical satellites will be maintained in the same sun synchronous orbit with a phase delay of 180° providing a revisit time of five days at the equator.

Multicenter Trial of Sentinel Node Biopsy for Breast Cancer Using Both Technetium Sulfur Colloid and Isosulfan Blue Dye

PubMed Central

Tafra, Lorraine; Lannin, Donald R.; Swanson, Melvin S.; Van Eyk, Jason J.; Verbanac, Kathryn M.; Chua, Arlene N.; Ng, Peter C.; Edwards, Maxine S.; Halliday, Bradford E.; Henry, C. Alan; Sommers, Linda M.; Carman, Claire M.; Molin, Melinda R.; Yurko, John E.; Perry, Roger R.; Williams, Robert

2001-01-01

Objective To determine the factors associated with false-negative results on sentinel node biopsy and sentinel node localization (identification rate) in patients with breast cancer enrolled in a multicenter trial using a combination technique of isosulfan blue with technetium sulfur colloid (Tc99). Summary Background Data Sentinel node biopsy is a diagnostic test used to detect breast cancer metastases. To test the reliability of this method, a complete lymph node dissection must be performed to determine the false-negative rate. Single-institution series have reported excellent results, although one multicenter trial reported a false-negative rate as high as 29% using radioisotope alone. A multicenter trial was initiated to test combined use of Tc99 and isosulfan blue. Methods Investigators (both private-practice and academic surgeons) were recruited after attending a course on the technique of sentinel node biopsy. No investigator participated in a learning trial before entering patients. Tc99 and isosulfan blue were injected into the peritumoral region. Results Five hundred twenty-nine patients underwent 535 sentinel node biopsy procedures for an overall identification rate in finding a sentinel node of 87% and a false-negative rate of 13%. The identification rate increased and the false-negative rate decreased to 90% and 4.3%, respectively, after investigators had performed more than 30 cases. Univariate analysis of tumor showed the poorest success rate with older patients and inexperienced surgeons. Multivariate analysis identified both age and experience as independent predictors of failure. However, with older patients, inexperienced surgeons, and patients with five or more metastatic axillary nodes, the false-negative rate was consistently greater. Conclusions This multicenter trial, from both private practice and academic institutions, is an excellent indicator of the general utility of sentinel node biopsy. It establishes the factors that play an important role (patient age, surgical experience, tumor location) and those that are irrelevant (prior surgery, tumor size, Tc99 timing). This widens the applicability of the technique and identifies factors that require further investigation. PMID:11141225

Description and Evaluation of the 2009–2010 Pennsylvania Influenza Sentinel School Monitoring System

PubMed Central

Marriott, Chandra K.; Ostroff, Stephen; Waller, Kirsten

2011-01-01

Objectives. We described and evaluated the 2009–2010 Pennsylvania Influenza Sentinel School Monitoring System, a voluntary sentinel network of schools that report data on school absenteeism and visits to the school nurse for influenza-like illness (ILI). Methods. Participating schools provided daily absenteeism and ILI data on a weekly basis through an online survey. We used participation and weekly response rates to determine acceptability, timeliness, and simplicity. We assessed representativeness by comparing participating schools with nonparticipating schools. We compared monitoring system data with statewide reports of laboratory-confirmed influenza. Results. Of the 3244 Pennsylvania public schools, 367 (11%) enrolled in the system. On average, 79% of enrolled schools completed the survey each week. Although the peak week of elevated absenteeism coincided with the peak of statewide laboratory-confirmed influenza cases, the correlation between absenteeism and state data was nonsignificant (correlation coefficient = 0.10; P = .56). Trends in ILI correlated significantly with state data (correlation coefficient = 0.67; P < .001). Conclusions. The school-based sentinel system is a simple, acceptable, reliable device for tracking absenteeism and ILI in schools. Further analyses are necessary to determine the comparative value of this system and other influenza surveillance systems. PMID:21566024

Sentinel-2 Mission status

NASA Astrophysics Data System (ADS)

Hoersch, Bianca; Colin, Olivier; Gascon, Ferran; Arino, Olivier; Spoto, Francois; Marchese, Franco; Krassenburg, Mike; Koetz, Benjamin

2016-04-01

Copernicus is a joint initiative of the European Commission (EC) and the European Space Agency (ESA), designed to establish a European capacity for the provision and use of operational monitoring information for environment and security applications. Within the Copernicus programme, ESA is responsible for the development of the Space Component, a fully operational space-based capability to supply earth-observation data to sustain environmental information Services in Europe. The Sentinel missions are Copernicus dedicated Earth Observation missions composing the essential elements of the Space Component. In the global Copernicus framework, they are complemented by other satellites made available by third-parties or by ESA and coordinated in the synergistic system through the Copernicus Data-Access system versus the Copernicus Services. The Copernicus Sentinel-2 mission provides continuity to services relying on multi-spectral high-resolution optical observations over global terrestrial surfaces. Sentinel-2 capitalizes on the technology and the vast experience acquired in Europe and the US to sustain the operational supply of data for services such as forest monitoring, land cover changes detection or natural disasters management. The Sentinel-2 mission offers an unprecedented combination of the following capabilities: ○ Systematic global coverage of land surfaces: from 56°South to 84°North, coastal waters and Mediterranean sea; ○ High revisit: every 5 days at equator under the same viewing conditions with 2 satellites; ○ High spatial resolution: 10m, 20m and 60m; ○ Multi-spectral information with 13 bands in the visible, near infra-red and short wave infra-red part of the spectrum; ○ Wide field of view: 290 km. The data from the Sentinel-2 mission are available openly and freely for all users with online easy access since December 2015. The presentation will give a status report on the Sentinel-2 mission, and outlook for the remaining ramp-up Phase, the completion of the constellation and a view to ongoing evolutions, together with a view on data exploitation.

Intraoperative imprint cytology for evaluation of sentinel lymph nodes from Merkel cell carcinoma.

PubMed

Wong, S Lindsey; Young, Yorke D; Geisinger, Kim R; Shen, Perry; Stewart, John H; Sangueza, Omar; Pichardo-Geisinger, Rita; Levine, Edward A

2009-07-01

Merkel cell carcinoma (MCC) is a rare, aggressive cutaneous malignancy. Intraoperative imprint cytology (IIC) can potentially avoid second operations for completion lymphadenectomy when nodal metastases are found during nodal staging with sentinel lymph node biopsy (SLN). This represents the first series of IIC for MCC we are aware of and our initial experience. Patients with biopsy-proven MCC underwent SLN (at the time of wide excision) using a double indicator technique with 99technetium sulfur colloid and isosulfan blue. SLN were identified and bisected and touch imprints of each half were made. One half was air-dried and stained with Diff-Quick and the other was fixed with 95 per cent alcohol and stained with hematoxylin and eosin (H&E). Paraffin-embedded sections were examined by H&E. Eighteen patients underwent successful SLN mapping procedures. IIC was negative in 84.2 per cent (16) cases. Three false-negatives occurred with IIC, but there were no false-positives, making the sensitivity 33 per cent and the specificity 100 per cent. Two of four patients with positive pathology-confirmed SLN also had positive IIC. SLN mapping has usefulness in patients with MCC. IIC is feasible and accurate in evaluating the SLN. IIC is a practical diagnostic tool when intraoperative analysis of SLN biopsy is desired for MCC.

Rabbitpox virus and vaccinia virus infection of rabbits as a model for human smallpox.

PubMed

Adams, Mathew M; Rice, Amanda D; Moyer, R W

2007-10-01

The threat of smallpox release and use as a bioweapon has encouraged the search for new vaccines and antiviral drugs, as well as development of new small-animal models in which their efficacy can be determined. Here, we reinvestigate a rabbit model in which the intradermal infection of rabbits with very low doses of either rabbitpox virus (RPV) or vaccinia virus Western Reserve (VV-WR) recapitulates many of the clinical features of human smallpox. Following intradermal inoculation with RPV, rabbits develop systemic disease characterized by extensive viremia, numerous secondary lesions on the skin and mucocutaneous tissues, severe respiratory disease, death by 9 days postinfection, and, importantly, natural aerosol transmission between animals. Contrary to previous reports, intradermal infection with VV-WR also resulted in a very similar lethal systemic disease in rabbits, again with natural aerosol transmission between animals. When sentinel and index animals were cohoused, transmission rates approached 100% with either virus, with sentinel animals exhibiting a similar, severe disease. Lower rates of transmission were observed when index and sentinel animals were housed in separate cages. Sentinel animals infected with RPV with one exception succumbed to the disease. However, the majority of VV-WR-infected sentinel animals, while becoming seriously ill, survived. Finally, we tested the efficacy of the drug 1-O-hexadecyloxypropyl-cidofovir in the RPV/rabbit model and found that an oral dose of 5 mg/kg twice a day for 5 days beginning 1 day before infection was able to completely protect rabbits from lethal disease.

Elaboration of a nomogram to predict nonsentinel node status in breast cancer patients with positive sentinel node, intraoperatively assessed with one step nucleic amplification: Retrospective and validation phase.

PubMed

Di Filippo, Franco; Di Filippo, Simona; Ferrari, Anna Maria; Antonetti, Raffaele; Battaglia, Alessandro; Becherini, Francesca; Bernet, Laia; Boldorini, Renzo; Bouteille, Catherine; Buglioni, Simonetta; Burelli, Paolo; Cano, Rafael; Canzonieri, Vincenzo; Chiodera, Pierluigi; Cirilli, Alfredo; Coppola, Luigi; Drago, Stefano; Di Tommaso, Luca; Fenaroli, Privato; Franchini, Roberto; Gianatti, Andrea; Giannarelli, Diana; Giardina, Carmela; Godey, Florence; Grassi, Massimo M; Grassi, Giuseppe B; Laws, Siobhan; Massarut, Samuele; Naccarato, Giuseppe; Natalicchio, Maria Iole; Orefice, Sergio; Palmieri, Fabrizio; Perin, Tiziana; Roncella, Manuela; Roncalli, Massimo G; Rulli, Antonio; Sidoni, Angelo; Tinterri, Corrado; Truglia, Maria C; Sperduti, Isabella

2016-12-08

Tumor-positive sentinel lymph node (SLN) biopsy results in a risk of non sentinel node metastases in micro- and macro-metastases ranging from 20 to 50%, respectively. Therefore, most patients underwent unnecessary axillary lymph node dissections. We have previously developed a mathematical model for predicting patient-specific risk of non sentinel node (NSN) metastases based on 2460 patients. The study reports the results of the validation phase where a total of 1945 patients were enrolled, aimed at identifying a tool that gives the possibility to the surgeon to choose intraoperatively whether to perform or not axillary lymph node dissection (ALND). The following parameters were recorded: Clinical: hospital, age, medical record number; Bio pathological: Tumor (T) size stratified in quartiles, grading (G), histologic type, lymphatic/vascular invasion (LVI), ER-PR status, Ki 67, molecular classification (Luminal A, Luminal B, HER-2 Like, Triple negative); Sentinel and non-sentinel node related: Number of NSNs removed, number of positive NSNs, cytokeratin 19 (CK19) mRNA copy number of positive sentinel nodes stratified in quartiles. A total of 1945 patients were included in the database. All patient data were provided by the authors of this paper. The discrimination of the model quantified with the area under the receiver operating characteristics (ROC) curve (AUC), was 0.65 and 0.71 in the validation and retrospective phase, respectively. The calibration determines the distance between predicted outcome and actual outcome. The mean difference between predicted/observed was 2.3 and 6.3% in the retrospective and in the validation phase, respectively. The two values are quite similar and as a result we can conclude that the nomogram effectiveness was validated. Moreover, the ROC curve identified in the risk category of 31% of positive NSNs, the best compromise between false negative and positive rates i.e. when ALND is unnecessary (<31%) or recommended (>31%). The results of the study confirm that OSNA nomogram may help surgeons make an intraoperative decision on whether to perform ALND or not in case of positive sentinel nodes, and the patient to accept this decision based on a reliable estimation on the true percentage of NSN involvement. The use of this nomogram achieves two main gools: 1) the choice of the right treatment during the operation, 2) to avoid for the patient a second surgery procedure.

Backscatter Analysis Using Multi-Temporal SENTINEL-1 SAR Data for Crop Growth of Maize in Konya Basin, Turkey

NASA Astrophysics Data System (ADS)

Abdikan, S.; Sekertekin, A.; Ustunern, M.; Balik Sanli, F.; Nasirzadehdizaji, R.

2018-04-01

Temporal monitoring of crop types is essential for the sustainable management of agricultural activities on both national and global levels. As a practical and efficient tool, remote sensing is widely used in such applications. In this study, Sentinel-1 Synthetic Aperture Radar (SAR) imagery was utilized to investigate the performance of the sensor backscatter image on crop monitoring. Multi-temporal C-band VV and VH polarized SAR images were acquired simultaneously by in-situ measurements which was conducted at Konya basin, central Anatolia Turkey. During the measurements, plant height of maize plant was collected and relationship between backscatter values and plant height was analysed. The maize growth development was described under Biologische Bundesanstalt, bundessortenamt und CHemische industrie (BBCH). Under BBCH stages, the test site was classified as leaf development, stem elongation, heading and flowering in general. The correlation coefficient values indicated high correlation for both polarimetry during the early stages of the plant, while late stages indicated lower values in both polarimetry. As a last step, multi-temporal coverage of crop fields was analysed to map seasonal land use. To this aim, object based image classification was applied following image segmentation. About 80 % accuracies of land use maps were created in this experiment. As preliminary results, it is concluded that Sentinel-1 data provides beneficial information about plant growth. Dual-polarized Sentinel-1 data has high potential for multi-temporal analyses for agriculture monitoring and reliable mapping.

40 CFR 141.81 - Applicability of corrosion control treatment steps to small, medium-size and large water systems.

Code of Federal Regulations, 2011 CFR

2011-07-01

... treatment steps to small, medium-size and large water systems. 141.81 Section 141.81 Protection of... to small, medium-size and large water systems. (a) Systems shall complete the applicable corrosion...) or (b)(3) of this section. (2) A small system (serving ≤3300 persons) and a medium-size system...

40 CFR 141.81 - Applicability of corrosion control treatment steps to small, medium-size and large water systems.

Code of Federal Regulations, 2013 CFR

2013-07-01

... treatment steps to small, medium-size and large water systems. 141.81 Section 141.81 Protection of... to small, medium-size and large water systems. (a) Systems shall complete the applicable corrosion...) or (b)(3) of this section. (2) A small system (serving ≤3300 persons) and a medium-size system...

40 CFR 141.81 - Applicability of corrosion control treatment steps to small, medium-size and large water systems.

Code of Federal Regulations, 2012 CFR

2012-07-01

... treatment steps to small, medium-size and large water systems. 141.81 Section 141.81 Protection of... to small, medium-size and large water systems. (a) Systems shall complete the applicable corrosion...) or (b)(3) of this section. (2) A small system (serving ≤3300 persons) and a medium-size system...

40 CFR 141.81 - Applicability of corrosion control treatment steps to small, medium-size and large water systems.

Code of Federal Regulations, 2010 CFR

2010-07-01

... treatment steps to small, medium-size and large water systems. 141.81 Section 141.81 Protection of... to small, medium-size and large water systems. (a) Systems shall complete the applicable corrosion...) or (b)(3) of this section. (2) A small system (serving ≤3300 persons) and a medium-size system...

HiSentinel: A Stratospheric Airship

NASA Astrophysics Data System (ADS)

Smith, I.; Lew, T.; Perry, W.; Smith, M.

On December 4 2005 a team led by Southwest Research Institute SwRI successfully demonstrated powered flight of the HiSentinel stratospheric airship at an altitude of 74 000 feet The development team of Aerostar International the Air Force Research Laboratory AFRL and SwRI launched the airship from Roswell N M for a five-hour technology demonstration flight The 146-foot-long airship carried a 60-pound equipment pod and propulsion system when it became only the second airship in history to achieve powered flight in the stratosphere Designed for launch from remote sites these airships do not require large hangars or special facilities Unlike most stratospheric airship concepts HiSentinel is launched flaccid with the hull only partially inflated with helium As the airship rises the helium expands until it completely inflates the hull to the rigid aerodynamic shape required for operation A description of previous Team development results of the test flight plans for future development and applicability to future science missions will be presented

Comparison of 2- and 4-wavelength methods for the optical detection of sentinel lymph node

NASA Astrophysics Data System (ADS)

Tellier, F.; Simon, H.; Blé, F. X.; Ravelo, R.; Chabrier, R.; Steibel, J.; Rodier, J. F.; Poulet, P.

2011-07-01

Sentinel lymph node biopsy is the gold standard method to detect a metastatic invasion from the primary breast cancer. This method can avoid patients to be submitted to full axillary chain dissection. In this study we present and compare two near-infrared optical probes for the sentinel lymph node detection, based on the recording of scattered photons. The two setups were developed to improve the detection of the dye injected in clinical routine: the Patent Blue V dye. Herein, we present results regarding clinical ex-vivo detection of sentinel lymph node after different volume injections. We have previously published results obtained with a two-wavelength probe on phantom and animal models. However this first generation device did not completely account for the optical absorption variations from biological tissue. Thus, a second generation probe has been equipped with four wavelengths. The dye concentration computation is then more robust to measurement and tissue property fluctuations. The detection threshold of the second setup was estimated at 8.10-3μmol/L, which is about 37 times lower than the eye visibility threshold. We present here the preliminary results and demonstrate the advantages of using four wavelengths compared to two on phantom suspensions simulating the optical properties of breast tissues.

[Sentinel node in melanoma and breast cancer. Current considerations].

PubMed

Vidal-Sicart, S; Vilalta Solsona, A; Alonso Vargas, M I

2015-01-01

The main objectives of sentinel node (SN) biopsy is to avoid unnecessary lymphadenectomies and to identify the 20-25% of patients with occult regional metastatic involvement. This technique reduces the associated morbidity from lymphadenectomy and increases the occult lymphatic metastases identification rate by offering the pathologist the or those lymph nodes with the highest probability of containing metastatic cells. Pre-surgical lymphoscintigraphy is considered a "road map" to guide the surgeon towards the sentinel nodes and to localize unpredictable lymphatic drainage patterns. The SPECT/CT advantages include a better SN detection rate than planar images, the ability to detect SNs in difficult to interpret studies, better SN depiction, especially in sites closer to the injection site and better anatomic localization. These advantages may result in a change in the patient's clinical management both in melanoma and breast cancer. The correct SN evaluation by pathology implies a tumoral load stratification and further prognostic implication. The use of intraoperative imaging devices allows the surgeon a better surgical approach and precise SN localization. Several studies reports the added value of such devices for more sentinel nodes excision and a complete monitoring of the whole procedure. New techniques, by using fluorescent or hybrid tracers, are currently being developed. Copyright © 2014 Elsevier España, S.L.U. and SEMNIM. All rights reserved.

Molecular Diagnosis for Nodal Metastasis in Endoscopically Managed Cervical Cancer: The Accuracy of the APTIMA Test to Detect High-risk Human Papillomavirus Messenger RNA in Sentinel Lymph Nodes.

PubMed

Köhler, Christhardt; Le, Xin; Dogan, Nasuh Utku; Pfiffer, Tatiana; Schneider, Achim; Marnitz, Simone; Bertolini, Julia; Favero, Giovanni

2016-01-01

To evaluate the feasibility and accuracy of a commercially available test to detect E6/E7 mRNA of 14 subtypes of high-risk HPVs (APTIMA; Hologic, Bedford, MA) in the sentinel lymph nodes of CC patients laparoscopically operated. Prospective pilot study. The study was conducted in the Department of Advanced Operative and Oncologic Gynecology, Asklepios Hospital, Hamburg, Germany. 54 women with HPV-positive CC submitted to laparoscopic sentinel node biopsy alone or sentinel node biopsy followed by systematic pelvic and/or para-aortic endoscopic lymphadenectomy. All removed sentinel lymph nodes (SLNs) underwent sample collection by cytobrush for the APTIMA assay before frozen section. Results obtained with the HPV mRNA test were compared with the definitive histopathological analysis of the SLNs and additional lymph nodes removed. A total of 125 SLNs (119 pelvic and 6 paraaortic) were excised with a mean number of 2.3 SLNs per patient. Final histopathologic analysis confirmed nodal metastases in 10 SLNs from 10 different patients (18%). All the histologically confirmed metastatic lymph nodes were also HPV E6/E7 mRNA positive, resulting in a sensitivity of 100%. Four histologically free sentinel nodes were positive for HPV E6/E7 mRNA, resulting in a specificity of 96.4%. The HPV E6/E7 mRNA assay in the SLNs of patients with CC is feasible and highly accurate. The detection of HPV mRNA in 4 women with negative SLNs might denote a shift from microscopic identification of metastasis to the molecular level. The prognostic value of this findings awaits further verification. Copyright © 2016. Published by Elsevier Inc.

Detection of breast cancer metastasis in sentinel lymph nodes using intra-operative real time GeneSearch BLN Assay in the operating room: results of the Cardiff study.

PubMed

Mansel, Robert E; Goyal, Amit; Douglas-Jones, Anthony; Woods, Victoria; Goyal, Sumit; Monypenny, Ian; Sweetland, Helen; Newcombe, Robert G; Jasani, Bharat

2009-06-01

Intra-operative assessment is not routinely performed in the UK due to poor sensitivity of available methods and overburdened pathology resources. We conducted a prospective clinical feasibility study of the GeneSearch Breast Lymph Node (BLN) Assay (Veridex, LLC, Warren, NJ) to confirm its potential usefulness within the UK healthcare system. In the assay 50% of the lymph node was processed to detect the presence of cytokeratin-19 and mammaglobin mRNA. The assay was calibrated to detect metastases >0.2 mm. Assay results were compared to H&E performed on each face of approximately 2 mm alternating node slabs and 3 additional sections cut at approximately 150 microm interval from each face of the node slab. 124 sentinel lymph nodes were removed from 82 breast cancer patients. The assay correctly identified all 6 patients with sentinel node macrometastases (>2.0 mm), and 2 of 3 patients with sentinel node micrometastases (0.2-2.0 mm). Sentinel lymph nodes in 4 patients were assay positive but histology negative. Two of these four patients had isolated tumor cells seen by histology. The overall concordance with histology was 93.9% (77/82), with sensitivity of 88.9% (8/9, 95% CI 56.5-98%), specificity of 94.6% (69/73, 95% CI 86.7-97.8%), positive predictive value of 66.7% (8/12, 95% CI 39.1-86.2%) and negative predictive value of 98.6% (69/70, 95% CI 92.3-99.7%). The assay was performed in a median time of 32 min (range 26-69 min). Intra-operative assessment of sentinel lymph node can be performed rapidly and accurately using the GeneSearch BLN Assay.

Effectiveness and Cost Efficiency of Different Surveillance Components for Proving Freedom and Early Detection of Disease: Bluetongue Serotype 8 in Cattle as Case Study for Belgium, France and the Netherlands.

PubMed

Welby, S; van Schaik, G; Veldhuis, A; Brouwer-Middelesch, H; Peroz, C; Santman-Berends, I M; Fourichon, C; Wever, P; Van der Stede, Y

2017-12-01

Quick detection and recovery of country's freedom status remain a constant challenge in animal health surveillance. The efficacy and cost efficiency of different surveillance components in proving the absence of infection or (early) detection of bluetongue serotype 8 in cattle populations within different countries (the Netherlands, France, Belgium) using surveillance data from years 2006 and 2007 were investigated using an adapted scenario tree model approach. First, surveillance components (sentinel, yearly cross-sectional and passive clinical reporting) within each country were evaluated in terms of efficacy for substantiating freedom of infection. Yearly cross-sectional survey and passive clinical reporting performed well within each country with sensitivity of detection values ranging around 0.99. The sentinel component had a sensitivity of detection around 0.7. Secondly, how effective the components were for (early) detection of bluetongue serotype 8 and whether syndromic surveillance on reproductive performance, milk production and mortality data available from the Netherlands and Belgium could be of added value were evaluated. Epidemic curves were used to estimate the timeliness of detection. Sensitivity analysis revealed that expected within-herd prevalence and number of herds processed were the most influential parameters for proving freedom and early detection. Looking at the assumed direct costs, although total costs were low for sentinel and passive clinical surveillance components, passive clinical surveillance together with syndromic surveillance (based on reproductive performance data) turned out most cost-efficient for the detection of bluetongue serotype 8. To conclude, for emerging or re-emerging vectorborne disease that behaves such as bluetongue serotype 8, it is recommended to use passive clinical and syndromic surveillance as early detection systems for maximum cost efficiency and sensitivity. Once an infection is detected and eradicated, cross-sectional screening for substantiating freedom of infection and sentinel for monitoring the disease evolution are recommended. © 2016 Blackwell Verlag GmbH.

One-Step Nucleic Acid Amplification in Breast Cancer Sentinel Lymph Node: A Single Institutional Experience and a Short Review

PubMed Central

Brambilla, Tatiana; Fiamengo, Barbara; Tinterri, Corrado; Testori, Alberto; Grassi, Massimo Maria; Sciarra, Amedeo; Abbate, Tommaso; Gatzemeier, Wolfgang; Roncalli, Massimo; Di Tommaso, Luca

2015-01-01

Sentinel lymph node (SLN) examination is a standard in breast cancer patients, with several methods employed along its 20 years history, the last one represented by one-step nucleic acid amplification (OSNA). The latter is a intra-operative molecular assay searching for CK19 mRNA as a surrogate of metastatic cells. Our 3 years experience with OSNA (1122 patients) showed results overlapping those recorded in the same institution with a morphological evaluation (930 patients) of SLN. In detail, the data of OSNA were almost identical to those observed with standard post-operative procedure in terms of patients with positive SLN (30%) and micrometastatic/macrometastatic involvement of SLN (respectively, 38–45 and 62–55%). By contrast, when OSNA was compared to the standard intraoperatory procedure, it was superior in terms of accuracy, prompting the use of this molecular assay as a very valid, and reproducible for intra-operative evaluation of SLN. Further possibilities prompting the use of OSNA range from adhesion to quality control programs, saving of medical time, ability to predict, during surgery, additional nodal metastasis, and molecular bio-banking. PMID:26131451

One-Step Nucleic Acid Amplification in Breast Cancer Sentinel Lymph Node: A Single Institutional Experience and a Short Review.

PubMed

Brambilla, Tatiana; Fiamengo, Barbara; Tinterri, Corrado; Testori, Alberto; Grassi, Massimo Maria; Sciarra, Amedeo; Abbate, Tommaso; Gatzemeier, Wolfgang; Roncalli, Massimo; Di Tommaso, Luca

2015-01-01

Sentinel lymph node (SLN) examination is a standard in breast cancer patients, with several methods employed along its 20 years history, the last one represented by one-step nucleic acid amplification (OSNA). The latter is a intra-operative molecular assay searching for CK19 mRNA as a surrogate of metastatic cells. Our 3 years experience with OSNA (1122 patients) showed results overlapping those recorded in the same institution with a morphological evaluation (930 patients) of SLN. In detail, the data of OSNA were almost identical to those observed with standard post-operative procedure in terms of patients with positive SLN (30%) and micrometastatic/macrometastatic involvement of SLN (respectively, 38-45 and 62-55%). By contrast, when OSNA was compared to the standard intraoperatory procedure, it was superior in terms of accuracy, prompting the use of this molecular assay as a very valid, and reproducible for intra-operative evaluation of SLN. Further possibilities prompting the use of OSNA range from adhesion to quality control programs, saving of medical time, ability to predict, during surgery, additional nodal metastasis, and molecular bio-banking.

Clinical utilities and biological characteristics of melanoma sentinel lymph nodes

PubMed Central

Han, Dale; Thomas, Daniel C; Zager, Jonathan S; Pockaj, Barbara; White, Richard L; Leong, Stanley PL

2016-01-01

An estimated 73870 people will be diagnosed with melanoma in the United States in 2015, resulting in 9940 deaths. The majority of patients with cutaneous melanomas are cured with wide local excision. However, current evidence supports the use of sentinel lymph node biopsy (SLNB) given the 15%-20% of patients who harbor regional node metastasis. More importantly, the presence or absence of nodal micrometastases has been found to be the most important prognostic factor in early-stage melanoma, particularly in intermediate thickness melanoma. This review examines the development of SLNB for melanoma as a means to determine a patient’s nodal status, the efficacy of SLNB in patients with melanoma, and the biology of melanoma metastatic to sentinel lymph nodes. Prospective randomized trials have guided the development of practice guidelines for use of SLNB for melanoma and have shown the prognostic value of SLNB. Given the rapidly advancing molecular and surgical technologies, the technical aspects of diagnosis, identification, and management of regional lymph nodes in melanoma continues to evolve and to improve. Additionally, there is ongoing research examining both the role of SLNB for specific clinical scenarios and the ways to identify patients who may benefit from completion lymphadenectomy for a positive SLN. Until further data provides sufficient evidence to alter national consensus-based guidelines, SLNB with completion lymphadenectomy remains the standard of care for clinically node-negative patients found to have a positive SLN. PMID:27081640

Sentinel node detection in early breast cancer with intraoperative portable gamma camera: UK experience.

PubMed

Ghosh, Debashis; Michalopoulos, Nikolaos V; Davidson, Timothy; Wickham, Fred; Williams, Norman R; Keshtgar, Mohammed R

2017-04-01

Access to nuclear medicine department for sentinel node imaging remains an issue in number of hospitals in the UK and many parts of the world. Sentinella ® is a portable imaging camera used intra-operatively to produce real time visual localisation of sentinel lymph nodes. Sentinella ® was tested in a controlled laboratory environment at our centre and we report our experience on the first use of this technology from UK. Moreover, preoperative scintigrams of the axilla were obtained in 144 patients undergoing sentinel node biopsy using conventional gamma camera. Sentinella ® scans were done intra-operatively to correlate with the pre-operative scintigram and to determine presence of any residual hot node after the axilla was deemed to be clear based on the silence of the hand held gamma probe. Sentinella ® detected significantly more nodes compared with CGC (p < 0.0001). Sentinella ® picked up extra nodes in 5/144 cases after the axilla was found silent using hand held gamma probe. In 2/144 cases, extra nodes detected by Sentinella ® confirmed presence of tumour cells that led to a complete axillary clearance. Sentinella ® is a reliable technique for intra-operative localisation of radioactive nodes. It provides increased nodal visualisation rates compared to static scintigram imaging and proves to be an important tool for harvesting all hot sentinel nodes. This portable gamma camera can definitely replace the use of conventional lymphoscintigrams saving time and money both for patients and the health system. Copyright © 2016 Elsevier Ltd. All rights reserved.

RTS effect detection in Sentinel-4 data

NASA Astrophysics Data System (ADS)

Candeias, Henrique; Gnata, Xavier; Harlander, Maximilian; Hermsen, Markus; Hohn, Rüdiger; Riedl, Stefan; Skegg, Michael; Williges, Christian; Reulke, Ralf

2017-09-01

The future ESA Earth Observation Sentinel-4/UVN is a high resolution spectrometer intended to fly on board a Meteosat Third Generation Sounder (MTG-S) platform, placed in a geostationary orbit. The main objective of this optical mission is to continuously monitor the air quality over Europe in near-real time. The Sentinel-4/UVN instrument operates in three wavelength bands: Ultraviolet (UV: 305-400 nm), Visible (VIS: 400- 500 nm) and Near-infrared (NIR: 750-775 nm). Two dedicated CCD detector have been developed to be used in the Focal Plane Subsystems (FPS), one for the combined UV and VIS band, the other covering the NIR band. Being a high resolution spectrometer with challenging radiometric accuracy requirements, both on spectral and spatial dimensions, an effect such the Random Telegraph Signal (RTS) can represent a relevant contribution for the complete system accuracy. In this work we analyze the RTS effect on data acquired during the FPS testing campaign with qualification models for the Sentinel-4/UVN detectors. This test campaign has been performed in late 2016. The strategy for the impact assessment of RTS is to measure the effect at room temperature and then to extrapolate the results to the at instrument operational temperature. This way, very-long lasting data acquisitions could be avoided since the RTS frequency is much lower at cryogenic temperatures. A reliable technique for RTS effect detection has been developed in order to characterize the signal levels amplitude and occurrence frequencies (flipping rate). We demonstrate the residual impact of the RTS on the global In-Orbit Sentinel-4/UVN instrument performance and products accuracy.

Providing an Analysis Environment with Access to High-Volume Simulation and Observational Data for Climate Science

NASA Astrophysics Data System (ADS)

Bennett, V. L.; Juckes, M. N.; Kershaw, P. J.; Lawrence, B.; Stephens, A.; Pritchard, M.; Pepler, S.

2015-12-01

Environmental science requires the fusion of ever growing volumes of data from multiple simulation and observation platforms. In the UK, the Centre for Environmental Analysis (CEDA) provides infrastructure to support the analysis of such data. CEDA delivers both a curated archive, and an environment to exploit that data alongside other datasets. Over 3 petabytes (PB) of data are now available in the archive and this will rise considerably in the next 12 months as key datasets are acquired and made available via the JASMIN super data cluster. JASMIN incorporates over 17 PB of disk, co-located with tape and computing facilities for data analysis via batch, hosted and cloud computing The first of the European Sentinel series of satellites, Sentinel-1A was launched in April 2014, followed by Sentinel-2A in July 2015. Synthetic Aperture Radar data from Sentinel-1A data is already flowing, with around one terabyte per day being archived at CEDA. Recent data are stored on-line for direct access to users; older data will be moved to near-line tape, reinstating for users on demand. It is expected that most UK science users will access, process and analyse the data in the JASMIN-CEMS hosted environment avoiding the need to download and store data on their local machines. Sentinel 2 and Sentinel 3 data will follow soon, with landcover mapping expected to be an important application for Sentinel 2 data. The same approach will be adopted for CMIP6 data, where we expect to both host the largest possible CMIP cache and provide a specific resource for one of the constituent MIPS: HIRESMIP. We expect to provide the UK climate community (and related European collaborators, such as the PRIMAVERA consortium) a 2 PB disk cache alongside a complete copy of HIRESMIP (10-50 PB) on tape. This paper describes these challenging use cases and presents recent infrastructure developments, including how the facility for Climate and Environmental Monitoring from Space, CEMS, exploits JASMIN.

ESA's Multi-mission Sentinel-1 Toolbox

NASA Astrophysics Data System (ADS)

Veci, Luis; Lu, Jun; Foumelis, Michael; Engdahl, Marcus

2017-04-01

The Sentinel-1 Toolbox is a new open source software for scientific learning, research and exploitation of the large archives of Sentinel and heritage missions. The Toolbox is based on the proven BEAM/NEST architecture inheriting all current NEST functionality including multi-mission support for most civilian satellite SAR missions. The project is funded through ESA's Scientific Exploitation of Operational Missions (SEOM). The Sentinel-1 Toolbox will strive to serve the SEOM mandate by providing leading-edge software to the science and application users in support of ESA's operational SAR mission as well as by educating and growing a SAR user community. The Toolbox consists of a collection of processing tools, data product readers and writers and a display and analysis application. A common architecture for all Sentinel Toolboxes is being jointly developed by Brockmann Consult, Array Systems Computing and C-S called the Sentinel Application Platform (SNAP). The SNAP architecture is ideal for Earth Observation processing and analysis due the following technological innovations: Extensibility, Portability, Modular Rich Client Platform, Generic EO Data Abstraction, Tiled Memory Management, and a Graph Processing Framework. The project has developed new tools for working with Sentinel-1 data in particular for working with the new Interferometric TOPSAR mode. TOPSAR Complex Coregistration and a complete Interferometric processing chain has been implemented for Sentinel-1 TOPSAR data. To accomplish this, a coregistration following the Spectral Diversity[4] method has been developed as well as special azimuth handling in the coherence, interferogram and spectral filter operators. The Toolbox includes reading of L0, L1 and L2 products in SAFE format, calibration and de-noising, slice product assembling, TOPSAR deburst and sub-swath merging, terrain flattening radiometric normalization, and visualization for L2 OCN products. The Toolbox also provides several new tools for exploitation of polarimetric data including speckle filters, decompositions, and classifiers. The Toolbox will also include tools for large data stacks, supervised and unsupervised classification, improved vector handling and change detection. Architectural improvements such as smart memory configuration, task queuing, and optimizations for complex data will provide better support and performance for very large products and stacks.In addition, a Cloud Exploitation Platform Extension (CEP) has been developed to add the capability to smoothly utilize a cloud computing platform where EO data repositories and high performance processing capabilities are available. The extension to the SENTINEL Application Platform would facilitate entry into cloud processing services for supporting bulk processing on high performance clusters. Since December 2016, the COMET-LiCS InSAR portal (http://comet.nerc.ac.uk/COMET-LiCS-portal/) has been live, delivering interferograms and coherence estimates over the entire Alpine-Himalayan belt. The portal already contains tens of thousands of products, which can be browsed in a user-friendly portal, and downloaded for free by the general public. For our processing, we use the facilities at the Climate and Environmental Monitoring from Space (CEMS). Here we have large storage and processing facilities to our disposal, and a complete duplicate of the Sentinel-1 archive is maintained. This greatly simplifies the infrastructure we had to develop for automated processing of large areas. Here we will give an overview of the current status of the processing system, as well as discuss future plans. We will cover the infrastructure we developed to automatically produce interferograms and its challenges, and the processing strategy for time series analysis. We will outline the objectives of the system in the near and distant future, and a roadmap for its continued development. Finally, we will highlight some of the scientific results and projects linked to the system.

Comparison of BG-Sentinel® Trap and Oviposition Cups for Aedes aegypti and Aedes albopictus Surveillance in Jacksonville, Florida, USA.

PubMed

Wright, Jennifer A; Larson, Ryan T; Richardson, Alec G; Cote, Noel M; Stoops, Craig A; Clark, Marah; Obenauer, Peter J

2015-03-01

The BG-Sentinel® (BGS) trap and oviposition cups (OCs) have both proven effective in the surveillance of Aedes species. This study aimed to determine which of the 2 traps could best characterize the relative population sizes of Aedes albopictus and Aedes aegypti in an urban section of Jacksonville, FL. Until 1986, Ae. aegypti was considered the dominant container-breeding species in urban northeastern Florida. Since the introduction of Ae. albopictus, Ae. aegypti has become almost completely extirpated. In 2011, a resurgence of Ae. aegypti was detected in the urban areas of Jacksonville; thus this study initially set out to determine the extent of Ae. aegypti reintroduction to the area. We determined that the BGS captured a greater number of adult Ae. aegypti than Ae. albopictus, while OCs did not monitor significantly different numbers of either species, even in areas where the BGS traps suggested a predominance of one species over the other. Both traps were effective at detecting Aedes spp.; however, the BGS proved more diverse by detecting over 20 other species as well. Our results show that in order to accurately determine vectorborne disease threats and the impact of control operations on these 2 species, multiple trapping techniques should be utilized when studying Ae. aegypti and Ae. albopictus population dynamics.

In vivo and ex vivo sentinel node mapping does not identify the same lymph nodes in colon cancer.

PubMed

Andersen, Helene Schou; Bennedsen, Astrid Louise Bjørn; Burgdorf, Stefan Kobbelgaard; Eriksen, Jens Ravn; Eiholm, Susanne; Toxværd, Anders; Riis, Lene Buhl; Rosenberg, Jacob; Gögenur, Ismail

2017-07-01

Identification of lymph nodes and pathological analysis is crucial for the correct staging of colon cancer. Lymph nodes that drain directly from the tumor area are called "sentinel nodes" and are believed to be the first place for metastasis. The purpose of this study was to perform sentinel node mapping in vivo with indocyanine green and ex vivo with methylene blue in order to evaluate if the sentinel lymph nodes can be identified by both techniques. Patients with colon cancer UICC stage I-III were included from two institutions in Denmark from February 2015 to January 2016. In vivo sentinel node mapping with indocyanine green during laparoscopy and ex vivo sentinel node mapping with methylene blue were performed in all patients. Twenty-nine patients were included. The in vivo sentinel node mapping was successful in 19 cases, and ex vivo sentinel node mapping was successful in 13 cases. In seven cases, no sentinel nodes were identified. A total of 51 sentinel nodes were identified, only one of these where identified by both techniques (2.0%). In vivo sentinel node mapping identified 32 sentinel nodes, while 20 sentinel nodes were identified by ex vivo sentinel node mapping. Lymph node metastases were found in 10 patients, and only two had metastases in a sentinel node. Placing a deposit in relation to the tumor by indocyanine green in vivo or of methylene blue ex vivo could only identify sentinel lymph nodes in a small group of patients.

Remotely Sensed Land Imagery and Access Systems: USGS Updates

NASA Astrophysics Data System (ADS)

Lamb, R.; Pieschke, R.; Lemig, K.

2017-12-01

The U.S. Geological Survey (USGS) Earth Resources Observation and Science (EROS) Center has implemented a number of updates to its suite of remotely sensed products and distribution systems. These changes will greatly expand the availability, accessibility, and usability of the image products from USGS. As of late 2017, several new datasets are available for public download at no charge from USGS/EROS Center. These products include Multispectral Instrument (MSI) Level-1C data from the Sentinel-2B satellite, which was launched in March 2017. Along with Sentinel-2A, the Sentinel-2B images are now being distributed through USGS systems as part of a collaborative effort with the European Space Agency (ESA). The Sentinel-2 imagery is highly complementary to multispectral data collected by the USGS Landsat 7 and 8 satellites. With these two missions operating together, the potential local revisit rate can be reduced to 2-4 days. Another product addition is Resourcesat-2 data acquired over the United States by the Indian Space Research Organisation (ISRO). The Resourcesat-2 products from USGS consist of Advanced Wide Field Sensor (AWiFS) and Linear Imaging Self-Scanning Sensor Three (LISS-3) images acquired August 2016 to present. In an effort to maximize future Landsat data interoperability, including time series analysis of the 45+ year archive, the reprocessing of Collection 1 for all historical Landsat Level 1 products is nearly complete. The USGS is now working on operational release of higher-level science products to support analysis of the Landsat archive at the pixel level. Major upgrades were also completed in 2017 for several USGS data discovery and access systems, including the LandsatLook Viewer (https://landsatlook.usgs.gov/) and GloVis Tool (https://glovis.usgs.gov/). Other options are now being developed to further enhance data access and overall user experience. These future options will be discussed and community feedback will be encouraged.

MO-F-16A-04: Case Study: Estimation of Peak Skin Dose Following a Physician Reported “High Dose” Case and Sentinel Event Considerations

DOE Office of Scientific and Technical Information (OSTI.GOV)

Supanich, M; Chu, J; Wehmeyer, A

2014-06-15

Purpose: This work offers as a teaching example a reported high dose fluoroscopy case and the workflow the institution followed to self-report a radiation overdose sentinel event to the Joint Commission. Methods: Following the completion of a clinical case in a hybrid OR room with a reported air kerma of >18 Gy at the Interventional Reference Point (IRP) the physicians involved in the case referred study to the institution's Radiation Safety Committee (RSC) for review. The RSC assigned a Diagnostic Medical Physicist (DMP) to estimate the patient's Peak Skin Dose (PSD) and analyze the case. Following the DMP's analysis andmore » estimate of a PSD of >15 Gy the institution's adverse event committee was convened to discuss the case and to self-report the case as a radiation overdose sentinel event to the Joint Commission. The committee assigned a subgroup to perform the root cause analysis and develop institutional responses to the event. Results: The self-reporting of the sentinel event and the associated root cause analysis resulted in several institutional action items that are designed to improve process and safety. A formal reporting and analysis mechanism was adopted to review fluoroscopy cases with air kerma greater than 6 Gy at the IRP. An improved and formalized radiation safety training program for physicians using fluoroscopy equipment was implemented. Additionally efforts already under way to monitor radiation exposure in the Radiology department were expanded to include all fluoroscopy equipment capable of automated dose reporting. Conclusion: The adverse event review process and the root cause analysis following the self-reporting of the sentinel event resulted in policies and procedures that are expected to improve the quality and safe usage of fluoroscopy throughout the institution.« less

[Presence of intramammary lymph nodes in the preoperative lymphoscintigraphy to locate the sentinel lymph node. Clinical significance].

PubMed

Nogareda, Z; Álvarez, A; Perlaza, P; Caparrós, F X; Alonso, I; Paredes, P; Vidal-Sicart, S

2015-01-01

The routes of lymphatic drainage from a breast cancer are the axilla (the most frequent) and the extra axillary regions. Among the latter, there are the so-called intrammamary lymph nodes (IMLN). This study has aimed to assess the incidence of IMLNs in our patients and study the evolution of these cases with IMLN in the lymphoscintigraphy. Thirty-eight patients (out of 1725) with IMLN in the pre-operative lymphoscintigraphy were assessed. During the surgical procedure, using a gamma probe, IMLNs were located and excised. After their harvesting, a meticulous surgical field scan was performed. When the axillary sentinel node was positive for metastasis, a complete axillary lymphadenectomy was performed. In those where the axillary sentinel node was negative and IMLN was positive (IMLN+), axillary lymphadenectomy was also performed, except for one case. Thirty-four out of the 38 IMLNs were obtained (89.5%), because no lymphatic tissue was found in pathology analysis in three cases (8%) and in one patient (3%) IMLN was not found during surgery. Ten (26%) metastatic IMLNs were located and the remaining 24 IMLNs cases (63%) were metastasis-free. During the clinical follow-up, one patient with IMLN+ developed hepatic metastases. The remaining 33 patients did not present any recurrence. No follow-up data were available for three patients. IMLN and axillary sentinel node biopsy are recommended when both are depicted in preoperative lymphoscintigraphy. The axilla treatment will only depend on the axillary sentinel node status. Based on the data from other authors and our own experience, avoiding the axillary lymphadenectomy when a metastatic IMLN without axillary involvement seems reasonable. Copyright © 2014 Elsevier España, S.L.U. and SEMNIM. All rights reserved.

Aggregation of Sentinel-2 time series classifications as a solution for multitemporal analysis

NASA Astrophysics Data System (ADS)

Lewiński, Stanislaw; Nowakowski, Artur; Malinowski, Radek; Rybicki, Marcin; Kukawska, Ewa; Krupiński, Michał

2017-10-01

The general aim of this work was to elaborate efficient and reliable aggregation method that could be used for creating a land cover map at a global scale from multitemporal satellite imagery. The study described in this paper presents methods for combining results of land cover/land use classifications performed on single-date Sentinel-2 images acquired at different time periods. For that purpose different aggregation methods were proposed and tested on study sites spread on different continents. The initial classifications were performed with Random Forest classifier on individual Sentinel-2 images from a time series. In the following step the resulting land cover maps were aggregated pixel by pixel using three different combinations of information on the number of occurrences of a certain land cover class within a time series and the posterior probability of particular classes resulting from the Random Forest classification. From the proposed methods two are shown superior and in most cases were able to reach or outperform the accuracy of the best individual classifications of single-date images. Moreover, the aggregations results are very stable when used on data with varying cloudiness. They also enable to reduce considerably the number of cloudy pixels in the resulting land cover map what is significant advantage for mapping areas with frequent cloud coverage.

Sentinel nodes identified by computed tomography-lymphography accurately stage the axilla in patients with breast cancer

PubMed Central

2013-01-01

Background Sentinel node biopsy often results in the identification and removal of multiple nodes as sentinel nodes, although most of these nodes could be non-sentinel nodes. This study investigated whether computed tomography-lymphography (CT-LG) can distinguish sentinel nodes from non-sentinel nodes and whether sentinel nodes identified by CT-LG can accurately stage the axilla in patients with breast cancer. Methods This study included 184 patients with breast cancer and clinically negative nodes. Contrast agent was injected interstitially. The location of sentinel nodes was marked on the skin surface using a CT laser light navigator system. Lymph nodes located just under the marks were first removed as sentinel nodes. Then, all dyed nodes or all hot nodes were removed. Results The mean number of sentinel nodes identified by CT-LG was significantly lower than that of dyed and/or hot nodes removed (1.1 vs 1.8, p <0.0001). Twenty-three (12.5%) patients had ≥2 sentinel nodes identified by CT-LG removed, whereas 94 (51.1%) of patients had ≥2 dyed and/or hot nodes removed (p <0.0001). Pathological evaluation demonstrated that 47 (25.5%) of 184 patients had metastasis to at least one node. All 47 patients demonstrated metastases to at least one of the sentinel nodes identified by CT-LG. Conclusions CT-LG can distinguish sentinel nodes from non-sentinel nodes, and sentinel nodes identified by CT-LG can accurately stage the axilla in patients with breast cancer. Successful identification of sentinel nodes using CT-LG may facilitate image-based diagnosis of metastasis, possibly leading to the omission of sentinel node biopsy. PMID:24321242

Sentinel-1A - Launching the first satellite and launching the operational Copernicus programme

NASA Astrophysics Data System (ADS)

Aschbacher, Josef; Milagro Perez, Maria Pilar

2014-05-01

The first Copernicus satellite, Sentinel-1A, is prepared for launch in April 2014. It will provide continuous, systematic and highly reliable radar images of the Earth. Sentinel-1B will follow around 18 months later to increase observation frequency and establish an operational system. Sentinel-1 is designed to work in a pre-programmed conflict-free operation mode ensuring the reliability required by operational services and creating a consistent long-term data archive for applications based on long time series. This mission will ensure the continuation and improvement of SAR operational services and applications addressing primarily medium- to high-resolution applications through a main mode of operation that features both a wide swath (250 km) and high geometric (5 × 20 m) and radiometric resolution, allowing imaging of global landmasses, coastal zones, sea ice, polar areas, and shipping routes at high resolution. The Sentinel-1 main operational mode (Interferometric Wide Swath) will allow to have a complete coverage of the Earth in 6 days in the operational configuration when the two Sentinel-1 spacecraft will be in orbit simultaneously. High priority areas like Europe, Canada and some shipping routes will be covered almost daily. This high global observation frequency is unprecedented and cannot be reached with any other current radar mission. Envisat, for example, which was the 'workhorse' in this domain up to April 2012, reached global coverage every 35 days. Sentinel-1 data products will be made available systematically and free of charge to all users including institutional users, the general public, scientific and commercial users. The transition of the Copernicus programme from the development to operational phase will take place at about the same time when the first Sentinel-1 satellite will be launched. During the operational phase, funding of the programme will come from the European Union Multiannual Financial Framework (MFF) for the years 2014-2020. The EU Copernicus Regulation, laying down the legal basis for the EU operational Copernicus programme, is currently in its final phase of approval by the European Parliament and Council. Based on this, the future EU-ESA Copernicus Agreement will define the modalities for the cooperation between ESA and the EU for the period 2014-2020 and will regulate the budget implementation tasks entrusted to ESA by the EU for the accomplishment of the space segment and the programme operations phase. The agreement, once signed, will pave the way for important procurements over the next seven years in the Earth observation domain.

Plasmonic SERS nanochips and nanoprobes for medical diagnostics and bio-energy applications

NASA Astrophysics Data System (ADS)

Ngo, Hoan T.; Wang, Hsin-Neng; Crawford, Bridget M.; Fales, Andrew M.; Vo-Dinh, Tuan

2017-02-01

The development of rapid, easy-to-use, cost-effective, high accuracy, and high sensitive DNA detection methods for molecular diagnostics has been receiving increasing interest. Over the last five years, our laboratory has developed several chip-based DNA detection techniques including the molecular sentinel-on-chip (MSC), the multiplex MSC, and the inverse molecular sentinel-on-chip (iMS-on-Chip). In these techniques, plasmonic surface-enhanced Raman scattering (SERS) Nanowave chips were functionalized with DNA probes for single-step DNA detection. Sensing mechanisms were based on hybridization of target sequences and DNA probes, resulting in a distance change between SERS reporters and the Nanowave chip's gold surface. This distance change resulted in change in SERS intensity, thus indicating the presence and capture of the target sequences. Our techniques were single-step DNA detection techniques. Target sequences were detected by simple delivery of sample solutions onto DNA probe-functionalized Nanowave chips and SERS signals were measured after 1h - 2h incubation. Target sequence labeling or washing to remove unreacted components was not required, making the techniques simple, easy-to-use, and cost effective. The usefulness of the techniques for medical diagnostics was illustrated by the detection of genetic biomarkers for respiratory viral infection and of dengue virus 4 DNA.

New Sentinel-2 radiometric validation approaches (SEOM program)

NASA Astrophysics Data System (ADS)

Bruniquel, Véronique; Lamquin, Nicolas; Ferron, Stéphane; Govaerts, Yves; Woolliams, Emma; Dilo, Arta; Gascon, Ferran

2016-04-01

SEOM is an ESA program element whose one of the objectives aims at launching state-of-the-art studies for the scientific exploitation of operational missions. In the frame of this program, ESA awarded ACRI-ST and its partners Rayference and National Physical Laboratory (NPL) early 2016 for a R&D study on the development and intercomparison of algorithms for validating the Sentinel-2 radiometric L1 data products beyond the baseline algorithms used operationally in the frame of the S2 Mission Performance Centre. In this context, several algorithms have been proposed and are currently in development: The first one is based on the exploitation of Deep Convective Cloud (DCC) observations over ocean. This method allows an inter-band radiometry validation from the blue to the NIR (typically from B1 to B8a) from a reference band already validated for example with the well-known Rayleigh method. Due to their physical properties, DCCs appear from the remote sensing point of view to have bright and cold tops and they can be used as invariant targets to monitor the radiometric response degradation of reflective solar bands. The DCC approach is statistical i.e. the method shall be applied on a large number of measurements to derive reliable statistics and decrease the impact of the perturbing contributors. The second radiometric validation method is based on the exploitation of matchups combining both concomitant in-situ measurements and Sentinel-2 observations. The in-situ measurements which are used here correspond to measurements acquired in the frame of the RadCalNet networks. The validation is performed for the Sentinel-2 bands similar to the bands of the instruments equipping the validation site. The measurements from the Cimel CE 318 12-filters BRDF Sun Photometer installed recently in the Gobabeb site near the Namib desert are used for this method. A comprehensive verification of the calibration requires an analysis of MSI radiances over the full dynamic range, including low radiances, as extreme values are more subject to instrument response non-linearity. The third method developed in the frame of this project aims to address this point. It is based on a comparison of Sentinel-2 observations over coastal waters which have low radiometry and corresponding Radiative Transfer (RT) simulations using AERONET-OC measurements. Finally, a last method is developed using RadCalNet measurements and Sentinel-2 observations to validate the radiometry of mid/low resolution sensors such as Sentinel-3/OLCI. The RadCalNet measurements are transferred from the RadCalNet sites to Pseudo Invariant Calibration Sites (PICS) using Sentinel-2, and then these larger sites are used to validate mid- and low-resolution sensors to the RadCalNet reference. For all the developed methods, an uncertainty budget is derived following QA4EO guidelines. A last step of this ESA project is dedicated to an Inter-comparison Workshop open to entities involved in Sentinel-2 radiometric validation activities. Blind inter-comparison tests over a series of images will be proposed and the results will be discussed during the workshop.

Large Spatial Scale Ground Displacement Mapping through the P-SBAS Processing of Sentinel-1 Data on a Cloud Computing Environment

NASA Astrophysics Data System (ADS)

Casu, F.; Bonano, M.; de Luca, C.; Lanari, R.; Manunta, M.; Manzo, M.; Zinno, I.

2017-12-01

Since its launch in 2014, the Sentinel-1 (S1) constellation has played a key role on SAR data availability and dissemination all over the World. Indeed, the free and open access data policy adopted by the European Copernicus program together with the global coverage acquisition strategy, make the Sentinel constellation as a game changer in the Earth Observation scenario. Being the SAR data become ubiquitous, the technological and scientific challenge is focused on maximizing the exploitation of such huge data flow. In this direction, the use of innovative processing algorithms and distributed computing infrastructures, such as the Cloud Computing platforms, can play a crucial role. In this work we present a Cloud Computing solution for the advanced interferometric (DInSAR) processing chain based on the Parallel SBAS (P-SBAS) approach, aimed at processing S1 Interferometric Wide Swath (IWS) data for the generation of large spatial scale deformation time series in efficient, automatic and systematic way. Such a DInSAR chain ingests Sentinel 1 SLC images and carries out several processing steps, to finally compute deformation time series and mean deformation velocity maps. Different parallel strategies have been designed ad hoc for each processing step of the P-SBAS S1 chain, encompassing both multi-core and multi-node programming techniques, in order to maximize the computational efficiency achieved within a Cloud Computing environment and cut down the relevant processing times. The presented P-SBAS S1 processing chain has been implemented on the Amazon Web Services platform and a thorough analysis of the attained parallel performances has been performed to identify and overcome the major bottlenecks to the scalability. The presented approach is used to perform national-scale DInSAR analyses over Italy, involving the processing of more than 3000 S1 IWS images acquired from both ascending and descending orbits. Such an experiment confirms the big advantage of exploiting large computational and storage resources of Cloud Computing platforms for large scale DInSAR analysis. The presented Cloud Computing P-SBAS processing chain can be a precious tool in the perspective of developing operational services disposable for the EO scientific community related to hazard monitoring and risk prevention and mitigation.

Understanding Lymphatic Drainage Pathways of the Ovaries to Predict Sites for Sentinel Nodes in Ovarian Cancer

PubMed Central

Kleppe, Marjolein; Kraima, Anne C.; Kruitwagen, Roy F.P.M.; Van Gorp, Toon; Smit, Noeska N.; van Munsteren, Jacoba C.; DeRuiter, Marco C.

2015-01-01

Objective In ovarian cancer, detection of sentinel nodes is an upcoming procedure. Perioperative determination of the patient’s sentinel node(s) might prevent a radical lymphadenectomy and associated morbidity. It is essential to understand the lymphatic drainage pathways of the ovaries, which are surprisingly up till now poorly investigated, to predict the anatomical regions where sentinel nodes can be found. We aimed to describe the lymphatic drainage pathways of the human ovaries including their compartmental fascia borders. Methods A series of 3 human female fetuses and tissues samples from 1 human cadaveric specimen were studied. Immunohistochemical analysis was performed on paraffin-embedded transverse sections (8 or 10 μm) using antibodies against Lyve-1, S100, and α-smooth muscle actin to identify the lymphatic endothelium, Schwann, and smooth muscle cells, respectively. Three-dimensional reconstructions were created. Results Two major and 1 minor lymphatic drainage pathways from the ovaries were detected. One pathway drained via the proper ligament of the ovaries (ovarian ligament) toward the lymph nodes in the obturator fossa and the internal iliac artery. Another pathway drained the ovaries via the suspensory ligament (infundibulopelvic ligament) toward the para-aortic and paracaval lymph nodes. A third minor pathway drained the ovaries via the round ligament to the inguinal lymph nodes. Lymph vessels draining the fallopian tube all followed the lymphatic drainage pathways of the ovaries. Conclusions The lymphatic drainage pathways of the ovaries invariably run via the suspensory ligament (infundibulopelvic ligament) and the proper ligament of the ovaries (ovarian ligament), as well as through the round ligament of the uterus. Because ovarian cancer might spread lymphogenously via these routes, the sentinel node can be detected in the para-aortic and paracaval regions, obturator fossa and surrounding internal iliac arteries, and inguinal regions. These findings support the strategy of injecting tracers in both ovarian ligaments to identify sentinel nodes. PMID:26397066

Biological Status Monitoring of European Fresh Water with Sentinel-2

NASA Astrophysics Data System (ADS)

Serra, Romain; Mangin, Antoine; Fanton d'Andon, Odile Hembise; Lauters, Francois; Thomasset, Franck; Martin-Lauzer, Francois-Regis

2016-08-01

Thanks to a widening range of sensors available, the observation of continental water quality for lakes and reservoirs is gaining more and more consistency and accuracy.Consistency because back in 2012, the only free sensor with a sufficient resolution (30m) was Landsat-7 which has truncated data since 2003 and a 16-day revisit time. But today, Landsat-8 and Sentinel-2A are now operating so depending on the latitude of interest, the combined revisit time dropped to 2 to 4 days which is more appropriate for such a monitoring (especially considering the cloud cover).Accuracy because Landsat-7 has a poor contrast over water whereas Landsat-8 and Sentinel-2A have a better radiometric sensitivity (more bit) and moreover Sentinel-2 offers additional spectral bands in the visible which are helpful for Chlorophyll-A concentration assessment. To sum up, with Sentinel-2, continental water quality monitoring capabilities are making a giant leap and it is important to exploit this potential the sooner. ACRI-HE has already built a strong basis to prepare Sentinel-2 by using Landsat data.Indeed, more than 600 lakes are already constantly monitored using Landsat data and their biological statuses are available on EyeOnWater (see eyeonwater.eu). Chlorophyll-A retrieval from (fresh) water leaving reflectances is the result of research activities conducted by ACRI-HE in parallel with EDF (Electricité de France) to respond to an emerging very demanding environmental monitoring through European regulations (typically the Water Framework Directive). Two parallel and complementary algorithms have thus been derived for Chlorophyll-a retrieval.Upstream of Eyeonwater, there is a complex and complete system automatically collecting images, extracting areas of interest around lakes, applying atmospheric correction (very sensitive part as atmosphere can contribute to 90% of the signal at sensor level) and then algorithms to retrieve water transparency (Secchi disk), turbidity and Chlorophyll-A concentration. A wide range of in-situ measurements was gathered to calibrate these algorithms. We present here a clear and operational system working with Sentinel-2-like data that retrieves water ecological quality parameters and provides quantified level of uncertainty. We believe that this system is of prime relevance to fulfil water quality monitoring duties at local, national and regional levels.

New models and online calculator for predicting non-sentinel lymph node status in sentinel lymph node positive breast cancer patients.

PubMed

Kohrt, Holbrook E; Olshen, Richard A; Bermas, Honnie R; Goodson, William H; Wood, Douglas J; Henry, Solomon; Rouse, Robert V; Bailey, Lisa; Philben, Vicki J; Dirbas, Frederick M; Dunn, Jocelyn J; Johnson, Denise L; Wapnir, Irene L; Carlson, Robert W; Stockdale, Frank E; Hansen, Nora M; Jeffrey, Stefanie S

2008-03-04

Current practice is to perform a completion axillary lymph node dissection (ALND) for breast cancer patients with tumor-involved sentinel lymph nodes (SLNs), although fewer than half will have non-sentinel node (NSLN) metastasis. Our goal was to develop new models to quantify the risk of NSLN metastasis in SLN-positive patients and to compare predictive capabilities to another widely used model. We constructed three models to predict NSLN status: recursive partitioning with receiver operating characteristic curves (RP-ROC), boosted Classification and Regression Trees (CART), and multivariate logistic regression (MLR) informed by CART. Data were compiled from a multicenter Northern California and Oregon database of 784 patients who prospectively underwent SLN biopsy and completion ALND. We compared the predictive abilities of our best model and the Memorial Sloan-Kettering Breast Cancer Nomogram (Nomogram) in our dataset and an independent dataset from Northwestern University. 285 patients had positive SLNs, of which 213 had known angiolymphatic invasion status and 171 had complete pathologic data including hormone receptor status. 264 (93%) patients had limited SLN disease (micrometastasis, 70%, or isolated tumor cells, 23%). 101 (35%) of all SLN-positive patients had tumor-involved NSLNs. Three variables (tumor size, angiolymphatic invasion, and SLN metastasis size) predicted risk in all our models. RP-ROC and boosted CART stratified patients into four risk levels. MLR informed by CART was most accurate. Using two composite predictors calculated from three variables, MLR informed by CART was more accurate than the Nomogram computed using eight predictors. In our dataset, area under ROC curve (AUC) was 0.83/0.85 for MLR (n = 213/n = 171) and 0.77 for Nomogram (n = 171). When applied to an independent dataset (n = 77), AUC was 0.74 for our model and 0.62 for Nomogram. The composite predictors in our model were the product of angiolymphatic invasion and size of SLN metastasis, and the product of tumor size and square of SLN metastasis size. We present a new model developed from a community-based SLN database that uses only three rather than eight variables to achieve higher accuracy than the Nomogram for predicting NSLN status in two different datasets.

Improved Survival in Male Melanoma Patients in the Era of Sentinel Node Biopsy.

PubMed

Koskivuo, I; Vihinen, P; Mäki, M; Talve, L; Vahlberg, T; Suominen, E

2017-03-01

Sentinel node biopsy is a standard method for nodal staging in patients with clinically localized cutaneous melanoma, but the survival advantage of sentinel node biopsy remains unsolved. The aim of this case-control study was to investigate the survival benefit of sentinel node biopsy. A total of 305 prospective melanoma patients undergoing sentinel node biopsy were compared with 616 retrospective control patients with clinically localized melanoma whom have not undergone sentinel node biopsy. Survival differences were calculated with the median follow-up time of 71 months in sentinel node biopsy patients and 74 months in control patients. Analyses were calculated overall and separately in males and females. Overall, there were no differences in relapse-free survival or cancer-specific survival between sentinel node biopsy patients and control patients. Male sentinel node biopsy patients had significantly higher relapse-free survival ( P = 0.021) and cancer-specific survival ( P = 0.024) than control patients. In females, no differences were found. Cancer-specific survival rates at 5 years were 87.8% in sentinel node biopsy patients and 85.2% in controls overall with 88.3% in male sentinel node biopsy patients and 80.6% in male controls and 87.3% in female sentinel node biopsy patients and 89.8% in female controls. Sentinel node biopsy did not improve survival in melanoma patients overall. While females had no differences in survival, males had significantly improved relapse-free survival and cancer-specific survival following sentinel node biopsy.

Use of Indocyanine Green for Sentinel Lymph Node Biopsy: Case Series and Methods Comparison.

PubMed

McGregor, Andrew; Pavri, Sabrina N; Tsay, Cynthia; Kim, Samuel; Narayan, Deepak

2017-11-01

Sentinel lymph node biopsy is indicated for patients with biopsy-proven thickness melanoma greater than 1.0 mm. Use of lymphoscintigraphy along with vital blue dyes is the gold standard for identifying sentinel lymph nodes intraoperatively. Indocyanine green (ICG) has recently been used as a method of identifying sentinel lymph nodes. We herein describe a case series of patients who have successfully undergone ICG-assisted sentinel lymph node biopsy for melanoma. We compare 2 imaging systems that are used for ICG-assisted sentinel lymph node biopsy. Fourteen patients underwent ICG-assisted sentinel lymph node biopsy for melanoma using the SPY Elite system (Novadaq, Mississigua, Canada) and the Hamamatsu PDE-Neo probe system (Mitaka USA, Park City, Utah). We analyzed costs for 2 systems that utilize ICG for sentinel lymph node biopsies. Intraoperative use of ICG for sentinel lymph node biopsies was successful in correctly identifying sentinel lymph nodes. There was no difference between the Hamamatsu PDE-Neo probe and SPY Elite systems in the ability to detect sentinel lymph nodes; however, the former was associated with a lower operating cost and ease of use compared with the latter. ICG-assisted sentinel lymph biopsy using the SPY Elite or the Hamamatsu PDE-Neo probe systems for melanoma are comparable in terms of sentinel node detection. The Neo probe system delivers pertinent clinical data with the advantages of lower cost and ease of operation.

75 FR 76018 - Third Annual Sentinel Initiative Public Workshop

Federal Register 2010, 2011, 2012, 2013, 2014

2010-12-07

...] Third Annual Sentinel Initiative Public Workshop AGENCY: Food and Drug Administration, HHS. ACTION... workshop: Third Annual Sentinel Initiative Public Workshop. Hosted by the Engelberg Center for Health Care..., including an update on Mini-Sentinel and related activities, near-term plans for FDA's Sentinel Initiative...

Surgeon Training, Protocol Compliance, and Technical Outcomes From Breast Cancer Sentinel Lymph Node Randomized Trial

PubMed Central

Ashikaga, Takamaru; Harlow, Seth P.; Skelly, Joan M.; Julian, Thomas B.; Brown, Ann M.; Weaver, Donald L.; Wolmark, Norman

2009-01-01

Background The National Surgical Adjuvant Breast and Bowel Project B-32 trial was designed to determine whether sentinel lymph node resection can achieve the same therapeutic outcomes as axillary lymph node resection but with fewer side effects and is one of the most carefully controlled and monitored randomized trials in the field of surgical oncology. We evaluated the relationship of surgeon trial preparation, protocol compliance audit, and technical outcomes. Methods Preparation for this trial included a protocol manual, a site visit with key participants, an intraoperative session with the surgeon, and prerandomization documentation of protocol compliance. Training categories included surgeons who submitted material on five prerandomization surgeries and were trained by a core trainer (category 1) or by a site trainer (category 2). An expedited group (category 3) included surgeons with extensive experience who submitted material on one prerandomization surgery. At completion of training, surgeons could accrue patients. Two hundred twenty-four surgeons enrolled 4994 patients with breast cancer and were audited for 94 specific items in the following four categories: procedural, operative note, pathology report, and data entry. The relationship of training method; protocol compliance performance audit; and the technical outcomes of the sentinel lymph node resection rate, false-negative rate, and number of sentinel lymph nodes removed was determined. All statistical tests were two-sided. Results The overall sentinel lymph node resection success rate was 96.9% (95% confidence interval [CI] = 96.4% to 97.4%), and the overall false-negative rate was 9.5% (95% CI = 7.4% to 12.0%), with no statistical differences between training methods. Overall audit outcomes were excellent in all four categories. For all three training groups combined, a statistically significant positive association was observed between surgeons’ average number of procedural errors and their false-negative rate (ρ = +0.188, P = .021). Conclusions All three training methods resulted in uniform and high overall sentinel lymph node resection rates. Subgroup analyses identified some variation in false-negative rates that were related to audited outcome performance measures. PMID:19704072

Sentinel lymph node biopsy under fluorescent indocyanin green guidance: Initial experience.

PubMed

Aydoğan, Fatih; Arıkan, Akif Enes; Aytaç, Erman; Velidedeoğlu, Mehmet; Yılmaz, Mehmet Halit; Sager, Muhammet Sait; Çelik, Varol; Uras, Cihan

2016-01-01

Sentinel lymph node biopsy can be applied by using either blue dye or radionuclide method or both in breast cancer. Fluorescent imaging with indocyanine green is a new defined method. This study evaluates the applicability of sentinel lymph node biopsy via fluorescent indocyanine green. IC-VIEW (Pulsion Medical Systems AG, Munich, Germany) infrared visualization system was used for imaging. Two mL of indocyanine green was injected to visualize sentinel lymph nodes. After injection, subcutaneous lymphatics were traced and sentinel lymph nodes were found with simultaneous imaging. Sentinel lymph nodes were excised under fluorescent light guidance, and excised lymph nodes were examined histopathologically. Patients with sentinel lymph node metastases underwent axillary dissection. Four patients with sentinel lymph node biopsy due to breast cancer were included in the study. Sentinel lymph nodes were visualized with indocyanine green in all patients. The median number of excised sentinel lymph node was 2 (2-3). Two patients with lymph node metastasis underwent axillary dissection. No metastasis was detected in lymph nodes other than the sentinel nodes in patients with axillary dissection. There was no complication during and after the operation related to the method. According to our limited experience, sentinel lymph node biopsy under fluorescent indocyanine green guidance, which has an advantage of simultaneous visualization, is technically feasible.

How do I deal with the axilla in patients with a positive sentinel lymph node?

PubMed

Falkson, Conrad B

2011-12-01

Optimal management of the axilla in a patient with a positive sentinel node biopsy is not yet defined.These patients usually have Breast Conserving Surgery and receive adjuvant systemic therapy and whole breast radiation.Treatment options for the axilla include: no further surgery with or without radiation completion axillary nodal dissection with or without radiation Radiation options in addition to whole breast radiation include axillary and supraclavicular nodal irradiation regional nodal irradiationincludes supraclavicular and internal mammary nodes Completion axillary dissection has been standard practice in patients with positive sentinel nodes. the number of involved nodes provides prognostic information. theoretically improves local control, but may be obviated by systemic chemotherapy. but avoidance of dissection may not adversely affect locoregional control or survival. dissection has significant morbidity so safe avoidance is desirable. There is little worldwide concordance on the use of radiation: whole breast radiation (commonly used after breast conserving surgery) may radiate the lower axilla supraclavicular radiation is most commonly recommended for patients with four or more nodes but may confer a survival benefit on patients with lower risk disease. adding nodal irradiation reduces local recurrence with only modest toxicity. Adjuvant systemic therapy provides a survival benefit for patients with nodal disease. Most will receive cytostatic chemotherapy containing an anthracycline and a taxane. Hormone therapy is appropriate for estrogen receptor positive disease. The extent to which systemic therapy controls microscopic nodal disease is unknown. Node positive patients should generally receive adjuvant chemotherapy.A small group of patients benefit from specific nodal therapy. Further studies are needed to better identify these patients.

Unsterilized Feed as the Apparent Cause of a Mouse Parvovirus Outbreak

PubMed Central

2013-01-01

In early 2009, we experienced a widespread outbreak of mouse parvoviruses 1 and 2 (MPV) at our institution, which encompasses approximately 50,000 cages located in 7 campus vivaria. MPV had not been detected for several years; however, during a single 4-mo sentinel-testing rotation comprising all racks at the institution, 72 of 927 rack sentinels tested serologically positive for MPV1, MPV2, or both. PCR of fecal samples from several index cases confirmed MPV. Each sentinel-positive rack contained between 0 and 10 infected colony cages. Positive racks appeared to be randomly distributed, although several small facilities escaped infection. We investigated how this infection may have entered the facilities, in which mice were maintained in barrier caging with sterilized feed, bedding, and equipment, and procedures were in place to prevent incoming infection and cross-contamination. The only widespread change that occurred during the 3 mo preceding the first positive test was that every cage had been treated for 12 wk with an unsterilized fenbendazole-medicated diet. At the completion of fenbendazole treatment, sterilized feed was reinstituted. Evidence of MPV infection was eliminated within 7 mo via an intensive test-and-remove policy in combination with movement controls, and we have had no further positive tests in the 3.5 y since the outbreak. Although the possibility remains that MPV infection resulted from fomites or undetected infections in incoming mice, the timing and extent of this outbreak together with the complete absence of new cases after sterilized feed was reinstituted strongly implicate unsterilized feed as the source of this MPV outbreak. PMID:23562038

Unsterilized feed as the apparent cause of a mouse parvovirus outbreak.

PubMed

Watson, Julie

2013-01-01

In early 2009, we experienced a widespread outbreak of mouse parvoviruses 1 and 2 (MPV) at our institution, which encompasses approximately 50,000 cages located in 7 campus vivaria. MPV had not been detected for several years; however, during a single 4-mo sentinel-testing rotation comprising all racks at the institution, 72 of 927 rack sentinels tested serologically positive for MPV1, MPV2, or both. PCR of fecal samples from several index cases confirmed MPV. Each sentinel-positive rack contained between 0 and 10 infected colony cages. Positive racks appeared to be randomly distributed, although several small facilities escaped infection. We investigated how this infection may have entered the facilities, in which mice were maintained in barrier caging with sterilized feed, bedding, and equipment, and procedures were in place to prevent incoming infection and cross-contamination. The only widespread change that occurred during the 3 mo preceding the first positive test was that every cage had been treated for 12 wk with an unsterilized fenbendazole-medicated diet. At the completion of fenbendazole treatment, sterilized feed was reinstituted. Evidence of MPV infection was eliminated within 7 mo via an intensive test-and-remove policy in combination with movement controls, and we have had no further positive tests in the 3.5 y since the outbreak. Although the possibility remains that MPV infection resulted from fomites or undetected infections in incoming mice, the timing and extent of this outbreak together with the complete absence of new cases after sterilized feed was reinstituted strongly implicate unsterilized feed as the source of this MPV outbreak.

Locoregional treatment of early breast cancer with isolated tumor cells or micrometastases on sentinel lymph node biopsy

PubMed Central

Tallet, Agnès; Lambaudie, Eric; Cohen, Monique; Minsat, Mathieu; Bannier, Marie; Resbeut, Michel; Houvenaeghel, Gilles

2016-01-01

The advent of sentinel lymph-node technique has led to a shift in lymph-node staging, due to the emergence of new entities namely micrometastases (pN1mi) and isolated tumor cells [pN0(i+)]. The prognostic significance of this low positivity in axillary lymph nodes is currently debated, as is, therefore its management. This article provides updates evidence-based medicine data to take into account for treatment decision-making in this setting, discussing the locoregional treatment in pN0(i+) and pN1mi patients (completion axillary dissection, axillary irradiation with or without regional nodes irradiation, or observation), according to systemic treatment, with the goal to help physicians in their daily practice. PMID:27081647

Surgical management of sentinel lymph node biopsy outside major nodal basin in patients with cutaneous melanoma.

PubMed

Caracò, Corrado; Marone, Ugo; Di Monta, Gianluca; Aloj, Luigi; Caracò, Corradina; Anniciello, Annamaria; Lastoria, Secondo; Botti, Gerardo; Mozzillo, Nicola

2014-01-01

To assess the incidence of nonmajor lymphatic basin sentinel nodes in patients with cutaneous melanoma in order to propose a correct nomenclature and inform appropriate surgical management. This was a retrospective review of 1,045 consecutive patients with cutaneous melanoma who underwent sentinel lymph node biopsy and dynamic lymphoscintigraphy to identify sentinel node site. Nonmajor drainage sites were classified as uncommon (located in a minor lymphatic basin along the lymphatic drainage to a major classical nodal basin) or interval (located anywhere along the lymphatics between the primary tumor site and the nearest lymphatic basin) sentinel nodes. Nonclassical sentinel nodes were identified in 32 patients (3.0 %). Uncommon sentinel nodes were identified in 3.2 % (n = 17) of trunk melanoma primary disease and in 1.5 % (n = 7) of upper and lower extremity sites. Interval sentinel nodes were identified in 1.3 % (n = 7) of trunk primary lesions, with none from upper and lower extremities melanomas. The incidence of tumor-positive sentinel nodes was 24.1 % (245 of 1,013) in classical sites and 12.5 % (4 of 32) in uncommon/interval sites. The definition of uncommon and interval sentinel nodes allows the identification of different lymphatic pathways and inform appropriate surgical treatment. Wider experience with uncommon/interval sentinel nodes will better clarify the clinical implications and surgical management to be adopted in the management of uncommon and interval sentinel node sites.

Sentinel lymph node biopsy under fluorescent indocyanin green guidance: Initial experience

PubMed Central

Aydoğan, Fatih; Arıkan, Akif Enes; Aytaç, Erman; Velidedeoğlu, Mehmet; Yılmaz, Mehmet Halit; Sager, Muhammet Sait; Çelik, Varol; Uras, Cihan

2016-01-01

Objective: Sentinel lymph node biopsy can be applied by using either blue dye or radionuclide method or both in breast cancer. Fluorescent imaging with indocyanine green is a new defined method. This study evaluates the applicability of sentinel lymph node biopsy via fluorescent indocyanine green. Material and Methods: IC-VIEW (Pulsion Medical Systems AG, Munich, Germany) infrared visualization system was used for imaging. Two mL of indocyanine green was injected to visualize sentinel lymph nodes. After injection, subcutaneous lymphatics were traced and sentinel lymph nodes were found with simultaneous imaging. Sentinel lymph nodes were excised under fluorescent light guidance, and excised lymph nodes were examined histopathologically. Patients with sentinel lymph node metastases underwent axillary dissection. Results: Four patients with sentinel lymph node biopsy due to breast cancer were included in the study. Sentinel lymph nodes were visualized with indocyanine green in all patients. The median number of excised sentinel lymph node was 2 (2–3). Two patients with lymph node metastasis underwent axillary dissection. No metastasis was detected in lymph nodes other than the sentinel nodes in patients with axillary dissection. There was no complication during and after the operation related to the method. Conclusion: According to our limited experience, sentinel lymph node biopsy under fluorescent indocyanine green guidance, which has an advantage of simultaneous visualization, is technically feasible. PMID:26985159

Sentinel surveillance of soil-transmitted helminthiasis in preschool-aged and school-aged children in selected local government units in the Philippines: follow-up assessment.

PubMed

Belizario, Vicente Y; Totañes, Francis Isidore G; de Leon, Winifreda U; Ciro, Raezelle Nadine T; Lumampao, Yvonne F

2015-03-01

This study was a follow-up to the baseline nationwide survey of soil-transmitted helminth (STH) infections in preschool-aged children in the Philippines and in school-aged children in selected sentinel sites to assess the Integrated Helminth Control Program of the Department of Health. The objective of the study was to describe the current prevalence and intensity of STH infections in preschool-aged and school-aged children in 6 sentinel provinces and to compare these data with baseline findings. A cross-sectional study design was used to determine the prevalence and intensity of STH infections. Parasitological assessment involved the examination of stool samples by the Kato-Katz method. Although parasitological parameters in the 2 age groups at follow-up showed significant reductions from the baseline, these parameters remained high despite 3 years of mass drug administration (MDA). Efforts toward achieving high MDA coverage rates, provision of clean water, environmental sanitation, and promotion of hygiene practices must be prioritized. © 2013 APJPH.

Immune response in melanoma: an in-depth analysis of the primary tumor and corresponding sentinel lymph node

PubMed Central

Ma, Michelle W.; Medicherla, Ratna C.; Qian, Meng; de Miera, Eleazar Vega-Saenz; Friedman, Erica B.; Berman, Russell S.; Shapiro, Richard L.; Pavlick, Anna C.; Ott, Patrick A.; Bhardwaj, Nina; Shao, Yongzhao; Osman, Iman; Darvishian, Farbod

2013-01-01

The sentinel lymph node is the initial site of metastasis. Down-regulation of anti-tumor immunity plays a role in nodal progression. Our objective was to investigate the relationship between immune modulation and sentinel lymph node positivity, correlating it with outcome in melanoma patients. Lymph node/primary tissues from melanoma patients prospectively accrued and followed at New York University Medical Center were evaluated for the presence of regulatory T-cells (Foxp3+) and dendritic cells (conventional: CD11c+, mature: CD86+) using immunohistochemistry. Primary melanoma immune cell profiles from sentinel lymph node-positive/-negative patients were compared. Logistic regression models inclusive of standard-of-care/immunologic primary tumor characteristics were constructed to predict the risk of sentinel lymph node positivity. Immunological responses in the positive sentinel lymph node were also compared to those in the negative non-sentinel node from the same nodal basin and matched negative sentinel lymph node. Decreased immune response was defined as increased regulatory T-cells or decreased dendritic cells. Associations between the expression of these immune modulators, clinicopathologic variables, and clinical outcome were evaluated using univariate/multivariate analyses. Primary tumor conventional dendritic cells and regression were protective against sentinel lymph node metastasis (odds ratio=0.714, 0.067; P=0.0099, 0.0816, respectively). Anti-tumor immunity was down-regulated in the positive sentinel lymph node with an increase in regulatory T-cells compared to the negative non-sentinel node from the same nodal basin (P=0.0005) and matched negative sentinel lymph node (P=0.0002). The positive sentinel lymph node also had decreased numbers of conventional dendritic cells compared to the negative sentinel lymph node (P<0.0001). Adding sentinel lymph node regulatory T-cell expression improved the discriminative power of a recurrence risk assessment model using clinical stage. Primary tumor regression was associated with prolonged disease-free (P=0.025) and melanoma-specific (P=0.014) survival. Our results support an assessment of local immune profiles in both the primary tumor and sentinel lymph node to help guide therapeutic decisions. PMID:22425909

Biological characterization of African swine fever virus genotype II strains from north-eastern Estonia in European wild boar.

PubMed

Nurmoja, I; Petrov, A; Breidenstein, C; Zani, L; Forth, J H; Beer, M; Kristian, M; Viltrop, A; Blome, S

2017-12-01

Due to its impact on animal health and pig industry, African swine fever (ASF) is regarded as one of the most important viral diseases of pigs. Following the ongoing epidemic in the Transcaucasian countries and the Russian Federation, African swine fever virus was introduced into the Estonian wild boar population in 2014. Epidemiological investigations suggested two different introductions into the southern and the north-eastern part of Estonia. Interestingly, outbreak characteristics varied considerably between the affected regions. While high mortality and mainly virus-positive animals were observed in the southern region, mortality was low in the north-eastern area. In the latter, clinically healthy, antibody-positive animals were found in the hunting bag and detection of virus was rare. Two hypotheses could explain the different behaviour in the north-east: (i) the frequency of antibody detections combined with the low mortality is the tail of an older, so far undetected epidemic wave coming from the east, or (ii) the virus in this region is attenuated and leads to a less severe clinical outcome. To explore the possibility of virus attenuation, a re-isolated ASFV strain from the north-eastern Ida-Viru region was biologically characterized in European wild boar. Oronasal inoculation led to an acute and severe disease course in all animals with typical pathomorphological lesions. However, one animal recovered completely and was subsequently commingled with three sentinels of the same age class to assess disease transmission. By the end of the trial at 96 days post-initial inoculation, all animals were completely healthy and neither virus nor viral genomes were detected in the sentinels or the survivor. The survivor, however, showed high antibody levels. In conclusion, the ASFV strain from north-eastern Estonia was still highly virulent but nevertheless, one animal recovered completely. Under the experimental conditions, no transmission occurred from the survivor to susceptible sentinel pigs. © 2017 Blackwell Verlag GmbH.

Sentinel Lymph Nodes for Breast Carcinoma: An Update on Current Practice

PubMed Central

Maguire, Aoife; Brogi, Edi

2016-01-01

Sentinel lymph node (SLN) biopsy has been established as the standard of care for axillary staging in patients with invasive breast carcinoma and clinically negative lymph nodes (cN0). Historically, all patients with a positive SLN underwent axillary lymph node dissection (ALND). The ACOSOG Z0011 trial showed that women with T1-T2 disease and cN0 who undergo breast conserving surgery and whole-breast radiotherapy can safely avoid ALND. The main goal of SLN examination should be to detect all macrometastases (>2mm). Gross sectioning SLNs at 2 mm intervals and microscopic examination of one H&E-stained section from each SLN block is the preferred method of pathologic evaluation of SLNs. The role and timing of SLN biopsy for patients having neoadjuvant chemotherapy is controversial and continues to be explored in clinical trials. SLN biopsies from patients with invasive breast carcinoma who have received neoadjuvant chemotherapy pose particular challenges for pathologists. PMID:26768036

Copernicus POD Service: Ready for Sentinel-3

NASA Astrophysics Data System (ADS)

Peter, H.; Fernández, J.; Escobar, D.; Féménias, P.; Flohrer, C.; Otten, M.

2015-12-01

The Copernicus POD Service is part of the Copernicus PDGS Ground Segment of the Sentinel missions. A GMV-led consortium is operating the Copernicus POD Service being in charge of generating precise orbital products and auxiliary data files for their use as part of the processing chains of the respective Sentinel PDGS. The Sentinel-1, -2 & -3 missions have different but very demanding requirements in terms of orbital accuracy and timeliness. Orbital products in Near Real Time (latency: 30 min), Short Time Critical (1.5 days) and Non-time Critical (20-30 days) are required. The accuracy requirements are very challenging, targeting 5 cm in 3D for Sentinel-1 and 2-3 cm in radial direction for Sentinel-3. Sentinel-3A carries, in addition to a GPS receiver a laser retro reflector and a DORIS receiver. On the one hand, the three different techniques GPS, SLR and DORIS make POD more complex but, on the other hand, it is very helpful to have independent techniques available for validation of the orbit results. The successful POD processing for Sentinel-1A is a good preparation for Sentinel-3A due to the similar demanding orbit accuracy requirements. The Copernicus POD Service is ready for Sentinel-3A and the service will process GPS and SLR data routinely and has the capacity to process DORIS in NTC and reprocessing campaigns. The three independent orbit determination techniques on Sentinel-3 offer big potential for scientific exploitation. Carrying all three techniques together makes the satellite, e.g., very useful for combining all the techniques on observation level as it could only be done for Jason-2 until now. The Sentinel POD Quality Working Group strongly supporting the CPOD Service delivers additional orbit solutions to validate the CPOD results independently. The recommendations from this body guarantee that the CPOD Service is updated following state-of-the-art algorithms, models and conventions. The QWG also focuses on the scientific exploitation of the Sentinel missions. The current status of the CPOD Service is presented operating Sentinel-1A and -2A and its readiness for Sentinel-3A. It is shown how the quality and the timeliness of the products are guaranteed. Possibilities for scientific exploitation of the Sentinel-3 mission also in synergy with other Earth Observation and Sentinel missions are presented.

Sentinel Node Detection in Head and Neck Malignancies: Innovations in Radioguided Surgery

PubMed Central

Vermeeren, L.; Klop, W. M. C.; van den Brekel, M. W. M.; Balm, A. J. M.; Nieweg, O. E.; Valdés Olmos, R. A.

2009-01-01

Sentinel node mapping is becoming a routine procedure for staging of various malignancies, because it can determine lymph node status more precisely. Due to anatomical problems, localizing sentinel nodes in the head and neck region on the basis of conventional images can be difficult. New diagnostic tools can provide better visualization of sentinel nodes. In an attempt to keep up with possible scientific progress, this article reviews new and innovative tools for sentinel node localization in this specific area. The overview comprises a short introduction of the sentinel node procedure as well as indications in the head and neck region. Then the results of SPECT/CT for sentinel node detection are described. Finally, a portable gamma camera to enable intraoperative real-time imaging with improved sentinel node detection is described. PMID:20016804

Implementation of molecular intra-operative assessment of sentinel lymph node in breast cancer.

PubMed

Khaddage, Abir; Berremila, Sid-Ali; Forest, Fabien; Clemenson, Alix; Bouteille, Catherine; Seffert, Pierre; Peoc'h, Michel

2011-02-01

Sentinel lymph node (SLN) biopsy is used as a staging procedure in early breast cancer, however, histology based intra-operative assessment of the SLN status has a low sensitivity. The one-step nucleic acid amplification (OSNA) method was developed to detect metastases by amplification of cytokeratin (CK) 19 mRNA. Experience with OSNA during a French multi-centric prospective study, as well as intra-operative clinical routine use, is reported. For the clinical study 80 SLNs from 46 patients were assessed. During routine use, the central slice of the SLN from 197 patients was investigated by permanent histology and the remainder was assessed by OSNA. During the clinical study, OSNA detected 15/17 metastases, including all the macrometastases, reaching a 96.3% concordance rate, 88.2% sensitivity and 98.4% specificity. During routine use, both OSNA and histology detected 25 patients with metastasis. OSNA is an accurate tool for intra-operative assessment of SLN status and could reduce the need for second surgery.

[Diagnostic validity of the intraoperative analysis in frozen section of the sentinel lymph node in the surgical management of breast cancer].

PubMed

Bañuelos-Andrío, Luis; Rodríguez-Caravaca, Gil; Argüelles-Pintos, Miguel; Mitjavilla-Casanovas, Mercedes

2014-01-01

The method for intraoperative sentinel lymph node (SLN) evaluation has still not been established in breast cancer staging. This study has evaluated the diagnostic validity and impact of intraoperative analysis using the frozen section (FS) of SLN. We performed a descriptive study of the diagnostic validity of the FS of the SLN in patients with breast cancer and selective sentinel node biopsy (SSNB) from October-2006 to October-2012. The diagnostic validity indexes were evaluated using sensitivity, specificity, positive and negative predictive values and global value. Gold standard was considered as the final histopathological results of the biopsies. A total of 370 patients were studied. Sensitivity and specificity for detection of metastasis by FS in the SLN were 67% and 100%, respectively. Global diagnostic validity was 95%. There was a correlation between detection of metastasis and tumor size (p<0.05). Twelve of the 15 patients with SLN micro-metastases underwent axillary lymph node dissection (ALND). Metastatic lymph nodes were not found in any of them. Intraoperative FS examination of the SLN is a useful and reliable predictor of axillary lymph node staging in patients with initial stages of breast cancer. FS reduces the need for second interventions, at least for most patients who have breast cancer with identifiable positive SLN and unequivocal evidence of positive lymph node disease. Copyright © 2013 Elsevier España, S.L. and SEMNIM. All rights reserved.

Burden of Self-reported Acute Gastrointestinal Illness in Cuba

PubMed Central

Prieto, Pablo Aguiar; Finley, Rita L.; Guerin, Michele T.; Isaacs, Sandy; Domínguez, Arnaldo Castro; Marie, Gisele Coutín; Perez, Enrique

2009-01-01

Acute gastrointestinal illness is an important public-health issue worldwide. Burden-of-illness studies have not previously been conducted in Cuba. The objective of the study was to determine the magnitude, distribution, and burden of self-reported acute gastrointestinal illness in Cuba. A retrospective, cross-sectional survey was conducted in three sentinel sites during June-July 2005 (rainy season) and during November 2005–January 2006 (dry season). Households were randomly selected from a list maintained by the medical offices in each site. One individual per household was selected to complete a questionnaire in a face-to-face interview. The case definition was three or more bouts of loose stools in a 24-hour period within the last 30 days. In total, 97.3% of 6,576 interviews were completed. The overall prevalence of acute gastrointestinal illness was 10.6%. The risk of acute gastrointestinal illness was higher during the rainy season (odds ratio [OR]=3.85, 95% confidence interval [CI] 3.18-4.66) in children (OR=3.12, 95% CI 2.24-4.36) and teens (OR=2.27, 95% CI 1.51-3.41) compared to people aged 25-54 years, in males (OR=1.24, 95% CI 1.04-1.47), and in the municipality of Santiago de Cuba (OR=1.33, 95% CI 1.11-1.61). Of 680 cases, 17.1-38.1% visited a physician, depending on sentinel site. Of the cases who visited a physician, 33.3-53.9% were requested to submit a stool sample, and of those, 72.7-100.0% complied. Of the cases who sought medical care, 16.7- 61.5% and 0-31.6% were treated with antidiarrhoeals and antibiotics respectively. Acute gastrointestinal illness represented a substantial burden of health compared to developed countries. Targeting the identified risk factors when allocating resources for education, food safety, and infrastructure might lower the morbidity associated with acute gastrointestinal illness. PMID:19507750

Additional Nodal Disease Prediction in Breast Cancer with Sentinel Lymph Node Metastasis Based on Clinicopathological Features.

PubMed

Orsaria, Paolo; Caredda, Emanuele; Genova, Federica; Materazzo, Marco; Capuano, Ilaria; Vanni, Gianluca; Granai, Alessandra Vittoria; DE Majo, Adriano; Portarena, Ilaria; Sileri, Pierpaolo; Petrella, Giuseppe; Palombi, Leonardo; Buonomo, Oreste Claudio

2018-04-01

The standard-of-care in breast cancer (BC) with positive sentinel lymph node (SLN) metastasis includes complete axillary lymph node dissection (ALND); however, almost half of such cases have no further tumor burden. This study aimed to assess the clinicopathological factors that predict non-SLN metastasis to define subgroups of SLN-positive patients in whom the axilla may be staged by SLN biopsy alone, while avoiding unnecessary overtreatment. The records of 191 patients with histologically-proven primary BC who underwent a positive (SLN) biopsy between 2005 and 2017 were reviewed. Patients with at least one tumor-involved SLN who underwent completion ALND were enrolled. Demographic and clinicopathological characteristics, including age, primary tumor size and histological grade, lymphovascular invasion, ratio of positive SLNs to the harvested SLNs, SLN metastasis size, and molecular subtype classification according to immunohistochemical biomarker status [estrogen receptor (ER), progesterone receptor (PR), and human epidermal growth factor receptor 2 (HER2)], were evaluated. Data were collected retrospectively and analyzed using the Mann-Whitney and Chi-square tests (statistical significance: p<0.05). The incidence of non-SLN metastasis associated with positive SLN was 48.6% (93/191). The risk of additional nodal spread correlated with high sentinel nodal ratio >0.67 [odds ratio (OR)=2.55, p=0.032], luminal BC subtype (OR=2.67, p=0.06), HER2 overexpression (OR=0.4, p=0.016), and ER + PR - HER2 - profile (OR=2.95, p=0.027). There was a tendency (statistically insignificant; p>0.05) toward higher incidence of non SLN metastasis with increasing age and histological grade, which could be attributed to the small sample size. According to this study, sentinel nodal ratio and BC subtypes as per ER, PR, and HER2 status significantly predicted the likelihood of additional lymphatic involvement. Validation of these parameters in prospective studies is indicated, and may help individualize treatment modalities. Copyright© 2018, International Institute of Anticancer Research (Dr. George J. Delinasios), All rights reserved.

Simplified intraoperative sentinel-node detection performed by the urologist accurately determines lymph-node stage in prostate cancer.

PubMed

Kjölhede, Henrik; Bratt, Ola; Gudjonsson, Sigurdur; Sundqvist, Pernilla; Liedberg, Fredrik

2015-04-01

The reference standard for lymph-node staging in prostate cancer is currently an extended pelvic lymph-node dissection (ePLND), which detects most, but not all, regional lymph-node metastases. As an alternative to ePLND, sentinel-node dissection with preoperative isotope injection and imaging has been reported. The objective was to determine whether intraoperative sentinel-node detection with a simplified protocol can accurately determine lymph-node stage in prostate cancer patients. Patients with biopsy-verified high-risk prostate cancer with tumour stage T2-3 were included in the study. All patients underwent both ePLND and sentinel-node detection. (99m)Tc-marked nanocolloid was injected peritumourally by the operating urologist after induction of anaesthesia just before surgery. Sentinel nodes were detected both in vivo and ex vivo intraoperatively using a gamma probe. Sentinel nodes and metastases and their locations were recorded. Sensitivity and specificity were calculated. At least one sentinel node was detected in 72 (87%) of the 83 patients. In 13 (18%) of these 72 patients sentinel nodes were detected outside the ePLND template. In six of these 13 patients, the Sentinel nodes from outside the template contained metastases, which proved to be the only metastases in two. For 12 patients the only metastatic deposit found was a micrometastasis (≤2 mm) in a sentinel node. In the 72 patients with detectable sentinel nodes, pathological analysis of the sentinel node correctly categorized 71 and ePLND 70 patients. This protocol yielded results comparable to the commonly used technique of sentinel-node detection, but with more cases of non-detection.

Sentinel node biopsy in thin and thick melanoma.

PubMed

Mozzillo, Nicola; Pennacchioli, Elisabetta; Gandini, Sara; Caracò, Corrado; Crispo, Anna; Botti, Gerardo; Lastoria, Secondo; Barberis, Massimo; Verrecchia, Francesco; Testori, Alessandro

2013-08-01

Although sentinel node biopsy (SNB) has become standard of care in patients with melanoma, its use in patients with thin or thick melanomas remains a matter of debate. This was a retrospective analysis of patients with thin (≤1 mm) or thick (≥4 mm) melanomas who underwent SNB at two Italian centers between 1998 and 2011. The associations of clinicopathologic features with sentinel lymph node positive status and overall survival (OS) were analyzed. In 492 patients with thin melanoma, sentinel node was positive for metastatic melanoma in 24 (4.9 %) patients. No sentinel node positivity was detected in patients with primary tumor thickness <0.3 mm. Mitotic rate was the only factor significantly associated with sentinel node positivity (p = 0.0001). Five-year OS was 81 % for patients with positive sentinel node and 93 % for negative sentinel node (p = 0.001). In 298 patients with thick melanoma, 39 % of patients had positive sentinel lymph nodes (median Breslow thickness 5 mm). In patients with positive sentinel node, 93 % had mitotic rate >1/mm(2). Five-year OS was 49 % for patients with positive sentinel lymph nodes and 56 % for patients with negative sentinel nodes (p = 0.005). The rate of sentinel node positivity in patients with thin melanoma was 4.9 %. The only clinicopathologic factor related to node positivity was mitotic rate. Given its prognostic importance, SNB should be considered in such patients. SNB should also be the standard method for melanoma ≥4 mm, not only for staging, but also for guiding therapeutic decisions.

29 CFR 1902.35 - Effect of certification.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 29 Labor 5 2010-07-01 2010-07-01 false Effect of certification. 1902.35 Section 1902.35 Labor Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR... Section 18(e) of the Act Completion of Developmental Steps-Certification § 1902.35 Effect of certification...

Complete embedding and close step-sectioning of radical prostatectomy specimens both increase detection of extra-prostatic extension, and correlate with increased disease-free survival by stage of prostate cancer patients.

PubMed

Desai, A; Wu, H; Sun, L; Sesterhenn, I A; Mostofi, F K; McLeod, D; Amling, C; Kusuda, L; Lance, R; Herring, J; Foley, J; Baldwin, D; Bishoff, J T; Soderdahl, D; Moul, J W

2002-01-01

The objectives of this work were to evaluate the efficacy of controlled close step-sectioned and whole-mounted radical prostatectomy specimen processing in prediction of clinical outcome as compared to the traditional processing techniques. Two-hundred and forty nine radical prostatectomy (RP) specimens were whole-mounted and close step-sectioned at caliper-measured 2.2-2.3 mm intervals. A group of 682 radical prostatectomy specimens were partially sampled as control. The RPs were performed during 1993-1999 with a mean follow-up of 29.3 months, pretreatment PSA of 0.1-40, and biopsy Gleason sums of 5-8. Disease-free survival based on biochemical or clinical recurrence and secondary intervention were computed using a Kaplan-Meier analysis. There were no significant differences in age at diagnosis, age at surgery, PSA at diagnosis, or biopsy Gleason between the two groups (P<0.05). Compared with the non-close step-sectioned group, the close step-sectioned group showed higher detection rates of extra-prostatic extension (215 (34.1%) vs, 128 (55.4%), P<0.01), and seminal vesicle invasion (50 (7.6%) vs 35 (14.7%), P<0.01). The close step-sectioned group correlated with greater 3-y disease-free survival in organ-confined (P<0.01) and specimen-confined (P<0.01) cases, over the non-uniform group. The close step-sectioned group showed significantly higher disease-free survival for cases with seminal vesicle invasion (P=0.046). No significant difference in disease-free survival was found for the positive margin group (P=0.39) between the close step-sectioned and non-uniform groups. The close step-sectioned technique correlates with increased disease-free survival rates for organ and specimen confined cases, possibly due to higher detection rates of extra-prostatic extension and seminal vesicle invasion. Close step-sectioning provides better assurance of organ-confined disease, resulting in enhanced prediction of outcome by pathological (TNM) stage.

A mathematical prediction model incorporating molecular subtype for risk of non-sentinel lymph node metastasis in sentinel lymph node-positive breast cancer patients: a retrospective analysis and nomogram development.

PubMed

Wang, Na-Na; Yang, Zheng-Jun; Wang, Xue; Chen, Li-Xuan; Zhao, Hong-Meng; Cao, Wen-Feng; Zhang, Bin

2018-04-25

Molecular subtype of breast cancer is associated with sentinel lymph node status. We sought to establish a mathematical prediction model that included breast cancer molecular subtype for risk of positive non-sentinel lymph nodes in breast cancer patients with sentinel lymph node metastasis and further validate the model in a separate validation cohort. We reviewed the clinicopathologic data of breast cancer patients with sentinel lymph node metastasis who underwent axillary lymph node dissection between June 16, 2014 and November 16, 2017 at our hospital. Sentinel lymph node biopsy was performed and patients with pathologically proven sentinel lymph node metastasis underwent axillary lymph node dissection. Independent risks for non-sentinel lymph node metastasis were assessed in a training cohort by multivariate analysis and incorporated into a mathematical prediction model. The model was further validated in a separate validation cohort, and a nomogram was developed and evaluated for diagnostic performance in predicting the risk of non-sentinel lymph node metastasis. Moreover, we assessed the performance of five different models in predicting non-sentinel lymph node metastasis in training cohort. Totally, 495 cases were eligible for the study, including 291 patients in the training cohort and 204 in the validation cohort. Non-sentinel lymph node metastasis was observed in 33.3% (97/291) patients in the training cohort. The AUC of MSKCC, Tenon, MDA, Ljubljana, and Louisville models in training cohort were 0.7613, 0.7142, 0.7076, 0.7483, and 0.671, respectively. Multivariate regression analysis indicated that tumor size (OR = 1.439; 95% CI 1.025-2.021; P = 0.036), sentinel lymph node macro-metastasis versus micro-metastasis (OR = 5.063; 95% CI 1.111-23.074; P = 0.036), the number of positive sentinel lymph nodes (OR = 2.583, 95% CI 1.714-3.892; P < 0.001), and the number of negative sentinel lymph nodes (OR = 0.686, 95% CI 0.575-0.817; P < 0.001) were independent statistically significant predictors of non-sentinel lymph node metastasis. Furthermore, luminal B (OR = 3.311, 95% CI 1.593-6.884; P = 0.001) and HER2 overexpression (OR = 4.308, 95% CI 1.097-16.912; P = 0.036) were independent and statistically significant predictor of non-sentinel lymph node metastasis versus luminal A. A regression model based on the results of multivariate analysis was established to predict the risk of non-sentinel lymph node metastasis, which had an AUC of 0.8188. The model was validated in the validation cohort and showed excellent diagnostic performance. The mathematical prediction model that incorporates five variables including breast cancer molecular subtype demonstrates excellent diagnostic performance in assessing the risk of non-sentinel lymph node metastasis in sentinel lymph node-positive patients. The prediction model could be of help surgeons in evaluating the risk of non-sentinel lymph node involvement for breast cancer patients; however, the model requires further validation in prospective studies.

Prediction of Non-sentinel Node Status in Patients with Melanoma and Positive Sentinel Node Biopsy: An Italian Melanoma Intergroup (IMI) Study.

PubMed

Rossi, Carlo Riccardo; Mocellin, Simone; Campana, Luca Giovanni; Borgognoni, Lorenzo; Sestini, Serena; Giudice, Giuseppe; Caracò, Corrado; Cordova, Adriana; Solari, Nicola; Piazzalunga, Dario; Carcoforo, Paolo; Quaglino, Pietro; Caliendo, Virginia; Ribero, Simone

2018-01-01

Approximately 20% of melanoma patients harbor metastases in non-sentinel nodes (NSNs) after a positive sentinel node biopsy (SNB), and recent evidence questions the therapeutic benefit of completion lymph node dissection (CLND). We built a nomogram for prediction of NSN status in melanoma patients with positive SNB. Data on anthropometric and clinicopathological features of patients with cutaneous melanoma who underwent CLND after a positive SNB were collected from nine Italian centers. Multivariate logistic regression was utilized to identify predictors of NSN status in a training set, while model efficiency was validated in a validation set. Data were available for 1220 patients treated from 2000 through 2016. In the training set (n = 810), the risk of NSN involvement was higher when (1) the primary melanoma is thicker or (2) sited in the trunk/head and neck; (3) fewer nodes are excised and (4) more nodes are involved; and (5) the lymph node metastasis is larger or (6) is deeply located. The model showed high discrimination (area under the receiver operating characteristic curve 0.74, 95% confidence interval [CI] 0.70-0.79) and calibration (Brier score 0.16, 95% CI 0.15-0.17) performance in the validation set (n = 410). The nomogram including these six clinicopathological variables performed significantly better than five other previously published models in terms of both discrimination and calibration. Our nomogram could be useful for follow-up personalization in clinical practice, and for patient risk stratification while conducting clinical trials or analyzing their results.

Anatomical classification of breast sentinel lymph nodes using computed tomography-lymphography.

PubMed

Fujita, Tamaki; Miura, Hiroyuki; Seino, Hiroko; Ono, Shuichi; Nishi, Takashi; Nishimura, Akimasa; Hakamada, Kenichi; Aoki, Masahiko

2018-05-03

To evaluate the anatomical classification and location of breast sentinel lymph nodes, preoperative computed tomography-lymphography examinations were retrospectively reviewed for sentinel lymph nodes in 464 cases clinically diagnosed with node-negative breast cancer between July 2007 and June 2016. Anatomical classification was performed based on the numbers of lymphatic routes and sentinel lymph nodes, the flow direction of lymphatic routes, and the location of sentinel lymph nodes. Of the 464 cases reviewed, anatomical classification could be performed in 434 (93.5 %). The largest number of cases showed single route/single sentinel lymph node (n = 296, 68.2 %), followed by multiple routes/multiple sentinel lymph nodes (n = 59, 13.6 %), single route/multiple sentinel lymph nodes (n = 53, 12.2 %), and multiple routes/single sentinel lymph node (n = 26, 6.0 %). Classification based on the flow direction of lymphatic routes showed that 429 cases (98.8 %) had outward flow on the superficial fascia toward axillary lymph nodes, whereas classification based on the height of sentinel lymph nodes showed that 323 cases (74.4 %) belonged to the upper pectoral group of axillary lymph nodes. There was wide variation in the number of lymphatic routes and their branching patterns and in the number, location, and direction of flow of sentinel lymph nodes. It is clinically very important to preoperatively understand the anatomical morphology of lymphatic routes and sentinel lymph nodes for optimal treatment of breast cancer, and computed tomography-lymphography is suitable for this purpose.

Breast cancer sentinel node scintigraphy: differences between imaging results 1 and 2 h after injection.

PubMed

Wondergem, Maurits; Hobbelink, Monique G G; Witkamp, Arjen J; van Hillegersberg, Richard; de Keizer, Bart

2012-11-01

Timing of image acquisition in breast cancer sentinel node scintigraphy remains a subject of debate. Therefore, the performance of our protocol in which images are acquired 1 and 2 h after injection was evaluated. The results of sentinel node scintigraphy 1 and 2 h after injection were compared with regard to the sentinel lymph nodes visualized. We studied 132 patients who were consecutively referred for sentinel lymph node biopsy. 99mTc-albumine nanocolloid (120 MBq) was injected peritumourally into patients with palpable tumours and intratumourally into patients with nonpalpable tumours. All scintigraphic images taken for the sentinel node procedure were evaluated. The number of sentinel nodes per anatomic localization and the interpretability of the images were scored. A total of 132 patients underwent sentinel node scintigraphy 1 h after injection. Of these, 117 patients also underwent sentinel node scintigraphy 2 h after injection. An axillary sentinel node was visualized in 79.5 and 95.7% of patients, respectively, 1 and 2 h after injection. In 20.5% of the patients the images acquired 1 h after injection did not show a sentinel node. Furthermore, in all procedures, the images 1 h after injection were of no added value to those acquired 2 h after injection. Scintigraphic imaging 2 h after a single peritumoural or intratumoural administration of about 120 MBq 99mTc-albumine nanocolloid yields an axillary sentinel node in over 95% of cases. Imaging 1 h after injection is of no additional value and can be omitted.

Intraoperative Injection of Technetium-99m Sulfur Colloid for Sentinel Lymph Node Biopsy in Breast Cancer Patients: A Single Institution Experience.

PubMed

Berrocal, Julian; Saperstein, Lawrence; Grube, Baiba; Horowitz, Nina R; Chagpar, Anees B; Killelea, Brigid K; Lannin, Donald R

2017-01-01

Background . Most institutions require a patient undergoing sentinel lymph node biopsy to go through nuclear medicine prior to surgery to be injected with radioisotope. This study describes the long-term results using intraoperative injection of radioisotope. Methods . Since late 2002, all patients undergoing a sentinel lymph node biopsy at the Yale-New Haven Breast Center underwent intraoperative injection of technetium-99m sulfur colloid. Endpoints included number of sentinel and nonsentinel lymph nodes obtained and number of positive sentinel and nonsentinel lymph nodes. Results . At least one sentinel lymph node was obtained in 2,333 out of 2,338 cases of sentinel node biopsy for an identification rate of 99.8%. The median number of sentinel nodes found was 2 and the mean was 2.33 (range: 1-15). There were 512 cases (21.9%) in which a sentinel node was positive for metastatic carcinoma. Of the patients with a positive sentinel lymph node who underwent axillary dissection, there were 242 cases (54.2%) with no additional positive nonsentinel lymph nodes. Advantages of intraoperative injection included increased comfort for the patient and simplification of scheduling. There were no radiation related complications. Conclusion . Intraoperative injection of technetium-99m sulfur colloid is convenient, effective, safe, and comfortable for the patient.

Isolated adenocarcinoma of the nipple

PubMed Central

Ahmed, M; Basit, A

2011-01-01

A 47-year-old female presented with a 1-year history of ‘eczematous change’ to the right nipple. Bilateral mammography and ultrasound were entirely normal. Free hand biopsy demonstrated invasive adenocarcinoma of the nipple. The patient underwent a right-sided central segmentectomy and sentinel node biopsy. Histology demonstrated that the nipple was almost completely replaced by an invasive ductal carcinoma with a maximum diameter of 13 mm. Invasion of the underlying breast tissue was to a depth of 3 mm. A single sentinel lymph node demonstrated metastatic carcinoma. Her oestrogen receptor status was positive while HER-2 status was negative. The patient subsequently underwent right-sided axillary node clearance to level three nodes. All 17 nodes in the specimen were found to be within normal limits. She is scheduled to undergo radiotherapy, chemotherapy and hormonal treatment. PMID:22689722

78 FR 67168 - Sixth Annual Sentinel Initiative; Public Workshop

Federal Register 2010, 2011, 2012, 2013, 2014

2013-11-08

...] Sixth Annual Sentinel Initiative; Public Workshop AGENCY: Food and Drug Administration, HHS. ACTION... workshop entitled ``Sixth Annual Sentinel Initiative.'' Convened by the Engelberg Center for Health Care... product surveillance. Topics will include an overview of the status of FDA's Sentinel Initiative and...

78 FR 7794 - National Institute of Environmental Health Sciences; Notice of Closed Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2013-02-04

.... Institute of Environmental Health Sciences, Office of Program Operations, Scientific Review Branch, P.O. Box... Environmental Health Sciences; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory... Health Sciences Special Emphasis Panel, Sentinel Animal Study for Public Health. Date: February 27, 2013...

Histomorphologic parameters and CXCR4 mRNA and protein expression in sentinel node melanoma metastasis are correlated to clinical outcome.

PubMed

Franco, Renato; Cantile, Monica; Scala, Stefania; Catalano, Elisabetta; Cerrone, Margherita; Scognamiglio, Giosuè; Pinto, Antonio; Chiofalo, Maria Grazia; Caracò, Corrado; Anniciello, Anna Maria; Abbruzzese, Alberto; Caraglia, Michele; Botti, Gerardo

2010-03-15

Sentinel lymph node (SLN) biopsy is an important independent prognostic factor for invasive cutaneuos melanoma, although its role is strongly debated. In clinical practice SLN leads to complete lymph node dissection of basin draining melanoma site. However only 7-30% of positive sentinel node patients present additional non SLN metastasis. Melanoma cells diffusion through SLN and extranodal spreading depends upon biological features, such as cell chemokine receptors and adhesion molecules. CXCR4 has been proposed in melanoma patients as prognostic marker. Therefore we have analyzed both histopathological parameters and CXCR4 expression in melanoma infiltrate of SLN, in order to evaluate its potential prognostic role. Micrometastases were detected in 23 cases (48.93%); metastases >2 mm in 23 cases (48.93%) and isolated metastatic cells in one case (2.01%). High CXCR4 expression was observed in 21 nodal metastases. Node metastases in complete dissection were associated to >10% relative tumor area (RTA) in all lymph nodes (p = 0.006). Extranodal invasion (p = 0.006) and >2 mm centripetal metastasis thickness (p = 0.01), while shorter Disease Free Survival (DFS) was significantly associated to high CXCR4 expression (p = 0.02). Forty-seven positive lymph node metastases were collected and analysed for both histopathological parameters and CXCR4 expression. More than 10% RTA in SLN, extranodal invasion and centripetal metastasis thickness all predict additional lymph node metastases in melanoma site draining basins. Moreover, high CXCR4 expression is correlated to shorter DFS and could be used as a prognostic marker in order to stratify melanoma patients at higher progression risk.

A pilot study to assess near infrared laparoscopy with indocyanine green (ICG) for intraoperative sentinel lymph node mapping in early colon cancer.

PubMed

Currie, A C; Brigic, A; Thomas-Gibson, S; Suzuki, N; Moorghen, M; Jenkins, J T; Faiz, O D; Kennedy, R H

2017-11-01

Previous attempts at sentinel lymph node (SLN) mapping in colon cancer have been compromised by ineffective tracers and the inclusion of advanced disease. This study evaluated the feasibility of fluorescence detection of SLNs with indocyanine green (ICG) for lymphatic mapping in T1/T2 clinically staged colonic malignancy. Consecutive patients with clinical T1/T2 stage colon cancer underwent endoscopic peritumoral submucosal injection of indocyanine green (ICG) for fluorescence detection of SLN using a near-infrared (NIR) camera. All patients underwent laparoscopic complete mesocolic excision surgery. Detection rate and sensitivity of the NIR-ICG technique were the study endpoints. Thirty patients mean age = 68 years [range = 38-80], mean BMI = 26.2 (IQR = 24.7-28.6) were studied. Mesocolic sentinel nodes (median = 3/patient) were detected by fluorescence within the standard resection field in 27/30 patients. Overall, ten patients had lymph node metastases, with one of these patients having a failed SLN procedure. Of the 27 patients with completed SLN mapping, nine patients had histologically positive lymph nodes containing malignancy. 3/9 had positive SLNs with 6 false negatives. In five of these false negative patients, tumours were larger than 35 mm with four also being T3/T4. ICG mapping with NIR fluorescence allowed mesenteric detection of SLNs in clinical T1/T2 stage colonic cancer. CLINICALTRIALS.GOV: ID: NCT01662752. Copyright © 2017 Elsevier Ltd, BASO ~ The Association for Cancer Surgery, and the European Society of Surgical Oncology. All rights reserved.

SENTINEL-2 Services Library - efficient way for exploration and exploitation of EO data

NASA Astrophysics Data System (ADS)

Milcinski, Grega; Batic, Matej; Kadunc, Miha; Kolaric, Primoz; Mocnik, Rok; Repse, marko

2017-04-01

With more than 1.5 million scenes available covering over 11 billion sq. kilometers of area and containing half a quadrillion of pixels, Sentinel-2 is becoming one of the most important MSI datasets in the world. However, the vast amount of data makes it difficult to work with. This is certainly an important reason, why the number of Sentinel based applications is not as high as it could be at this point. We will present a Copernicus Award [1] winning service for archiving, processing and distribution of Sentinel data, Sentinel Hub [2]. It makes it easy for anyone to tap into global Sentinel archive and exploit its rich multi-sensor data to observe changes in the land. We will demonstrate, how one is able not just to observe imagery all over the world but also to create its own statistical analysis in a matter of seconds, performing comparison of different sensors through various time segments. The result can be immediately observed in any GIS tool or exported as a raster file for post-processing. All of these actions can be performed on a full, worldwide, S-2 archive (multi-temporal and multi-spectral). To demonstrate the technology, we created a publicly accessible web application, called "Sentinel Playground" [3], which makes it possible to query Sentinel-2 data anywhere in the world, and experts-oriented tool "EO Browser" [4], where it is also possible to observe land changes through longer period by using historical Landsat data as well. [1] http://www.copernicus-masters.com/index.php?anzeige=press-2016-03.html [2] http://www.sentinel-hub.com [3] http://apps.sentinel-hub.com/sentinel-playground/ [4] http://apps.eocloud.sentinel-hub.com/eo-browser/

Radionavigated detection of sentinel nodes in breast carcinoma--first experiences of our department.

PubMed

Duchaj, B; Chvalny, P; Vesely, J; Makaiova, I; Durdik, S; Straka, V; Palaj, J; Procka, V; Aksamitova, K; Skraskova, S; Banki, P; Kovacova, S; Galbavy, S

2010-01-01

Biopsy and histological evaluation of sentinel lymphatic node limits the axillary node dissection only in cases of positive histological finding and decreases the occurrence of postoperative complications related to the axillary node dissection. We used radiotracer SentiScint, Medi-Radiopharma Ltd, Hungary and preoperatively administered blue dye--Blue Patenté V, Guebert, Aulnay-Sous-Bios, France. 11 (18%) patients were subdued to deep peritimorous application of radiotracer, 10 (16.4%) to sub/intradermal application over the lesions and n 40 (65.6%) patients the application was sub/intradermal and periareolar. The patients underwent an operation protocol of corresponding quadrantectomy, radionavigated blue-dye sentinel node biopsy and axillary dissection. From May 2006 to June 2008, we examined 61 patients with breast carcinoma. They underwent radionavigated and blue-dye sentinel node biopsy. We detected 57 (93.4%) sentinel nodes with preoperative scintigraphy, of which only 51 (83.6%) were detected peroperatively and underwent histological evaluation. In six (9.8%) cases, the "frozen cut" histology of the primary lesion had shown a benign lesion; hence no sentinel node biopsy or axillary disection was performed. 12 (19.7%) of 51 histologically evaluated sentinel nodes had metastatic invasion. We retrospectively compared the histological fund in sentinel and axillary nodes in patients with metastatic sentinel nodes. In 6 (16.6%) cases, the sentinel node was positive of metastatic invasion but axillary nodes were histologically negative, in 6 (16.6%) cases the sentinel node and axillary nodes were positive for metastatic invasion. We observed falsely negative findings in 3 (8.3%) patients with negative histological fund in the sentinel node, but positive axillary nodes (Tab. 3, Fig. 2, Ref. 11). Full Text (Free, PDF) www.bmj.sk.

Emergency Child Aid. Child Health and Safety Series (Module VI).

ERIC Educational Resources Information Center

Iscoe, Louise; And Others

This manual for child care personnel in day care homes and centers provides a step by step review of what to do in common emergency situations. It is emphasized that the manual is not a substitute for the complete first aid course which every careperson should have. Initial sections of the manual focus on preparing for emergency conditions,…

A dual-modal magnetic nanoparticle probe for preoperative and intraoperative mapping of sentinel lymph nodes by magnetic resonance and near infrared fluorescence imaging

PubMed Central

Zhou, Zhengyang; Chen, Hongwei; Lipowska, Malgorzata; Wang, Liya; Yu, Qiqi; Yang, Xiaofeng; Tiwari, Diana; Yang, Lily; Mao, Hui

2016-01-01

The ability to reliably detect sentinel lymph nodes for sentinel lymph node biopsy and lymphadenectomy is important in clinical management of patients with metastatic cancers. However, the traditional sentinel lymph node mapping with visible dyes is limited by the penetration depth of light and fast clearance of the dyes. On the other hand, sentinel lymph node mapping with radionucleotide technique has intrinsically low spatial resolution and does not provide anatomic details in the sentinel lymph node mapping procedure. This work reports the development of a dual modality imaging probe with magnetic resonance and near infrared imaging capabilities for sentinel lymph node mapping using magnetic iron oxide nanoparticles (10 nm core size) conjugated with a near infrared molecule with emission at 830 nm. Accumulation of magnetic iron oxide nanoparticles in sentinel lymph nodes leads to strong T2 weighted magnetic resonance imaging contrast that can be potentially used for preoperative localization of sentinel lymph nodes, while conjugated near infrared molecules provide optical imaging tracking of lymph nodes with a high signal to background ratio. The new magnetic nanoparticle based dual imaging probe exhibits a significant longer lymph node retention time. Near infrared signals from nanoparticle conjugated near infrared dyes last up to 60 min in sentinel lymph node compared to that of 25 min for the free near infrared dyes in a mouse model. Furthermore, axillary lymph nodes, in addition to sentinel lymph nodes, can be also visualized with this probe, given its slow clearance and sufficient sensitivity. Therefore, this new dual modality imaging probe with the tissue penetration and sensitive detection of sentinel lymph nodes can be applied for preoperative survey of lymph nodes with magnetic resonance imaging and allows intraoperative sentinel lymph node mapping using near infrared optical devices. PMID:23812946

Self-Advancing Step-Tap Drills

NASA Technical Reports Server (NTRS)

Pettit, Donald R.; Camarda, Charles J.; Penner, Ronald K.; Franklin, Larry D.

2007-01-01

Self-advancing tool bits that are hybrids of drills and stepped taps make it possible to form threaded holes wider than about 1/2 in. (about 13 mm) without applying any more axial force than is necessary for forming narrower pilot holes. These self-advancing stepped-tap drills were invented for use by space-suited astronauts performing repairs on reinforced carbon/carbon space-shuttle leading edges during space walks, in which the ability to apply axial drilling forces is severely limited. Self-advancing stepped-tap drills could also be used on Earth for making wide holes without applying large axial forces. A self-advancing stepped-tap drill (see figure) includes several sections having progressively larger diameters, typically in increments between 0.030 and 0.060 in. (between about 0.8 and about 1.5 mm). The tip section, which is the narrowest, is a pilot drill bit that typically has a diameter between 1/8 and 3/16 in. (between about 3.2 and about 4.8 mm). The length of the pilot-drill section is chosen, according to the thickness of the object to be drilled and tapped, so that the pilot hole is completed before engagement of the first tap section. Provided that the cutting-edge geometry of the drill bit is optimized for the material to be drilled, only a relatively small axial force [typically of the order of a few pounds (of the order of 10 newtons)] must be applied during drilling of the pilot hole. Once the first tap section engages the pilot hole, it is no longer necessary for the drill operator to apply axial force: the thread engagement between the tap and the workpiece provides the axial force to advance the tool bit. Like the pilot-drill section, each tap section must be long enough to complete its hole before engagement of the next, slightly wider tap section. The precise values of the increments in diameter, the thread pitch, the rake angle of the tap cutting edge, and other geometric parameters of the tap sections must be chosen, in consideration of the workpiece material and thickness, to prevent stripping of threads during the drilling/tapping operation. A stop-lip or shoulder at the shank end of the widest tap section prevents further passage of the tool bit through the hole.

Landslide Inventory Mapping from Bitemporal 10 m SENTINEL-2 Images Using Change Detection Based Markov Random Field

NASA Astrophysics Data System (ADS)

Qin, Y.; Lu, P.; Li, Z.

2018-04-01

Landslide inventory mapping is essential for hazard assessment and mitigation. In most previous studies, landslide mapping was achieved by visual interpretation of aerial photos and remote sensing images. However, such method is labor-intensive and time-consuming, especially over large areas. Although a number of semi-automatic landslide mapping methods have been proposed over the past few years, limitations remain in terms of their applicability over different study areas and data, and there is large room for improvement in terms of the accuracy and automation degree. For these reasons, we developed a change detection-based Markov Random Field (CDMRF) method for landslide inventory mapping. The proposed method mainly includes two steps: 1) change detection-based multi-threshold for training samples generation and 2) MRF for landslide inventory mapping. Compared with the previous methods, the proposed method in this study has three advantages: 1) it combines multiple image difference techniques with multi-threshold method to generate reliable training samples; 2) it takes the spectral characteristics of landslides into account; and 3) it is highly automatic with little parameter tuning. The proposed method was applied for regional landslides mapping from 10 m Sentinel-2 images in Western China. Results corroborated the effectiveness and applicability of the proposed method especially the capability of rapid landslide mapping. Some directions for future research are offered. This study to our knowledge is the first attempt to map landslides from free and medium resolution satellite (i.e., Sentinel-2) images in China.

The sentinel behaviour of Arabian babbler floaters

PubMed Central

Heifetz, Aviad

2017-01-01

The sentinel behaviour of 38 Arabian babbler adult floaters, who lived alone within a territory belonging to a foreign group, was studied and compared with their own sentinel behaviour in the past, when they were group members. All floaters acted as sentinels and uttered ‘alarm calls’. This suggests that sentinel activity is due at least, in part, to selfish motives. Floaters sentinelled less than they did as group members, with the decrease in sentinel activity sharper for ex-dominants than for ex-subordinates. One possible explanation for these differences is that sentinel activity is aimed not only at detecting predators, but also at detecting foreign conspecifics. Within a group, the latter incentive is stronger for breeding dominants than for subordinates, whereas all floaters alike may be trying to detect the owners of the territory in which they were roaming but also to avoid being detected by them. Other possible explanations are that floaters have less time and energy for sentinel activity because they are weaker or because foraging is more difficult in a foreign territory. This may be especially so for dominants who used to enjoy privileged access to food in their group. No significant difference was found in the rate of sentinels' ‘alarm calls’ between floaters and group members, suggesting that their main purpose is predator–prey communication, of which warning groupmates may be a side benefit. PMID:28386429

The sentinel behaviour of Arabian babbler floaters.

PubMed

Ostreiher, Roni; Heifetz, Aviad

2017-02-01

The sentinel behaviour of 38 Arabian babbler adult floaters, who lived alone within a territory belonging to a foreign group, was studied and compared with their own sentinel behaviour in the past, when they were group members. All floaters acted as sentinels and uttered 'alarm calls'. This suggests that sentinel activity is due at least, in part, to selfish motives. Floaters sentinelled less than they did as group members, with the decrease in sentinel activity sharper for ex-dominants than for ex-subordinates. One possible explanation for these differences is that sentinel activity is aimed not only at detecting predators, but also at detecting foreign conspecifics. Within a group, the latter incentive is stronger for breeding dominants than for subordinates, whereas all floaters alike may be trying to detect the owners of the territory in which they were roaming but also to avoid being detected by them. Other possible explanations are that floaters have less time and energy for sentinel activity because they are weaker or because foraging is more difficult in a foreign territory. This may be especially so for dominants who used to enjoy privileged access to food in their group. No significant difference was found in the rate of sentinels' 'alarm calls' between floaters and group members, suggesting that their main purpose is predator-prey communication, of which warning groupmates may be a side benefit.

The use of isotope injections in sentinel node biopsy for breast cancer: are the 1- and 2-day protocols equally effective?

PubMed

Dodia, Nazera; El-Sharief, Deena; Kirwan, Cliona C

2015-01-01

Sentinel lymph nodes are mapped using (99m)Technetium, injected on day of surgery (1-day protocol) or day before (2-day protocol). This retrospective cohort study compares efficacy between the two protocols. Histopathology for all unilateral sentinel lymph node biopsies (March 2012-March 2013) in a single centre were reviewed. Number of sentinel lymph nodes, non-sentinel lymph nodes and pathology was compared. 2/270 (0.7 %) in 1-day protocol and 8/192 (4 %) in 2-day protocol had no sentinel lymph nodes removed (p = 0.02). The median (range) number of sentinel lymph nodes removed per patient was 2 (0-7) and 1 (0-11) in the 1- and 2-day protocols respectively (p = 0.08). There was a trend for removing more non-sentinel lymph nodes in 2-day protocol [1-day: 52/270 (19 %); 2-day: 50/192 (26 %), p = 0.07]. Using 2-day, sentinel lymph node identification failure rate is higher, although within acceptable rates. The 1 and 2 day protocols are both effective, therefore choice of protocol should be driven by patient convenience and hospital efficiency. However, this study raises the possibility that 1-day may be preferable when higher sentinel lymph node count is beneficial, for example following neoadjuvant chemotherapy.

Intraoperative Injection of Technetium-99m Sulfur Colloid for Sentinel Lymph Node Biopsy in Breast Cancer Patients: A Single Institution Experience

PubMed Central

Berrocal, Julian; Saperstein, Lawrence; Grube, Baiba; Horowitz, Nina R.; Chagpar, Anees B.

2017-01-01

Background. Most institutions require a patient undergoing sentinel lymph node biopsy to go through nuclear medicine prior to surgery to be injected with radioisotope. This study describes the long-term results using intraoperative injection of radioisotope. Methods. Since late 2002, all patients undergoing a sentinel lymph node biopsy at the Yale-New Haven Breast Center underwent intraoperative injection of technetium-99m sulfur colloid. Endpoints included number of sentinel and nonsentinel lymph nodes obtained and number of positive sentinel and nonsentinel lymph nodes. Results. At least one sentinel lymph node was obtained in 2,333 out of 2,338 cases of sentinel node biopsy for an identification rate of 99.8%. The median number of sentinel nodes found was 2 and the mean was 2.33 (range: 1–15). There were 512 cases (21.9%) in which a sentinel node was positive for metastatic carcinoma. Of the patients with a positive sentinel lymph node who underwent axillary dissection, there were 242 cases (54.2%) with no additional positive nonsentinel lymph nodes. Advantages of intraoperative injection included increased comfort for the patient and simplification of scheduling. There were no radiation related complications. Conclusion. Intraoperative injection of technetium-99m sulfur colloid is convenient, effective, safe, and comfortable for the patient. PMID:28492062

A Comparative Object-Based Sugarcane Classification from Sentinel-2 Data Using Random Forests and Support Vector Machines

NASA Astrophysics Data System (ADS)

Chen, C. R.; Chen, C. F.; Nguyen, S. T.; Lau, K.; Lay, J. G.

2016-12-01

Sugarcane mostly grown in tropical and subtropical regions is one of the important commercial crops worldwide, providing significant employment, foreign exchange earnings, and other social and environmental benefits. The sugar industry is a vital component of Belize's economy as it provides employment to 15% of the country's population and 60% of the national agricultural exports. Sugarcane mapping is thus an important task due to official initiatives to provide reliable information on sugarcane-growing areas in respect to improved accuracy in monitoring sugarcane production and yield estimates. Policymakers need such monitoring information to formulate timely plans to ensure sustainably socioeconomic development. Sugarcane monitoring in Belize is traditionally carried out through time-consuming and costly field surveys. Remote sensing is an indispensable tool for crop monitoring on national, regional and global scales. The use of high and low resolution satellites for sugarcane monitoring in Belize is often restricted due to cost limitations and mixed pixel problems because sugarcane fields are small and fragmental. With the launch of Sentinel-2 satellite, it is possible to collectively map small patches of sugarcane fields over a large region as the data are free of charge and have high spectral, spatial, and temporal resolutions. This study aims to develop an object-based classification approach to comparatively map sugarcane fields in Belize from Sentinel-2 data using random forests (RF) and support vector machines (SVM). The data were processed through four main steps: (1) data pre-processing, (2) image segmentation, (3) sugarcane classification, and (4) accuracy assessment. The mapping results compared with the ground reference data indicated satisfactory results. The overall accuracies and Kappa coefficients were generally higher than 80% and 0.7, in both cases. The RF produced slightly more accurate mapping results than SVM. This study demonstrates the realization of the potential application of Sentinel-2 data for sugarcane mapping in Belize with the aid of RF and SVM methods. The methods are thus proposed for monitoring purposes in the country.

Utilization and Outcomes of Sentinel Lymph Node Biopsy for Vulvar Cancer.

PubMed

Cham, Stephanie; Chen, Ling; Burke, William M; Hou, June Y; Tergas, Ana I; Hu, Jim C; Ananth, Cande V; Neugut, Alfred I; Hershman, Dawn L; Wright, Jason D

2016-10-01

To examine the use and predictors of sentinel node biopsy in women with vulvar cancer. The Perspective database, an all-payer database that collects data from more than 500 hospitals, was used to perform a retrospective cohort study of women with vulvar cancer who underwent vulvectomy and lymph node assessment from 2006 to 2015. Multivariable models were used to determine factors associated with sentinel node biopsy. Length of stay and cost were compared between women who underwent sentinel node biopsy and lymphadenectomy. Among 2,273 women, sentinel node biopsy was utilized in 618 (27.2%) and 1,655 (72.8%) underwent inguinofemoral lymphadenectomy. Performance of sentinel node biopsy increased from 17.0% (95% confidence interval [CI] 12.0-22.0%) in 2006 to 39.1% (95% CI 27.1-51.0%) in 2015. In a multivariable model, women treated more recently were more likely to have undergone sentinel node biopsy, whereas women with more comorbidities and those treated at rural hospitals were less likely to have undergone the procedure. The median length of stay was shorter for those undergoing sentinel node biopsy (median 2 days, interquartile range 1-3) compared with women who underwent inguinofemoral lymphadenectomy (median 3 days, interquartile range 2-4). The cost of sentinel node biopsy was $7,599 (interquartile range $5,739-9,922) compared with $8,095 (interquartile range $5,917-11,281) for lymphadenectomy. The use of sentinel node biopsy for vulvar cancer has more than doubled since 2006. Sentinel lymph node biopsy is associated with a shorter hospital stay and decreased cost compared with inguinofemoral lymphadenectomy.

Sexually selected sentinels? Evidence of a role for intrasexual competition in sentinel behavior

PubMed Central

Walker, Lindsay A.; York, Jenny E.

2016-01-01

Although the evolutionary mechanisms that favor investment in cooperative behaviors have long been a focus of research, comparatively few studies have considered the role that sexual selection may play. For example, evolutionary explanations for sentinel behavior (where 1 individual assumes an elevated position and scans the surroundings while other group members forage nearby) have traditionally focused on the inclusive fitness benefits arising from its effects on predation risk, while its potential role in defense against intrasexual competitors remains largely unexplored. Here, we provide experimental evidence of a role for sentinel behavior in intrasexual competition, in a cooperatively breeding songbird, the white-browed sparrow weaver (Plocepasser mahali). First, dominant males sentinel substantially more than other group members (even when controlling for variation in age and body condition), consistent with a role for sentineling in intrasexual competition for mates and/or territory. Second, experimental playback of an unfamiliar male’s solo song elicited a marked increase in sentineling by the dominant male, and the vocal response to the playback also positively predicted his sentinel effort following the simulated intrusion. A second experiment also suggests that sentineling may facilitate mounting rapid anti-intruder responses, as responses to intruder-playback occurred significantly earlier when the dominant male was sentineling rather than foraging at playback onset. Together, our findings provide rare support for the hypothesis that sentinel behavior plays a role in intrasexual competition, and so highlight the potential for sexually selected direct benefits to shape its expression in this and other social vertebrates. PMID:27656086

Indocyanine green SPY elite-assisted sentinel lymph node biopsy in cutaneous melanoma.

PubMed

Korn, Jason M; Tellez-Diaz, Alejandra; Bartz-Kurycki, Marisa; Gastman, Brian

2014-04-01

Sentinel lymph node biopsy is the standard of care for intermediate-depth and high-risk thin melanomas. Recently, indocyanine green and near-infrared imaging have been used to aid in sentinel node biopsy. The present study aimed to determine the feasibility of sentinel lymph node biopsy with indocyanine green SPY Elite navigation and to critically evaluate the technique compared with the standard modalities. A retrospective review of 90 consecutive cutaneous melanoma patients who underwent sentinel lymph node biopsy was performed. Two cohorts were formed: group A, which had sentinel lymph node biopsy performed with blue dye and radioisotope; and group B, which had sentinel lymph node biopsy performed with radioisotope and indocyanine green SPY Elite navigation. The cohorts were compared to assess for differences in localization rates, sensitivity and specificity of sentinel node identification, and length of surgery. The sentinel lymph node localization rate was 79.4 percent using the blue dye method, 98.0 percent using the indocyanine green fluorescence method, and 97.8 percent using the radioisotope/handheld gamma probe method. Indocyanine green fluorescence detected more sentinel lymph nodes than the vital dye method alone (p = 0.020). A trend toward a reduction in length of surgery was noted in the SPY Elite cohort. Sentinel lymph node mapping and localization in cutaneous melanoma with the indocyanine green SPY Elite navigation system is technically feasible and may offer several advantages over current modalities, including higher sensitivity and specificity, decreased number of lymph nodes sampled, decreased operative time, and potentially lower false-negative rates. Diagnostic, II.

Global Water Surface Dynamics: Toward a Near Real Time Monitoring Using Landsat and Sentinel Data

NASA Astrophysics Data System (ADS)

Pekel, J. F.; Belward, A.; Gorelick, N.

2017-12-01

Global surface water dynamics and its long-term changes have been documented at 30m spatial resolution using the entire multi-temporal orthorectified Landsat 5, 7 and 8 archive for the years 1984 to 2015. This validated dataset recorded the months and years when water was present, where occurrence changed and what form changes took (in terms of seasonality), documents inter-annual variability, and multi-annual trends. This information is freely available from the global surface water explorer https://global-surface-water.appspot.com. Here we extend this work (doi:10.1038/nature20584 ) by combining post 2015 Landsat 7 and 8 data with imagery from the Copernicus program's Sentinel 2a and b satellites. Using these data in combination improves the spatial resolution (from 30m to a nominal 10m) and temporal resolution (from 8 days to 4 days revisit time at the equator). The improved geographic and temporal completeness of the combined Landsat / Sentinel dataset also offers new opportunities for the identification and characterization of seasonally occurring waterbodies. These improvements are also being examined in the light of reporting progress against Agenda 2030's Sustainable Development Goal 6, especially the indicator used to measure 'change in the extent of water-related ecosystems over time'.

[The incidence of human papilloma virus associated vulvar cancer in younger women is increasing and wide local excision with sentinel lymph node biopsie has become standard].

PubMed

Fehr, Mathias K

2011-10-01

Sentinel lymph node (SLN) dissections have been shown to be sensitive for the evaluation of nodal basins for metastatic disease and are associated with decreased short-term and long-term morbidity when compared with complete lymph node dissection. There has been increasing interest in the use of SLN technology in gynecologic cancers. This review assesses the current evidence-based literature for the use of SLN dissections in gynecologic malignancies. Recent literature continues to support the safety and feasibility of SLN biopsy for early stage vulvar cancer with negative predictive value approaching 100 % and low false negative rates. Alternatively, for endometrial cancer most studies have reported low false-negative rates, with variable sensitivities and have reported low detection rates of the sentinel node. Studies examining the utility of SLN biopsy in early-stage cervical cancer remain promising with detection rates, sensitivities, and false-negative rates greater than 90 % for stage 1B1 tumors. SLN dissections have been shown to be effective and safe in certain, select vulvar cancer patients and can be considered an alternative surgical approach for these patients. For endometrial and cervical cancer, SLN dissection continues to have encouraging results and however needs further investigation.

Sentinel lymph node biopsy in malignant melanoma of the head and neck.

PubMed

Rahimi-Nedjat, Roman Kia; Al-Nawas, Bilal; Tuettenberg, Andrea; Sagheb, Keyvan; Grabbe, Stephan; Walter, Christian

2018-06-01

The aim of this retrospective study was to investigate sentinel lymph node biopsy in patients with head and neck melanoma. Patients who underwent SLNB between 2010 and 2016 were comprised. Epidemiological, radiological, and surgical data were collected and compared to histological findings. Patients who underwent primary complete lymph node dissection were excluded. 74 patients underwent SLNB during this period. The most common tumor localizations were the cheek (20.4%) and ears (20.4%). Overall, 256 sentinel lymph nodes (SLN) were detected and removed, most frequently in Robbins-levels IIA and IIB as well as in the surrounding of the parotid gland. 12.3% of the SLN showed a microscopic or macroscopic metastasis. In preoperative imaging all lymph nodes with macroscopic metastasis were described as suspect but only 4 of 11 lymph nodes with microscopic metastases were described as such. SLNB is an especially good procedure for the diagnosis of microscopically metastases as disease status is an important diagnostic and prognostic factor in early-stage melanoma patients. However, due to the complex lymphatic system in head and neck melanoma, a short follow-up interval is necessary in order to prevent delayed diagnosis of a nodal recurrence due to a false-negative SLN. Copyright © 2018 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved.

77 FR 35999 - Notice of Availability of the Proposed Resource Management Plan/Final Environmental Impact...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-06-15

... addressed in the Draft EIS, including Sentinel Plain. In response, the BLM completed its inventory for... 1610.5-2. Emailed and faxed protests will not be accepted as valid protests unless the protesting party.... Authority: 40 CFR 1506.6 and 1506.10, 43 CFR 1610.2 and 1610.5. Raymond Suazo, Arizona State Director. [FR...

Sentinel-2 mission status

NASA Astrophysics Data System (ADS)

Hoersch, Bianca

2017-04-01

The SENTINEL-2 mission is the European Multispectral Imaging Mission for the Copernicus joint initiative of the European Commission (EC) and the European Space Agency (ESA). The SENTINEL-2 mission includes 13-spectral band multispectral optical imager with different resolution (down to 10 m) and a swath width of 290km. It provides very short revisit times and rapid product delivery. The mission is composed of a constellation of two satellite units, SENTINEL-2A and SENTINEL-2B, sharing the same orbital plane and featuring a short repeat cycle of 5 days at the equator optimized to mitigate the impact of clouds for science and applications. SENTINEL-2 enables exploitation for a variety of land and coastal applications such as agriculture, forestry, land cover and land cover change, urban mapping, emergency, as well as inland water, ice, glaciers and also coastal zone and closed seas applications. Following the launch of the Sentinel-2A in June 2015 and successful operations and data delivery since December 2015, the Sentinel-2B satellite is set for launch in March 2017. The full operation capacity is foreseen after the in-orbit commissioning phase of the Sentinel-2B unit in early summer 2017. The objective of the talk is to provide information about the mission status, and the way to achieve full operational capacity with 2 satellites.

The sentinel lymph node spread determines quantitatively melanoma seeding to non-sentinel lymph nodes and survival.

PubMed

Ulmer, Anja; Dietz, Klaus; Werner-Klein, Melanie; Häfner, Hans-Martin; Schulz, Claudia; Renner, Philipp; Weber, Florian; Breuninger, Helmut; Röcken, Martin; Garbe, Claus; Fierlbeck, Gerhard; Klein, Christoph A

2018-03-01

Complete lymph node dissection (CLND) after a positive sentinel node (SN) biopsy provides important prognostic information in melanoma patients but has been questioned for therapeutic use recently. We explored whether quantification of the tumour spread to SNs may replace histopathology of non-sentinel nodes (NSNs) for staging purposes. We quantified melanoma spread in SNs and NSNs in 128 patients undergoing CLND for a positive SN. In addition to routine histopathology, one-half of each of all 1496 SNs and NSNs was disaggregated into a single cell suspension and stained immunocytochemically to determine the number of melanoma cells per 10 6 lymph node cells, i.e. the disseminated cancer cell density (DCCD). We uncovered melanoma spread to NSNs in the majority of patients; however, the tumour load and the proportion of positive nodes were significantly lower in NSNs than in SNs. The relation between SN and NSN spread could be described by a mathematical function with DCCD NSN  = DCCD SN c /10 1 - c (c = 0.69; 95% confidence interval [CI]: 0.62-0.76). At a median follow-up of 67 months, multivariable Cox regression analyses revealed that DCCD SN (p = 0.02; HR 1.34, 95% CI: 1.05-1.71) and the total number of pathologically positive nodes (p = 0.02; HR 1.53, 95% CI: 1.07-2.22) were significant risk factors after controlling for age, gender, thickness of melanoma and ulceration status. A prognostic model based on DCCD SN and melanoma thickness predicted outcome as accurately as a model including pathological information of both SNs and NSNs. The assessment of DCCD SN renders CLND for staging purposes unnecessary. Copyright © 2017 Elsevier Ltd. All rights reserved.

The role of light and gravity in the experimental transmission of Echinostoma caproni (Digenea: Echinostomatidae) cercariae to the second intermediate host, Biomphalaria glabrata (Gastropoda: Pulmonata).

PubMed

Platt, Thomas R; Burnside, Lindsay; Bush, Elizabeth

2009-06-01

Trematode cercariae inhabit predictable environments and respond to trigger cues with genetically fixed releaser responses when foraging for the upstream host. The effect of light and gravity on the transmission of Echinostoma caproni cercariae to Biomphalaria glabrata was investigated experimentally. Transmission chambers were constructed of clear polyvinyl chloride pipe. Snails were constrained within the chamber to prevent movement, while permitting the cercariae to swim freely. A trial consisted of 2 infected B. glabrata shedding E. caproni cercariae placed at the center of the chamber, with 5 uninfected B. glabrata placed 10 cm on either side (or above and below) of the shedding snails as sentinels. There was no significant difference in the prevalence of infection sentinel snails in either experiment (light vs. dark or top vs. bottom); however, mean intensity was significantly higher in sentinel snails in the dark portion of the chamber (42.5 vs. 10.4; P = 0.001) and the top of the transmission chamber (66.1 vs. 38.0; P = 0.0003). There was a high correlation between the number of metacercariae collected from sentinel snails and the total number of infective units (metacercariae + unsuccessful cercariae): r = 0.992 (light vs. dark) and r = 0.957 (top vs. bottom), respectively, at cercariae densities estimated from 22 to 3,304/L. The results suggest that cercariae of E. caproni exhibit negative photo- and geotaxis in searching for a second intermediate host. Stereotypical releaser responses to environmental trigger cues (light and gravity) allow E. caproni cercariae to exploit flexible strategies for completing the life cycle consistent with the broad range second intermediate and definitive hosts used by E. caproni cercariae and adults, respectively.

Sentinel Node Mapping Using a Fluorescent Dye and Visible Light During Laparoscopic Gastrectomy for Early Gastric Cancer: Result of a Prospective Study From a Single Institute.

PubMed

Lee, Chang Min; Park, Sungsoo; Park, Seong-Heum; Jung, Sung Woo; Choe, Jung Wan; Sul, Ji-Young; Jang, You Jin; Mok, Young-Jae; Kim, Jong-Han

2017-04-01

The aim of this study was to investigate the feasibility of sentinel node mapping using a fluorescent dye and visible light in patients with gastric cancer. Recently, fluorescent imaging technology offers improved visibility with the possibility of better sensitivity or accuracy in sentinel node mapping. Twenty patients with early gastric cancer, for whom laparoscopic distal gastrectomy with standard lymphadenectomy had been planned, were enrolled in this study. Before lymphadenectomy, the patients received a gastrofiberoscopic peritumoral injection of fluorescein solution. The sentinel basin was investigated via laparoscopic fluorescent imaging under blue light (wavelength of 440-490 nm) emitted from an LED curing light. The detection rate and lymph node status were analyzed in the enrolled patients. In addition, short-term clinical outcomes were also investigated. No hypersensitivity to the dye was identified in any enrolled patients. Sentinel nodes were detected in 19 of 20 enrolled patients (95.0%), and metastatic lymph nodes were found in 2 patients. The latter lymph nodes belonged to the sentinel basin of each patient. Meanwhile, 1 patient (5.0%) experienced a postoperative complication that was unrelated to sentinel node mapping. No mortality was recorded among enrolled cases. Sentinel node mapping with visible light fluorescence was a feasible method for visualizing sentinel nodes in patients with early gastric cancer. In addition, this method is advantageous in terms of visualizing the concrete relationship between the sentinel nodes and surrounding structures.

Improvement of the sentinel lymph node detection rate of cervical sentinel lymph node biopsy using real-time fluorescence navigation with indocyanine green in head and neck skin cancer.

PubMed

Nakamura, Yasuhiro; Fujisawa, Yasuhiro; Nakamura, Yoshiyuki; Maruyama, Hiroshi; Furuta, Jun-ichi; Kawachi, Yasuhiro; Otsuka, Fujio

2013-06-01

The standard technique using lymphoscintigraphy, blue dye and a gamma probe has established a reliable method for sentinel node biopsy for skin cancer. However, the detection rate of cervical sentinel lymph nodes (SLN) is generally lower than that of inguinal or axillary SLN because of the complexity of lymphatic drainage in the head and neck region and the "shine-through" phenomenon. Recently, indocyanine green fluorescence imaging has been reported as a new method to detect SLN. We hypothesized that fluorescence navigation with indocyanine green in combination with the standard technique would improve the detection rate of cervical sentinel nodes. We performed cervical sentinel node biopsies using the standard technique in 20 basins of 18 patients (group A) and using fluorescence navigation in combination with the standard technique in 12 basins of 16 patients (group B). The mean number of sentinel nodes was two per basin (range, 1-4) in group A and three per basin (range, 1-5) in group B. The detection rate of sentinel nodes was 83% (29/35) in group A and 95% (36/38) in group B. The false-negative rate was 6% (1/18 patients) in group A and 0% in group B. Fluorescence navigation with indocyanine green may improve the cervical sentinel node detection rate. However, greater collection of data regarding the usefulness of cervical sentinel node biopsy using indocyanine green is necessary. © 2013 Japanese Dermatological Association.

The Copernicus Sentinel 4 mission: a geostationary imaging UVN spectrometer for air quality monitoring

NASA Astrophysics Data System (ADS)

Bazalgette Courrèges-Lacoste, G.; Sallusti, M.; Bulsa, G.; Bagnasco, G.; Veihelmann, Ben; Riedl, S.; Smith, D. J.; Maurer, R.

2017-09-01

Sentinel-4 is an imaging UVN (UV-VIS-NIR) spectrometer, developed by Airbus Defence and Space under ESA contract in the frame of the joint EU/ESA COPERNICUS program. The mission objective is the operational monitoring of trace gas concentrations for atmospheric chemistry and climate applications - hence the motto of Sentinel-4 "Knowing what we breathe". Sentinel-4 will provide accurate measurements of key atmospheric constituents such as ozone, nitrogen dioxide, sulfur dioxide, methane, and aerosol properties over Europe and adjacent regions from a geostationary orbit (see Fig. 1). In the family of already flown UVN spectrometers (SCIAMACHY, OMI, GOME and GOME 2) and of those spectrometers currently under development (Sentinel-5p and Sentinel-5), Sentinel-4 is unique in being the first geostationary UVN mission. Furthermore, thanks to its 60-minutes repeat cycle measurements and high spatial resolution (8x8 km2), Sentinel-4 will increase the frequency of cloud-free observations, which is necessary to assess troposphere variability. Two identical Sentinel-4 instruments (PFM and FM-2) will be embarked, as Customer Furnished Item (CFI), fully verified, qualified and calibrated respectively onto two EUMETSAT satellites: Meteosat Third Generation-Sounder 1 and 2 (MTG-S1 and MTG-S2), whose Flight Acceptance Reviews are presently planned respectively in Q4 2021 and Q1 2030. This paper gives an overview of the Sentinel-4 system1 architecture, its design and development status, current performances and the key technological challenges.

Sentinel node localization in oral cavity and oropharynx squamous cell cancer.

PubMed

Taylor, R J; Wahl, R L; Sharma, P K; Bradford, C R; Terrell, J E; Teknos, T N; Heard, E M; Wolf, G T; Chepeha, D B

2001-08-01

To evaluate the feasibility and predictive ability of the sentinel node localization technique for patients with squamous cell carcinoma of the oral cavity or oropharynx and clinically negative necks. Prospective, efficacy study comparing the histopathologic status of the sentinel node with that of the remaining neck dissection specimen. Tertiary referral center. Patients with T1 or T2 disease and clinically negative necks were eligible for the study. Nine previously untreated patients with oral cavity or oropharyngeal squamous cell carcinoma were enrolled in the study. Unfiltered technetium Tc 99m sulfur colloid injections of the primary tumor and lymphoscintigraphy were performed on the day before surgery. Intraoperatively, the sentinel node(s) was localized with a gamma probe and removed after tumor resection and before neck dissection. The primary outcome was the negative predictive value of the histopathologic status of the sentinel node for predicting cervical metastases. Sentinel nodes were identified in 9 previously untreated patients. In 5 patients, there were no positive nodes. In 4 patients, the sentinel nodes were the only histopathologically positive nodes. In previously untreated patients, the sentinel node technique had a negative predictive value of 100% for cervical metastasis. Our preliminary investigation shows that sentinel node localization is technically feasible in head and neck surgery and is predictive of cervical metastasis. The sentinel node technique has the potential to decrease the number of neck dissections performed in clinically negative necks, thus reducing the associated morbidity for patients in this group.

Sentinel Node Biopsy for the Head and Neck Using Contrast-Enhanced Ultrasonography Combined with Indocyanine Green Fluorescence in Animal Models: A Feasibility Study.

PubMed

Kogashiwa, Yasunao; Sakurai, Hiroyuki; Akimoto, Yoshihiro; Sato, Dai; Ikeda, Tetsuya; Matsumoto, Yoshifumi; Moro, Yorihisa; Kimura, Toru; Hamanoue, Yasuhiro; Nakamura, Takehiro; Yamauchi, Koichi; Saito, Koichiro; Sugasawa, Masashi; Kohno, Naoyuki

2015-01-01

Sentinel node navigation surgery is gaining popularity in oral cancer. We assessed application of sentinel lymph node navigation surgery to pharyngeal and laryngeal cancers by evaluating the combination of contrast-enhanced ultrasonography and indocyanine green fluorescence in animal models. This was a prospective, nonrandomized, experimental study in rabbit and swine animal models. A mixture of indocyanine green and Sonazoid was used as the tracer. The tracer mixture was injected into the tongue, larynx, or pharynx. The sentinel lymph nodes were identified transcutaneously by infra-red camera and contrast-enhanced ultrasonography. Detection time and extraction time of the sentinel lymph nodes were measured. The safety of the tracer mixture in terms of mucosal reaction was evaluated macroscopically and microscopically. Sentinel lymph nodes were detected transcutaneously by contrast-enhanced ultrasonography alone. The number of sentinel lymph nodes detected was one or two. Despite observation of contrast enhancement of Sonazoid for at least 90 minutes, the number of sentinel lymph nodes detected did not change. The average extraction time of sentinel lymph nodes was 4.8 minutes. Indocyanine green fluorescence offered visual information during lymph node biopsy. The safety of the tracer was confirmed by absence of laryngeal edema both macro and microscopically. The combination method of indocyanine green fluorescence and contrast-enhanced ultrasonography for detecting sentinel lymph nodes during surgery for head and neck cancer seems promising, especially for pharyngeal and laryngeal cancer. Further clinical studies to confirm this are warranted.

Lymphatic Drainage from Renal Tumors In Vivo: A Prospective Sentinel Node Study Using SPECT/CT Imaging.

PubMed

Kuusk, Teele; De Bruijn, Roderick; Brouwer, Oscar R; De Jong, Jeroen; Donswijk, Maarten; Grivas, Nikolaos; Hendricksen, Kees; Horenblas, Simon; Prevoo, Warner; Valdés Olmos, Renato A; Van Der Poel, Henk G; Van Rhijn, Bas W G; Wit, Esther M; Bex, Axel

2018-06-01

Lymphatic drainage from renal tumors is unpredictable. In vivo drainage studies of primary lymphatic landing sites may reveal the variability and dynamics of lymphatic connections. The purpose of this study was to investigate the lymphatic drainage pattern of renal tumors in vivo with single photon emission/computerized tomography after intratumor radiotracer injection. We performed a phase II, prospective, single arm study to investigate the distribution of sentinel nodes from renal tumors on single photon emission/computerized tomography. Patients with cT1-3 (less than 10 cm) cN0M0 renal tumors of any subtype were enrolled in analysis. After intratumor ultrasound guided injection of 0.4 ml 99m Tc-nanocolloid we performed preoperative imaging of sentinel nodes with lymphoscintigraphy and single photon emission/computerized tomography. Sentinel and locoregional nonsentinel nodes were resected with a γ probe combined with a mobile γ camera. The primary study end point was the location of sentinel nodes outside the locoregional retroperitoneal templates on single photon emission/computerized tomography. Using a Simon minimax 2-stage design to detect a 25% extralocoregional retroperitoneal template location of sentinel nodes on imaging at α = 0.05 and 80% power at least 40 patients with sentinel node imaging on single photon emission/computerized tomography were needed. Of the 68 patients 40 underwent preoperative single photon emission/computerized tomography of sentinel nodes and were included in primary end point analysis. Lymphatic drainage outside the locoregional retroperitoneal templates was observed in 14 patients (35%). Eight patients (20%) had supradiaphragmatic sentinel nodes. Sentinel nodes from renal tumors were mainly located in the respective locoregional retroperitoneal templates. Simultaneous sentinel nodes were located outside the suggested lymph node dissection templates, including supradiaphragmatic sentinel nodes in more than a third of the patients. Copyright © 2018 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.

Progression of cutaneous melanoma: implications for treatment

PubMed Central

Leong, Stanley P. L.; Mihm, Martin C.; Murphy, George F.; Hoon, Dave S. B.; Kashani-Sabet, Mohammed; Agarwala, Sanjiv S.; Zager, Jonathan S.; Hauschild, Axel; Sondak, Vernon K.; Guild, Valerie; Kirkwood, John M.

2015-01-01

The survival rates of melanoma, like any type of cancer, become worse with advancing stage. Spectrum theory is most consistent with the progression of melanoma from the primary site to the in-transit locations, regional or sentinel lymph nodes and beyond to the distant sites. Therefore, early diagnosis and surgical treatment before its spread is the most effective treatment. Recently, new approaches have revolutionized the diagnosis and treatment of melanoma. Genomic profiling and sequencing will form the basis for molecular taxonomy for more accurate subgrouping of melanoma patients in the future. New insights of molecular mechanisms of metastasis are summarized in this review article. Sentinel lymph node biopsy has become a standard of care for staging primary melanoma without the need for a more morbid complete regional lymph node dissection. With recent developments in molecular biology and genomics, novel molecular targeted therapy is being developed through clinical trials. PMID:22892755

Contribution of gravity data and Sentinel-1 image for structural mapping. Case of Beni Mellal Atlas and Beni Moussa plain (Morocco).

NASA Astrophysics Data System (ADS)

Boutirame, Ikram; Boukdir, Ahmed; Akhssas, Ahmed; Boutirame, Fatima; Manar, Ahmed; Aghzzaf, Brahim

2018-05-01

The present work is a combined study of gravity and Sentine-1 data for fracture mapping in the karstic massif of Beni Mellal Atlas and the adjacent plain of Beni Moussa. In order to locate the various faults that contribute to the study area structuring, the gravimetric contacts analysis method, based on the joint use of the horizontal gradient and the upward continuation at different altitudes, has been applied to the gravity data. To optimize the structural mapping in the study area, the gravimetric lineaments obtained were completed and correlated with the lineaments got from Sentinel-1 image. Four faults families of NE-SW; E-O; N-S and NWSE directions have been highlighted. There fault families are perfectly combined with the studied area's surface water network, moreover, they corroborate with the previous geological and structural studies.

Copernicus POD Service: Orbit Determination of the Sentinel Satellites

NASA Astrophysics Data System (ADS)

Peter, Heike; Fernández, Jaime; Ayuga, Francisco; Féménias, Pierre

2016-04-01

The Copernicus POD (Precise Orbit Determination) Service is part of the Copernicus Processing Data Ground Segment (PDGS) of the Sentinel-1, -2 and -3 missions. A GMV-led consortium is operating the Copernicus POD Service being in charge of generating precise orbital products and auxiliary data files for their use as part of the processing chains of the respective Sentinel PDGS. Sentinel-1A was launched in April 2014 while Sentinel-2A was on June 2015 and both are routinely operated since then. Sentinel-3A is expected to be launched in February 2016 and Sentinel-1B is planned for spring 2016. Thus the CPOD Service will be operating three to four satellites simultaneously in spring 2016. The satellites of the Sentinel-1, -2, and -3 missions are all equipped with dual frequency high precision GPS receivers delivering the main observables for POD. Sentinel-3 satellites will additionally be equipped with a laser retro reflector for Satellite Laser Ranging and a receiver for DORIS tracking. All three types of observables (GPS, SLR and DORIS) will be used routinely for POD. The POD core of the CPOD Service is NAPEOS (Navigation Package for Earth Orbiting Satellites) the leading ESA/ESOC software for precise orbit determination. The careful selection of models and inputs is important to achieve the different but very demanding requirements in terms of orbital accuracy and timeliness for the Sentinel -1, -2 & -3 missions. The three missions require orbital products with various latencies from 30 minutes up to 20-30 days. The accuracy requirements are also different and partly very challenging, targeting 5 cm in 3D for Sentinel-1 and 2-3 cm in radial direction for Sentinel-3. Although the characteristics and the requirements are different for the three missions the same core POD setup is used to the largest extent possible. This strategy facilitates maintenance of the complex system of the CPOD Service. Updates in the dynamical modelling of the satellite orbits, e.g. improvements of the box-wing models, have been done to deliver best possible orbit solutions for the satellite. Quality control of the CPOD orbits is done by validating them with independent orbit solutions provided by the Copernicus POD Quality Working Group. The cross-comparison of orbit solutions from different institutions is essential to monitor and to improve the orbit accuracy because for Sentinel-1 and -2 this is the only possibility to externally assess the quality of the orbits. Sentinel-3 orbits may additionally be validated by using SLR and DORIS observations. This paper presents the Copernicus POD Service in terms of operations and orbital accuracy achieved by the different orbit products of the different missions. For Sentinel-1 and Sentinel-2, this paper presents the impact of the box-wing models. For Sentinel-3, the orbital accuracy will be assessed using the very first data after launch.

76 FR 22038 - Revision to the South Coast Portion of the California State Implementation Plan, CPV Sentinel...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-04-20

... California SIP. This source-specific SIP revision is known as the CPV Sentinel Energy Project AB 1318... list of those emissions credits. The Sentinel Energy Project is a source that is not authorized to... District to transfer certain emissions credits to one stationary source, the Sentinel Energy Project. The...

Proposed concept and preliminary design for the sentinel-5 UVNs spectrometer

NASA Astrophysics Data System (ADS)

Windpassinger, R.; Schubert, J.; Kampf, D.

2017-11-01

Sentinel-5 is an atmospheric monitoring mission within the European Copernicus programme, formerly GMES (Global Monitoring for Environment and Security). Its main objective is trace-gas and aerosol optical depth measurements for air quality and climate monitoring and forecast with daily global coverage. Constituents of interest are O3, SO2, HCHO (formaldehyde), BrO, NO2, CHCHO (glyoxal), O2, CH4 (methane), and CO. Sentinel-5 will complement the Sentinel-4 GEO data over Europe. Both Sentinel-4 and -5 are intended to start operation in 2020.

ADELE sensitivity to high-energy radiation from transient luminous events during the Hurricane and Severe Storm Sentinels campaigns

NASA Astrophysics Data System (ADS)

Bowers, G.; Smith, D. M.; Dwyer, J. R.; Cummer, S. A.; Martinez-Mckinney, F.; Kelley, N. A.; Harris, C. B.; Buzbee, P.

2012-12-01

In the summers of 2013 and 2014, UCSC will fly the Airborne Detector for Energetic Lightning Emissions (ADELE) instrument on board one of the Global Hawk aircraft of the NASA Hurricane and Severe Storm Sentinels (HS3) campaign over storms in the Atlantic. In addition to Terrestrial Gamma-ray Flashes (TGFs), which have been observed at gamma-ray energies by satellites such as RHESSI and FERMI, ADELE will also search for high-energy radiation from Transient Luminous Events (TLEs, i.e. elves, gigantic jets, blue jets, sprites, and sprite halos). High-energy radiation is plausible as a byproduct of stepped leaders in jets, streamers in sprites, and acceleration of electrons in the electromagnetic pulse (EMP) that produces elves. Because ADELE will fly at low altitudes, the intensity of radiation from these events could be orders of magnitude higher at ADELE than at satellites in low earth orbit. We will consider the high energy spectra that might be produced by TLEs and estimate to what extent these phenomena can be observed by ADELE on HS3.

INDIRECT COMPUTED TOMOGRAPHIC LYMPHOGRAPHY FOR ILIOSACRAL LYMPHATIC MAPPING IN A COHORT OF DOGS WITH ANAL SAC GLAND ADENOCARCINOMA: TECHNIQUE DESCRIPTION.

PubMed

Majeski, Stephanie A; Steffey, Michele A; Fuller, Mark; Hunt, Geraldine B; Mayhew, Philipp D; Pollard, Rachel E

2017-05-01

Sentinel lymph node mapping can help to direct surgical oncologic staging and metastatic disease detection in patients with complex lymphatic pathways. We hypothesized that indirect computed tomographic lymphography (ICTL) with a water-soluble iodinated contrast agent would successfully map lymphatic pathways of the iliosacral lymphatic center in dogs with anal sac gland carcinoma, providing a potential preoperative method for iliosacral sentinel lymph node identification in dogs. Thirteen adult dogs diagnosed with anal sac gland carcinoma were enrolled in this prospective, pilot study, and ICTL was performed via peritumoral contrast injection with serial caudal abdominal computed tomography scans for iliosacral sentinel lymph node identification. Technical and descriptive details for ICTL were recorded, including patient positioning, total contrast injection volume, timing of contrast visualization, and sentinel lymph nodes and lymphatic pathways identified. Indirect CT lymphography identified lymphatic pathways and sentinel lymph nodes in 12/13 cases (92%). Identified sentinel lymph nodes were ipsilateral to the anal sac gland carcinoma in 8/12 and contralateral to the anal sac gland carcinoma in 4/12 cases. Sacral, internal iliac, and medial iliac lymph nodes were identified as sentinel lymph nodes, and patterns were widely variable. Patient positioning and timing of imaging may impact successful sentinel lymph node identification. Positioning in supported sternal recumbency is recommended. Results indicate that ICTL may be a feasible technique for sentinel lymph node identification in dogs with anal sac gland carcinoma and offer preliminary data to drive further investigation of iliosacral lymphatic metastatic patterns using ICTL and sentinel lymph node biopsy. © 2017 American College of Veterinary Radiology.

Sentinel lymph node biopsy in endometrial cancer-Feasibility, safety and lymphatic complications.

PubMed

Geppert, Barbara; Lönnerfors, Céline; Bollino, Michele; Persson, Jan

2018-03-01

To compare the rate of lymphatic complications in women with endometrial cancer undergoing sentinel lymph node biopsy versus a full pelvic and infrarenal paraaortic lymphadenectomy, and to examine the overall feasibility and safety of the former. A prospective study of 188 patients with endometrial cancer planned for robotic surgery. Indocyanine green was used to identify the sentinel lymph nodes. In low-risk patients the lymphadenectomy was restricted to removal of sentinel lymph nodes whereas in high-risk patients also a full lymphadenectomy was performed. The impact of the extent of the lymphadenectomy on the rate of complications was evaluated. The bilateral detection rate of sentinel lymph nodes was 96% after cervical tracer injection. No intraoperative complication was associated with the sentinel lymph node biopsy per se. Compared with hysterectomy alone, the additional average operative time for removal of sentinel lymph nodes was 33min whereas 91min were saved compared with a full pelvic and paraaortic lymphadenectomy. Sentinel lymph node biopsy alone resulted in a lower incidence of leg lymphedema than infrarenal paraaortic and pelvic lymphadenectomy (1.3% vs 18.1%, p=0.0003). The high feasibility, the absence of intraoperative complications and the low risk of lymphatic complications supports implementing detection of sentinel lymph nodes in low-risk endometrial cancer patients. Given that available preliminary data on sensitivity and false negative rates in high-risk patients are confirmed in further studies, we also believe that the reduction in lymphatic complications and operative time strongly motivates the sentinel lymph node concept in high-risk endometrial cancer. Copyright © 2017. Published by Elsevier Inc.

Automatic Sub-Pixel Co-Registration of LandSat-8 OLI and Sentinel-2A MSI Images Using Phase Correlation and Machine Learning Based Mapping

NASA Technical Reports Server (NTRS)

Skakun, Sergii; Roger, Jean-Claude; Vermote, Eric F.; Masek, Jeffrey G.; Justice, Christopher O.

2017-01-01

This study investigates misregistration issues between Landsat-8/OLI and Sentinel-2A/MSI at 30 m resolution, and between multi-temporal Sentinel-2A images at 10 m resolution using a phase correlation approach and multiple transformation functions. Co-registration of 45 Landsat-8 to Sentinel-2A pairs and 37 Sentinel-2A to Sentinel-2A pairs were analyzed. Phase correlation proved to be a robust approach that allowed us to identify hundreds and thousands of control points on images acquired more than 100 days apart. Overall, misregistration of up to 1.6 pixels at 30 m resolution between Landsat-8 and Sentinel-2A images, and 1.2 pixels and 2.8 pixels at 10 m resolution between multi-temporal Sentinel-2A images from the same and different orbits, respectively, were observed. The non-linear Random Forest regression used for constructing the mapping function showed best results in terms of root mean square error (RMSE), yielding an average RMSE error of 0.07+/-0.02 pixels at 30 m resolution, and 0.09+/-0.05 and 0.15+/-0.06 pixels at 10 m resolution for the same and adjacent Sentinel-2A orbits, respectively, for multiple tiles and multiple conditions. A simpler 1st order polynomial function (affine transformation) yielded RMSE of 0.08+/-0.02 pixels at 30 m resolution and 0.12+/-0.06 (same Sentinel-2A orbits) and 0.20+/-0.09 (adjacent orbits) pixels at 10 m resolution.

Contrast-enhanced ultrasound mapping of sentinel lymph nodes in oral tongue cancer-a pilot study.

PubMed

Gvetadze, Shalva R; Xiong, Ping; Lv, Mingming; Li, Jun; Hu, Jingzhou; Ilkaev, Konstantin D; Yang, Xin; Sun, Jian

2017-03-01

To assess the usefulness of contrast-enhanced ultrasound (CEUS) with peritumoral injection of microbubble contrast agent for detecting the sentinel lymph nodes for oral tongue carcinoma. The study was carried out on 12 patients with T1-2cN0 oral tongue cancer. A radical resection of the primary disease was planned; a modified radical supraomohyoid neck dissection was reserved for patients with larger lesions (T2, n = 8). The treatment plan and execution were not influenced by sentinel node mapping outcome. The Sonovue ™ contrast agent (Bracco Imaging, Milan, Italy) was utilized. After detection, the position and radiologic features of the sentinel nodes were recorded. The identification rate of the sentinel nodes was 91.7%; one patient failed to demonstrate any enhanced areas. A total of 15 sentinel nodes were found in the rest of the 11 cases, with a mean of 1.4 nodes for each patient. The sentinel nodes were localized in: Level IA-1 (6.7%) node; Level IB-11 (73.3%) nodes; Level IIA-3 (20.0%) nodes. No contrast-related adverse effects were observed. For oral tongue tumours, CEUS is a feasible and potentially widely available approach of sentinel node mapping. Further clinical research is required to establish the position of CEUS detection of the sentinel nodes in oral cavity cancers.

The Sentinel 4 focal plane subsystem

NASA Astrophysics Data System (ADS)

Hohn, Rüdiger; Skegg, Michael P.; Hermsen, Markus; Hinger, Jürgen; Williges, Christian; Reulke, Ralf

2017-09-01

The Sentinel 4 instrument is an imaging spectrometer, developed by Airbus under ESA contract in the frame of the joint European Union (EU)/ESA COPERNICUS program with the objective of monitoring trace gas concentrations. Sentinel 4 will provide accurate measurements of key atmospheric constituents such as ozone, nitrogen dioxide, sulfur dioxide, formaldehyde, as well as aerosol and cloud properties. Sentinel 4 is unique in being the first geostationary UVN mission. The SENTINEL 4 space segment will be integrated on EUMETSAT's Meteosat Third Generation Sounder satellite (MTG-S). Sentinel 4 will provide coverage of Europe and adjacent regions. The Sentinel 4 instrument comprises as a major element two Focal Plane Subsystems (FPS) covering the wavelength ranges 305 nm to 500 nm (UVVIS) and 750 nm to 775 nm (NIR) respectively. The paper describes the Focal Plane Subsystems, comprising the detectors, the optical bench and the control electronics. Further the design and development approach will be presented as well as first measurement results of FPS Qualification Model.

Contribution of the new satellites (Sentinel-1, Sentinel-2 and SPOT-6) to the coastal vegetation monitoring in the Pays de Brest (France)

NASA Astrophysics Data System (ADS)

Talab-Ou-Ali, Halima; Niculescu, Simona; Sellin, Vanessa; Bougault, Christophe

2017-10-01

This paper presents a methodology for monitoring vegetation in the Pays de Brest using new series of Sentinel-1 satellite images combining with Sentinel-2 and SPOT-6. This work consists of establishing an interferogram method of the main types of vegetation in order to achieve the coherence of a multi-temporal Sentinel-1 radar image series, in SLC format (C band, VV and VH polarization), between 2015 and 2016. We then proceed to calculating the radar backscatter coefficient based on Sentinel 1 images in GRD format. Multi-date and multipolarized color compositions will be made to detect changes. It also shows the importance of data synergy to obtain an excellent accuracy using Random Forest classification.

A Complete Handbook on Backyward and Commercial Rabbit Production = Sa Kalusugan ng Bayan Rabbit Ang Alagaan. Appropriate Technologies for Development. Reprint R-41.

ERIC Educational Resources Information Center

Sicwaten, Juan B.; Stahl, Diane

This handbook on rabbit raising, prepared for use by Peace Corps volunteers, attempts to share information gained by rabbit raisers in the Philippines along with information gathered from academic sources. The manual provides step-by-step information on how to begin and carry out a program of rabbit production. The 15 sections of the guide cover…

Sentinel-1 Mission Overview and Implementation Status

NASA Astrophysics Data System (ADS)

Davidson, M.; Attema, E.; Snoeij, P.; Levrini, G.

2009-04-01

Sentinel-1 is an imaging radar mission at C-band consisting of a constellation of two satellites aimed at providing continuity of all-weather day-and-night supply of imagery for user services. Special emphasis is placed on services identified in ESA's GMES service elements program and on projects funded by the European Union Framework Programmes. Three priorities (fast-track services) for the mission have been identified by user consultation working groups of the European Union: Marine Core Services, Land Monitoring and Emergency Services. These cover applications such as: - Monitoring sea ice zones and the arctic environment - Surveillance of marine environment - Monitoring land surface motion risks - Mapping of land surfaces: forest, water and soil, agriculture - Mapping in support of humanitarian aid in crisis situations. The Sentinel 1 space segment will be designed and built by an industrial consortium with Thales Alenia Space Italia as prime contractor and EADS Astrium GmbH as C-SAR instrument responsible. Data products from current and previous ESA missions including ERS-1, ERS-2 and Envisat missions form the basis for many of the pilot GMES services. Consequently Sentinel-1 data maintain data quality levels of the Agency‘s previous SAR missions in terms of spatial resolution, sensitivity, accuracy, polarization and wavelength. Nonetheless, the Sentinel-1 synthetic aperture radar (SAR) constellation represents a completely new approach to SAR mission design by ESA in direct response to the operational needs for SAR data expressed under the EU-ESA Global Monitoring for Environment and Security (GMES) programme. The Sentinel-1 constellation is expected to provide near daily coverage over Europe and Canada, global coverage all independent of weather with delivery of radar data within 1 hour of acquisition - all vast improvements with respect to the existing SAR systems. The continuity of C-band SAR data combined with the greatly improved data provision is expected not only to support the existing key operational services but will also support the evolving user community both for operational and remote sensing science applications. The Sentinel-1 satellite carries a Synthetic Aperture Radar (SAR) instrument with four standard operational modes: Strip Map Mode, Interferometric Wide Swath Mode, Extra-wide Swath Mode and Wave Mode. Some of their important characteristics are listed below. MODE ACCESS ANGLE (DEG.) SINGLE LOOK RESOLUTION RANGE X AZIMUTH SWATH WIDTH POLARISATION STRIP MAP 20-45 5 X 5 M > 80 KM HH+HV OR VV+VH INTERFEROMETRIC WIDE SWATH > 25 5 X 20 M > 250 KM HH+HV OR VV+VH EXTRA WIDE SWATH > 20 20 X 40 M > 400 KM HH+HV OR VV+VH WAVE MODE 23 AND 36.5 20 X 5 M > 20 X 20 KM VIGNETTES AT 100 KM INTERVALS HH OR VV FOR ALL MODES RADIOMETRIC ACCURACY (3 Σ) 1 DB NOISE EQUIVALENT SIGMA ZERO -22 DB POINT TARGET AMBIGUITY RATIO -25 DB DISTRIBUTED TARGET AMBIGUITY RATIO -22 DB It is expected that Sentinel-1 be launched in 2011. Once in orbit Sentinel-1 will be operated from two centres on the ground. The Agency‘s facilities in Darmstadt, Germany will command the satellite ensuring its proper functioning along the orbit. The mission exploitation will be managed at the Agency‘s facilities in Frascati, Italy, including the planning of the acquisitions by the SAR instrument according to the mission requirements, the processing of the acquired data and the provision of the resulting products to the users. he presentation will provide an overview of the Sentinel-1 mission, the user requirements driving the mission, the status and characteristics of the technical implementation. The key elements of the mission supporting the evolving needs of the user community both in operational and remote sensing science applications will be highlighted.

The ESA Scientific Exploitation of Operational Missions element

NASA Astrophysics Data System (ADS)

Desnos, Yves-Louis; Regner, Peter; Zehner, Claus; Engdahl, Marcus; Benveniste, Jerome; Delwart, Steven; Gascon, Ferran; Mathieu, Pierre-Philippe; Bojkov, Bojan; Koetz, Benjamin; Arino, Olivier; Donlon, Craig; Davidson, Malcolm; Goryl, Philippe; Foumelis, Michael

2014-05-01

The objectives of the ESA Scientific Exploitation of Operational Missions (SEOM) programme element are • to federate, support and expand the research community • to strengthen the leadership of European EO research community • to enable the science community to address new scientific research As a preparation for the SEOM element a series of international science users consultation has been organized by ESA in 2012 and 2013 In particular the ESA Living Planet Symposium was successfully organized in Edinburgh September 2013 and involving 1700 participants from 60 countries. The science users recommendations have been gathered and form the basis for the 2014 SEOM work plan approved by ESA member states. The SEOM element is organized along the following action lines: 1. Developing open-source, multi-mission, scientific toolboxes : the new toolboxes for Sentinel 1/2/3 and 5P will be introduced 2. Research and development studies: the first SEOM studies are being launched such as the INSARAP studies for Sentinel 1 interferometry in orbit demonstration , the IAS study to generate an improved spectroscopic database of the trace gas species CH4, H2O, and CO in the 2.3 μm region and SO2 in the UV region for Sentinel 5 P. In addition larger Sentinels for science call will be tendered in 2014 covering grouped studies for Sentinel 1 Land , Sentinel 1 Ocean , Sentinel 2 Land, Sentinel 3 SAR Altimetry ,Sentinel 3 Ocean color, Sentinel 3 Land and Sentinels Synergy . 3. Science users consultation : the Sentinel 2 for Science workshop is planned from 20 to 22 may 2014 at ESRIN to prepare for scientific exploitation of the Sentinel-2 mission (http://seom.esa.int/S2forScience2014 ) . In addition the FRINGE workshop focusing on scientific explotation of Sentinel1 using SAR interferometry is planned to be held at ESA ESRIN in Q2 2015 4. Training the next generation of European EO scientists on the scientific exploitation of Sentinels data: the Advanced Training course Land Remote sensing will be held in University of Valencia , Valencia, Spain from 8 to 12 September 2014 (see http://seom.esa.int/landtraining2014/index.php ). The bi-annual ESA EO summer school on "Earth System Monitoring & Modelling" will be held in ESRIN next summer (4-14 Aug 2014). (See: http://earth.eo.esa.int/trainingcourses/EOSummerSchool2012/index.php ) 5. Promoting Science data use and results : A web site has been prepared for the SEOM element and is available at: http://seom.esa.int/. Proceedings of the ESA Living Planet Symposium are in preparation to be published Q1-2014. The SEOM element plans for 2014 will be further detailed and the first results will be presented.

Sensor sentinel computing device

DOEpatents

Damico, Joseph P.

2016-08-02

Technologies pertaining to authenticating data output by sensors in an industrial environment are described herein. A sensor sentinel computing device receives time-series data from a sensor by way of a wireline connection. The sensor sentinel computing device generates a validation signal that is a function of the time-series signal. The sensor sentinel computing device then transmits the validation signal to a programmable logic controller in the industrial environment.

Sentinel-3 For Land Applications

NASA Astrophysics Data System (ADS)

Goryl, Philippe; Gobron, Nadine; Mecklenburg, Susanne; Donlon, Craig; Bouvet, Marc; Buongiorno, Alessandra; Wilson, Hilary

2016-07-01

The Copernicus Programme, being Europe's Earth Observation and Monitoring Programme led by the European Union, aims to provide, on a sustainable basis, reliable and timely services related to environmental and security issues. The Sentinel-3 mission forms part of the Copernicus Space Component. Its main objectives, building on the heritage and experience of the European Space Agency's (ESA) ERS and ENVISAT missions, are to measure sea-surface topography, sea- and land-surface temperature and ocean- and land-surface colour in support of ocean forecasting systems, and for environmental and climate monitoring. The series of Sentinel-3 satellites will ensure global, frequent and near-real time ocean, ice and land monitoring, with the provision of observation data in a routine, long-term (up to 20 years of operations) and continuous fashion, with a consistent quality and a high level of reliability and availability. The launch of Sentinel-3 was successful last February 2016. The Sentinel-3 missions are jointly operated by ESA and EUMETSAT. ESA will be responsible for the operations, maintenance and evolution of the Sentinel-3 ground segment on land related products and EUMETSAT on the marine products and the satellite monitoring and control. All facilities supporting the Sentinel-3 operations are in place. The Sentinel-3 ground segment systematically acquires, processes and distributes a set of pre-defined core data products to the users. For a detailed description of the core data products please see https://earth.esa.int/web/sentinel/missions/sentinel-3/data-products. On request from the European Commission, ESA and EUMETSAT are presently assessing the possibility to include further core data products, in particular on aerosol optical depth, fire monitoring and synergistic products over land. This paper will provide an update on the status of the mission operations after the initial months in orbit and provide in particular an overview on the status of the Sentinel-3 core land products and their provision in the mission's ramp-up phase.

Availability of tissue rinse liquid-based cytology for the rapid diagnosis of sentinel lymph node metastasis and improved bilateral detection by photodynamic eye camera.

PubMed

Kato, Hidenori; Ohba, Yoko; Yamazaki, Hiroyuki; Minobe, Shin-Ichiro; Sudo, Satoko; Todo, Yukiharu; Okamoto, Kazuhira; Yamashiro, Katsushige

2015-08-01

On sentinel lymph node navigation surgery for early invasive cervical cancers, to gain high sensitivity and specificity, the sentinel nodes should be detected bilaterally and pathological diagnosis should be sensitive to detect micrometastasis. To improve these problems, we tried tissue rinse liquid-based cytology and the photodynamic eye. From 2005 to 2013, 102 patients with Stage Ib1 uterine cervical cancer were subjected to sentinel lymph node navigation surgery with Technetium-99 m colloid and blue dye. For the recent 11 patients with whom bilateral sentinel node detection was not available, the photodynamic eye was selectively examined. The detected sentinel node was cut along the minor axis into 2 mm slices, soaked in 10 ml CytoRich red and then subjected to tissue rinse liquid-based cytology at the time of surgery. With the accumulation of 102 Ib1 patients subjected to sentinel lymph node navigation surgery, the bilateral sentinel node detection rate was 67.7%. The photodynamic eye was examined for the recent 11 patients who did not have bilateral signals. Out of the 11, 10 patients obtained bilateral signals successfully. During the period of examining the photodynamic eye, a total of 34 patients were subjected to sentinel lymph node navigation surgery. Thus, the overall bilateral detection rate increased to 97% in this subset. Two hundred and five lymph nodes were available as sentinel nodes. The sensitivity of tissue rinse liquid-based cytology was 91.7%, and the specificity was 100%. False positivity was 0% and false negativity was 8.3%. Detection failure was observed only with one micrometastasis and one case of isolated tumor cells. Combination of photodynamic eye detection and tissue rinse liquid-based cytology pathology can be a promising method for more rewarding sentinel node detection. © The Author 2015. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

Efficacy of Sentinel Lymph Node Biopsy in Detecting Axillary Metastasis in Breast Cancer Using Methylene Blue.

PubMed

Nandu, Vipul V; Chaudhari, Milind S

2017-06-01

Breast cancer is the leading malignancy and the second leading cause of cancer-related deaths. Axillary lymph node status is a very important prognostic factor in breast cancer patients; nodal evaluation is therefore a critical part of breast cancer management. Axillary lymph node dissection results in significant morbidity. Sentinel lymph node biopsy (SLNB) is being used in many centers to stage the axilla in planning axillary dissection management of patients and hence plays an important part in reducing morbidity among patients with carcinoma breast. The objectives of this paper is to study the (1) efficacy of sentinel lymph node biopsy in detecting axillary metastasis, (2) location of sentinel lymph node in the axilla, (3) rate of involvement of sentinel lymph nodes, and (4) incidence of skip metastasis. Thirty-five patients with breast cancer with clinically node-negative axilla were selected for the study. Methylene blue dye was injected intralesional and perilesional 20 min prior to surgery. All patients underwent modified radical mastectomy with sentinel lymph node biopsy and axillary dissection and after pathological examination diagnostic statics, namely sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and accuracy were computed. Sentinel lymph node was identified in all of these patients. Sixty percent patients had pathologically positive lymph nodes in the axilla. 90.48% patients of these had sentinel lymph nodes positive for malignant cells. Incidence of skip metastasis is 9.52%. 88.57% patients had sentinel lymph node mapped to level I lymph nodes. Sensitivity of SLNB is 90.48%, specificity is 85.71%, PPV of is 90.48%, NPV is 85.71%, and accuracy is 88.57%. Sentinel lymph node biopsy is an effective method of staging the axilla and deciding on axillary clearance in patients of carcinoma breast. Unnecessary axillary dissection and associated complications can be prevented in most of patients due to sentinel lymph node biopsy.

Sen2Cor for Sentinel-2

NASA Astrophysics Data System (ADS)

Main-Knorn, Magdalena; Pflug, Bringfried; Louis, Jerome; Debaecker, Vincent; Müller-Wilm, Uwe; Gascon, Ferran

2017-10-01

In the frame of the Copernicus programme, ESA has developed and launched the Sentinel-2 optical imaging mission that delivers optical data products designed to feed downstream services mainly related to land monitoring, emergency management and security. The Sentinel-2 mission is the constellation of two polar orbiting satellites Sentinel-2A and Sentinel-2B, each one equipped with an optical imaging sensor MSI (Multi-Spectral Instrument). Sentinel-2A was launched on June 23rd, 2015 and Sentinel-2B followed on March 7th, 2017. With the beginning of the operational phase the constellation of both satellites enable image acquisition over the same area every 5 days or less. To use unique potential of the Sentinel-2 data for land applications and ensure the highest quality of scientific exploitation, accurate correction of satellite images for atmospheric effects is required. Therefore the atmospheric correction processor Sen2Cor was developed by Telespazio VEGA Deutschland GmbH on behalf of ESA. Sen2Cor is a Level-2A processor which main purpose is to correct single-date Sentinel-2 Level-1C Top-Of-Atmosphere (TOA) products from the effects of the atmosphere in order to deliver a Level-2A Bottom-Of-Atmosphere (BOA) reflectance product. Additional outputs are an Aerosol Optical Thickness (AOT) map, a Water Vapour (WV) map and a Scene Classification (SCL) map with Quality Indicators for cloud and snow probabilities. Telespazio France and DLR have teamed up in order to provide the calibration and validation of the Sen2Cor processor. Here we provide an overview over the Sentinel-2 data, processor and products. It presents some processing examples of Sen2Cor applied to Sentinel-2 data, provides up-to-date information about the Sen2Cor release status and recent validation results at the time of the SPIE Remote Sensing 2017.

High-Resolution Enhanced Product based on SMAP Active-Passive Approach using Sentinel 1A and 1B SAR Data

NASA Astrophysics Data System (ADS)

Das, N. N.; Entekhabi, D.; Dunbar, R. S.; Colliander, A.; Kim, S.; Yueh, S. H.

2017-12-01

NASA's Soil Moisture Active Passive (SMAP) mission was launched on January 31st, 2015. SMAP utilizes an L-band radar and radiometer sharing a rotating 6-meter mesh reflector antenna. However, on July 7th, 2015, the SMAP radar encountered an anomaly and is currently inoperable. During the SMAP post-radar phase, many ways are explored to recover the high-resolution soil moisture capability of the SMAP mission. One of the feasible approaches is to substitute the SMAP radar with other available SAR data. Sentinel 1A/1B SAR data is found more suitable for combining with the SMAP radiometer data because of almost similar orbit configuration that allow overlapping of their swaths with minimal time difference that is key to the SMAP active-passive algorithm. The Sentinel SDV mode acquisition also provide the co-pol and x-pol observations required for the SMAP active-passive algorithm. Some differences do exist between the SMAP SAR data and Sentinel SAR data, they are mainly: 1) Sentinel has C-band SAR and SMAP is L-band; 2) Sentinel has multi incidence angle within its swath, where as SMAP has single incidence angle; and 3) Sentinel swath width is 300 km as compare to SMAP 1000 km swath width. On any given day, the narrow swath width of the Sentinel observations will significantly reduce the spatial coverage of SMAP active-passive approach as compared to the SMAP swath coverage. The temporal resolution (revisit interval) is also degraded from 3-days to 12-days when Sentinel 1A/1B data is used. One bright side of using Sentinel 1A/1B data in the SMAP active-passive algorithm is the potential of obtaining the disaggregated brightness temperature and soil moisture at much finer spatial resolutions of 3 km and 9 km with optimal accuracy. The Beta version of SMAP-Sentinel Active-Passive high-resolution product will be made available to public in September 2017.

76 FR 9018 - Disease, Disability, and Injury Prevention and Control Special Emphasis Panel (SEP): Emerging...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-02-16

..., Disability, and Injury Prevention and Control Special Emphasis Panel (SEP): Emerging Infections Sentinel... with Section 10(a)(2) of the Federal Advisory Committee Act (Pub. L. 92-463), the Centers for Disease Control and Prevention (CDC), announces the aforementioned meeting: Times and Dates: 12 p.m.-2 p.m., March...

Intraoperative Sentinel Lymph Node Evaluation: Implications of Cytokeratin 19 Expression for the Adoption of OSNA in Oral Squamous Cell Carcinoma.

PubMed

Shaw, Richard; Christensen, Anders; Java, Kapil; Maddani, Rehab El; Liloglou, Triantafillos; Asterios, Triantafyllou; von Buchwald, Christian; Wessel, Irene; Kiss, Katalin; Kjaer, Andreas; Lelkaitis, Giedrius; Long, Anna; Risk, Janet; Robinson, Max

2016-11-01

Intraoperative analysis of sentinel lymph nodes would enhance the care of early-stage oral squamous cell carcinoma (OSCC). We determined the frequency and extent of cytokeratin 19 (CK19) expression in OSCC primary tumours and surrounding tissues to explore the feasibility of a "clinic-ready" intraoperative diagnostic test (one step nucleic acid amplification-OSNA, sysmex). Two cohorts were assembled: cohort 1, OSCC with stage and site that closely match cases suitable for sentinel lymph node biopsy (SLNB); cohort 2, HNSCC with sufficient fresh tumour tissue available for the OSNA assay (>50 mg). CK19 assays included qRT-PCR, RNA in situ hybridisation (ISH), and immunohistochemistry (IHC), as well as OSNA. CK19 mRNA expression was detected with variable sensitivity, depending on method, in 60-80% of primary OSCC tumours, while protein expression was observed in only 50% of tumours. Discordance between different techniques indicated that OSNA was more sensitive than qRT-PCR or RNA-ISH, which in turn were more sensitive than IHC. OSNA results showed CK19 expression in 80% of primary cases, so if used for diagnosis of lymph node metastasis would lead to a false-negative result in 20% of patients with cervical lymph node metastases. OSNA in its current form is not suitable for use in OSCC SLNB due to inadequate expression of the CK19 target in all case. However, the same assay technology would likely be very promising if applied using a more ubiquitous squamous epithelial target.

Sentinel lymph node detection in breast cancer patients using surgical navigation system based on fluorescence molecular imaging technology

NASA Astrophysics Data System (ADS)

Chi, Chongwei; Kou, Deqiang; Ye, Jinzuo; Mao, Yamin; Qiu, Jingdan; Wang, Jiandong; Yang, Xin; Tian, Jie

2015-03-01

Introduction: Precision and personalization treatments are expected to be effective methods for early stage cancer studies. Breast cancer is a major threat to women's health and sentinel lymph node biopsy (SLNB) is an effective method to realize precision and personalized treatment for axillary lymph node (ALN) negative patients. In this study, we developed a surgical navigation system (SNS) based on optical molecular imaging technology for the precise detection of the sentinel lymph node (SLN) in breast cancer patients. This approach helps surgeons in precise positioning during surgery. Methods: The SNS was mainly based on the technology of optical molecular imaging. A novel optical path has been designed in our hardware system and a feature-matching algorithm has been devised to achieve rapid fluorescence and color image registration fusion. Ten in vivo studies of SLN detection in rabbits using indocyanine green (ICG) and blue dye were executed for system evaluation and 8 breast cancer patients accepted the combination method for therapy. Results: The detection rate of the combination method was 100% and an average of 2.6 SLNs was found in all patients. Our results showed that the method of using SNS to detect SLN has the potential to promote its application. Conclusion: The advantage of this system is the real-time tracing of lymph flow in a one-step procedure. The results demonstrated the feasibility of the system for providing accurate location and reliable treatment for surgeons. Our approach delivers valuable information and facilitates more detailed exploration for image-guided surgery research.

Sentinel lymph node mapping in minimally invasive surgery: Role of imaging with color-segmented fluorescence (CSF).

PubMed

Lopez Labrousse, Maite I; Frumovitz, Michael; Guadalupe Patrono, M; Ramirez, Pedro T

2017-09-01

Sentinel lymph node mapping, alone or in combination with pelvic lymphadenectomy, is considered a standard approach in staging of patients with cervical or endometrial cancer [1-3]. The goal of this video is to demonstrate the use of indocyanine green (ICG) and color-segmented fluorescence when performing lymphatic mapping in patients with gynecologic malignancies. Injection of ICG is performed in two cervical sites using 1mL (0.5mL superficial and deep, respectively) at the 3 and 9 o'clock position. Sentinel lymph nodes are identified intraoperatively using the Pinpoint near-infrared imaging system (Novadaq, Ontario, CA). Color-segmented fluorescence is used to image different levels of ICG uptake demonstrating higher levels of perfusion. A color key on the side of the monitor shows the colors that coordinate with different levels of ICG uptake. Color-segmented fluorescence may help surgeons identify true sentinel nodes from fatty tissue that, although absorbing fluorescent dye, does not contain true nodal tissue. It is not intended to differentiate the primary sentinel node from secondary sentinel nodes. The key ranges from low levels of ICG uptake (gray) to the highest rate of ICG uptake (red). Bilateral sentinel lymph nodes are identified along the external iliac vessels using both standard and color-segmented fluorescence. No evidence of disease was noted after ultra-staging was performed in each of the sentinel nodes. Use of ICG in sentinel lymph node mapping allows for high bilateral detection rates. Color-segmented fluorescence may increase accuracy of sentinel lymph node identification over standard fluorescent imaging. The following are the supplementary data related to this article. Copyright © 2017 Elsevier Inc. All rights reserved.

Joint Sentinel-1 and SMAP data assimilation to improve soil moisture estimates

NASA Astrophysics Data System (ADS)

Lievens, H.; Reichle, R. H.; Liu, Q.; De Lannoy, G.; Dunbar, R. S.; Kim, S.; Das, N. N.; Cosh, M. H.; Walker, J. P.; Wagner, W.

2017-12-01

SMAP (Soil Moisture Active and Passive) radiometer observations at 40 km resolution are routinely assimilated into the NASA Catchment Land Surface Model (CLSM) to generate the SMAP Level 4 Soil Moisture product. The use of C-band radar backscatter observations from Sentinel-1 has the potential to add value to the radiance assimilation by increasing the level of spatial detail. The specifications of Sentinel-1 are appealing, particularly its high spatial resolution (5 by 20 m in interferometric wide swath mode) and frequent revisit time (6 day repeat cycle for the Sentinel-1A and Sentinel-1B constellation). However, the shorter wavelength of Sentinel-1 observations implies less sensitivity to soil moisture. This study investigates the value of Sentinel-1 data for hydrologic simulations by assimilating the radar observations into CLSM, either separately from or simultaneously with SMAP radiometer observations. To facilitate the assimilation of the radar observations, CLSM is coupled to the water cloud model, simulating the radar backscatter as observed by Sentinel-1. The innovations, i.e. differences between observations and simulations, are converted into increments to the model soil moisture state through an Ensemble Kalman Filter. The assimilation impact is assessed by comparing 3-hourly, 9 km surface and root-zone soil moisture simulations with in situ measurements from 9 km SMAP core validation sites and sparse networks, from May 2015 to 2017. The Sentinel-1 assimilation consistently improves surface soil moisture, whereas root-zone impacts are mostly neutral. Relatively larger improvements are obtained from SMAP assimilation. The joint assimilation of SMAP and Sentinel-1 observations performs best, demonstrating the complementary value of radar and radiometer observations.

Results of Sentinel Lymph Node Biopsy in Patients with Breast Cancer in 10-Year Own Material of the 4th Military Teaching Hospital with Polyclinic in Wrocław.

PubMed

Kabziński, Piotr; Rac, Jacek; Dorobisz, Tadeusz; Pawłowski, Wiktor; Ziomek, Agnieszka; Chabowski, Mariusz; Janczak, Dawid; Leśniak, Michał; Janczak, Dariusz

2016-05-01

At present, sentinel lymph node biopsy is a standard procedure to assess the advancement of breast cancer and cutaneous melanoma. The aim of the study was to assess the role of the sentinel lymph node biopsy in the treatment of patients with breast cancer in our own material. Analyzed was medical documentation of 258 patients with initially operable breast cancer, qualified for operation with sentinel lymph node biopsy in 2004-2014 in the Department of Surgery of the 4th Military Teaching Hospital. A few hours prior to the planned surgery, radioisotope (technitium-99 sulfur colloid) was applied in the area of tumor or under the areola. 1-2 hours after administering the tracer, the lymphoscintigraphy with the labelling of the sentinel lymph node on the skin was performed. On the basis of the gathered material, obtained were the following parameters: sensitivity - 100%, and specificity - 94.6%. Four cases were false negative (5.5%). 1. Marking the sentinel lymph node in breast cancer, based on the single visualisation method with the use of radioisotope, is a useful and effective technique. 2. The factor influencing the results of the sentinel lymph node biopsy (true positive and negative results and false negative result) was the number of the excised lymph nodes except for the sentinel lymph node. 3. Patients with estrogen receptor expression had often metastases to sentinel lymph node (145 cases - 56%). 4. The false negative rate, i.e. 5.5% in our material, is within the limits of acceptability given in the literature. 5. The sentinel lymph node biopsy performed by the experienced surgical team is a reliable diagnostic tool with a low complication rate.

Copernicus POD Service Operations

NASA Astrophysics Data System (ADS)

Fernandez, Jaime; Ayuga, Francisco; Fernandez, Carlos; Peter, Heike; Femenias, Pierre

2016-08-01

The Copernicus POD (Precise Orbit Determination) Serviceis part of the Copernicus PDGS Ground Segment of the Sentinel missions. A GMV-led consortium is operating the Copernicus POD Service being in charge of generating precise orbital products and auxiliary data files of Sentinel-1, -2, & -3 missions, for their use as part of the processing chains of the respective Sentinel PDGS.Although the characteristics and the requirements are different for the three missions, the same core POD setup is used to the largest possible extent. At the moment, the CPOD Service is operating 3 satellites: Sentinel-1A, -2A and -3A, and is ready to support operations of Sentinel-1B.This paper presents the status of the CPOD Service in terms of operations and orbital accuracy achieved for the different orbit products of the different missions, focusing on Sentinel-3A preliminary results.

Discovering Sentinel Rules for Business Intelligence

NASA Astrophysics Data System (ADS)

Middelfart, Morten; Pedersen, Torben Bach

This paper proposes the concept of sentinel rules for multi-dimensional data that warns users when measure data concerning the external environment changes. For instance, a surge in negative blogging about a company could trigger a sentinel rule warning that revenue will decrease within two months, so a new course of action can be taken. Hereby, we expand the window of opportunity for organizations and facilitate successful navigation even though the world behaves chaotically. Since sentinel rules are at the schema level as opposed to the data level, and operate on data changes as opposed to absolute data values, we are able to discover strong and useful sentinel rules that would otherwise be hidden when using sequential pattern mining or correlation techniques. We present a method for sentinel rule discovery and an implementation of this method that scales linearly on large data volumes.

Citrullus lanatus `Sentinel' (Watermelon) Extract Reduces Atherosclerosis in LDL Receptor Deficient Mice

PubMed Central

Poduri, Aruna; Rateri, Debra L.; Saha, Shubin K.; Saha, Sibu; Daugherty, Alan

2012-01-01

Watermelon (Citrullus lanatus or C. lanatus) has many potentially bioactive compounds including citrulline, which may influence atherosclerosis. In this study, we determined the effects of C. lanatus, provided as an extract of the cultivar `sentinel', on hypercholesterolemia-induced atherosclerosis in mice. Male LDL receptor deficient mice at 8 weeks old were given either C. lanatus `sentinel' extract (2% vol/vol; n=10) or a mixture of matching carbohydrates (2% vol/vol; n=8) as the control in drinking water, while fed a saturated fat-enriched diet for 12 weeks ad libitum. Mice consuming C. lanatus `sentinel' extract had significantly increased plasma citrulline concentrations. Systolic blood pressure was comparable between the two groups. Consumption of C. lanatus `sentinel' extract led to lower body weight and fat mass without influencing lean mass. There were no differences in food and water intake, and urine output between the two groups. C. lanatus `sentinel' extract administration decreased plasma cholesterol concentrations that were attributed to reductions of intermediate/low density lipoprotein cholesterol. Plasma concentrations of MCP-1 and IFN-γ were decreased and IL-10 increased in mice consuming C. lanatus `sentinel' extract. Intake of C. lanatus `sentinel' extract resulted in reductions of atherosclerosis in both aortic arch and thoracic regions. In conclusion, consumption of C. lanatus `sentinel' extract led to reduced body weight gain, decreased plasma cholesterol concentrations, improved homeostasis of pro- and anti-inflammatory cytokines, and attenuated development of atherosclerosis without affecting systolic blood pressure in hypercholesterolemic mice. PMID:22902326

U.S. Geological Survey distribution of European Space Agency's Sentinel-2 data

USGS Publications Warehouse

Pieschke, Renee L.

2017-03-31

A partnership established between the European Space Agency (ESA) and the U.S. Geological Survey (USGS) allows for USGS storage and redistribution of images acquired by the MultiSpectral Instrument (MSI) on the European Union's Sentinel-2 satellite mission. The MSI data are acquired from a pair of satellites, Sentinel-2A and Sentinel-2B, which are part of a larger set of ESA missions focusing on different aspects of Earth observation. The primary purpose of the Sentinel-2 series is to collect multispectral imagery over the Earth’s land surfaces, large islands, and inland and coastal waters. Sentinel-2A was launched in 2015 and Sentinel-2B launched in 2017.The collaborative effort between ESA and USGS provides for public access and redistribution of global acquisitions of Sentinel-2 data at no cost, which allows users to download the MSI imagery from USGS access systems such as Earth- Explorer, in addition to the ESA Sentinels Scientific Data Hub. The MSI sensor acquires 13 spectral bands that are highly complementary to data acquired by the USGS Landsat 8 Operational Land Imager (OLI) and Landsat 7 Enhanced Thematic Mapper Plus (ETM+). The product options from USGS include a Full-Resolution Browse (FRB) image product generated by USGS, along with a 100-kilometer (km) by 100-km tile-based Level-1C top-of-atmosphere (TOA) reflectance product that is very similar (but not identical) to the currently (2017) distributed ESA Level 1C product.

Concordance between peri-areolar blue dye and peri-incisional radiotracer injections for sentinel node mapping in patients with a history of primary breast cancer excisonal biopsy.

PubMed

Mehrabibahar, M; Azizi, S; Jangjoo, A; Saremi, E; Kakhki, V R Dabbagh; Sadeghi, R; Chicken, D W; Keshtgar, M

2014-01-01

We evaluated the concordance between peri-areolar blue dye and peri-incisional radiotracer injections for axillary sentinel node mapping of patients with the history of previous breast lesion excisional biopsy. 80 patients with the history of previous excisional biopsy of the breast lesions were included. All patients received two injections of 99mTc-antimony sulfide colloid in both ends of incision line in an intradermal fashion. 2 mL patient blue V dye was injection to all patients in the peri-areolar area of the index quadrant after induction of anesthesia. All blue or hot nodes were harvested as sentinel lymph nodes. At least one sentinel node could be detected during surgery in 79 patients. In total 94 sentinel nodes were detected. All detected sentinel nodes were hot. In three patients sentinel nodes were detected by gamma probe but not blue dye. The tumor location in all of these patients was in the upper lateral quadrant and the incision line was extended into the axillary tail of the breast in all of them. 91 out of 94 sentinel nodes were stained blue, which amounts to 95.8% concordance between blue dye and radiotracer on a per node analysis. Single peri-areolar injection in the index quadrant would suffice for sentinel node mapping of patients with history of excisional biopsy. Care should be taken in patients with large excisional biopsy in the extreme proximity to axilla.

Interspecific signalling between mutualists: food-thieving drongos use a cooperative sentinel call to manipulate foraging partners

PubMed Central

Baigrie, Bruce D.; Thompson, Alex M.; Flower, Tom P.

2014-01-01

Interspecific communication is common in nature, particularly between mutualists. However, whether signals evolved for communication with other species, or are in fact conspecific signals eavesdropped upon by partners, is often unclear. Fork-tailed drongos (Dicrurus adsimilis) associate with mixed-species groups and often produce true alarms at predators, whereupon associating species flee to cover, but also false alarms to steal associating species' food (kleptoparasitism). Despite such deception, associating species respond to drongo non-alarm calls by increasing their foraging and decreasing vigilance. Yet, whether these calls represent interspecific sentinel signals remains unknown. We show that drongos produced a specific sentinel call when foraging with a common associate, the sociable weaver (Philetairus socius), but not when alone. Weavers increased their foraging and decreased vigilance when naturally associating with drongos, and in response to sentinel call playback. Further, drongos sentinel-called more often when weavers were moving, and weavers approached sentinel calls, suggesting a recruitment function. Finally, drongos sentinel-called when weavers fled following false alarms, thereby reducing disruption to weaver foraging time. Results therefore provide evidence of an ‘all clear’ signal that mitigates the cost of inaccurate communication. Our results suggest that drongos enhance exploitation of a foraging mutualist through coevolution of interspecific sentinel signals. PMID:25080343

Use of sentinel mallards for epizootiologic studies of avian botulism

USGS Publications Warehouse

Rocke, T.E.; Brand, C.J.

1994-01-01

Captive-reared mallards (Anas platyrhynchos) were used as sentinels to study the epizootiology of avian botulism at the Sacramento National Wildlife Refuge, Willows, California (USA) from 1986 to 1989. Sentinel mallards were wing-clipped, and 40 to 50 birds were confined in 1.6-ha enclosures in 11 selected wetlands (pools). Enclosures were searched intensively three to four times weekly from July through October. Sick and dead wild and sentinel birds were collected, necropsied, and tested for type C botulism toxin. Botulism epizootics occurred in sentinel mallards in 1986, 1987, and 1989, but only a few isolated cases of botulism were detected in 1988. In most epizootics, botulism also was detected simultaneously in wild birds using the same pool outside the enclosure. Epizootics in sentinels were initiated and perpetuated in the absence of vertebrate carcasses. A sex-specific trend in the probability of intoxication was detected, with males contracting botulism at a higher rate than females. Daily mortality rates of sentinels during botulism epizootics ranged from 0.0006 to 0.0600, with a mean of 0.0190. These rates would result in the daily loss of 0.6 to 60 birds per thousand at risk. The use of sentinel birds provided an effective means of gathering site-specific epizootiologic data.

Sentinel lymph node detection in patients with endometrial cancer.

PubMed

Niikura, Hitoshi; Okamura, Chikako; Utsunomiya, Hiroki; Yoshinaga, Kosuke; Akahira, Junichi; Ito, Kiyoshi; Yaegashi, Nobuo

2004-02-01

The purpose of this study was to examine the feasibility of sentinel lymph node (SLN) detection in patients with endometrial cancer using preoperative lymphoscintigraphy and an intraoperative gamma probe. Between June 2001 and January 2003, 28 consecutive patients with endometrial cancer who were scheduled for total abdominal hysterectomy, bilateral salpingo-oophorectomy, total pelvic lymphadenectomy, and paraaortic lymphadenectomy at Tohoku University School of Medicine underwent sentinel lymph node detection. On the day before surgery, preoperative lymphoscintigraphy was performed by injection of 99m-Technetium ((99m)Tc)-labeled phytate into the endometrium during hysteroscopy. At the time of surgery, a gamma-detecting probe was used to locate radioactive lymph nodes. At least one sentinel node was detected in each of 23 of the 28 patients (82%). The mean number of sentinel nodes detected was 3.1 (range, 1-9). Sentinel nodes could be identified in 21 of 22 patients (95%) whose tumor did not invade more than halfway into the myometrium. Eighteen patients had radioactive nodes in the paraaortic area. Most patients had a sentinel node in one of the following three sites: paraaortic, external iliac, and obturator. The sensitivity and specificity for detecting lymph node metastases were both 100%. The combination of preoperative lymphoscintigraphy with intraoperative gamma probe detection may be useful in identifying sentinel nodes in early-stage endometrial cancer.

[Exclusive use of blue dye to detect sentinel lymph nodes in breast cancer].

PubMed

Bühler H, Simón; Rojas P, Hugo; Cayazzo M, Daniela; Cunill C, Eduardo; Vesperinas A, Gonzalo; Hamilton S, James

2008-08-01

The use of a dye and radiocolloid to detect sentinel lymph nodes in breast cancer increases the detection rates. However the use of either method alone does not modify the false negative rate. Therefore there is no formal contraindication for the exclusive use of dye to detect nodes. To report a prospective analysis of the exclusive blue dye technique for sentinel node biopsy in patients with early breast cancer. We analyzed the first 100 women with pathologically proven breast cancer who met the inclusion criteria. Patent blue dye was used as colorant. In the first 25 cases sentinel node was identified using radiocolloid and blue dye an then an axillary dissection performed. In the next 25 women, blue dye was used exclusively for detection and an axillary dissection was performed. In the next 50 cases, blue dye was used and only isolated sentinel node biopsy was performed. In 92 of the 100 women a sentinel node was successfully detected. In the first 50 women, the false negative rate of sentinel lymph node detection was 6.9%. No complications occurred. During follow-up, lasting three to 29 months, no axillary relapse was observed. Sentinel node biopsy in patients with early breast cancer using exclusively blue dye is feasible and safe.

Pre-treatment drug resistance among patients initiating antiretroviral therapy (ART) in Zimbabwe: 2008-2010.

PubMed

Mungati, More; Mhangara, Mutsa; Gonese, Elizabeth; Mugurungi, Owen; Dzangare, Janet; Ngwende, Stella; Musasa, Patience; Wellington, Maureen; Shambira, Gerald; Apollo, Tsitsilina; Yang, Chunfu; DeVos, Joshua; Sabatier, Jennifer; Kilmarx, Peter; Chakanyuka-Musanhu, Christine; Tshimanga, Mufuta

2016-06-10

Zimbabwe set up 12 sentinel sites to monitor HIV drug resistance (HIVDR) following the international standards for prevention of HIVDR from 2008 to 2010. Participants were consecutively enrolled. Blood was collected and used for CD4 count, viral load (VL) and pre-treatment DR (PDR) tests besides routine baseline tests. We analyzed the characteristics of participants enrolled into the survey and estimated the point prevalence of PDR and its associated factors among ART initiators in a cross-sectional analysis using the baseline data collected from a prospective cohort in 12 purposefully selected sentinel sites. A total of 1728 participants (96 % response rate) were enrolled and 1610 had complete data. Of the 1610 there were more females (68.7 %) than males (31.3 %). The median CD4 count was 168 cells/mm(3) with males having lower values (P = 0.003). Ninety-six percent of participants had a VL ≥ 1000 copies/ml and the median VL was 128,000. Previous exposure to antiretroviral drugs (ARVs) was mainly through PMTCT (5 % of the participants). Overall, PDR mutations were detected in 6.3 % (95 % CI 5.2-7.7) of the 1480 successfully genotyped participants. However, the prevalence of PDR mutations was double for those with previous exposure (12.1 %) to ARVs compared with those without previous exposure (5.7 %, P = 0.002). The results show a moderate level of PDR prevalence among ART initiators. To maintain the efficacy of the current first-line regimens, there is need to strengthen all HIVDR prevention efforts and to conduct further studies to investigate optimal strategies that can prolong the efficacy of first-line ARV regimens in the country.

Optical see-through cancer vision goggles enable direct patient visualization and real-time fluorescence-guided oncologic surgery

PubMed Central

Mondal, Suman B.; Gao, Shengkui; Zhu, Nan; Hebimana-Griffin, LeMoyne; Akers, Walter J.; Liang, Rongguang; Gruev, Viktor; Margenthaler, Julie; Achilefu, Samuel

2017-01-01

Background The inability to directly visualize the patient and surgical site limits the use of current near infrared fluorescence-guided surgery systems for real-time sentinel lymph node biopsy and tumor margin assessment. Methods We evaluated an optical see-through goggle augmented imaging and navigation system (GAINS) for near-infrared fluorescence-guided surgery. Tumor-bearing mice injected with a near infrared cancer-targeting agent underwent fluorescence-guided tumor resection. Female Yorkshire pigs received hind leg intradermal indocyanine green injection and underwent fluorescence-guided popliteal lymph node resection. Four breast cancer patients received 99mTc-sulfur colloid and indocyanine green retroareolarly, before undergoing sentinel lymph node biopsy using radioactive tracking and fluorescence imaging. Three other breast cancer patients received indocyanine green retroareolarly before undergoing standard-of-care partial mastectomy, followed by fluorescence imaging of resected tumor and tumor cavity for margin assessment. Results Using near-infrared fluorescence from the dyes, the optical see-through GAINS accurately identified all mouse tumors, pig lymphatics, and 4 pig popliteal lymph nodes with high signal-to-background ratio. In 4 human breast cancer patients, 11 sentinel lymph nodes were identified with a detection sensitivity of 86.67± 0.27% for radioactive tracking and 100% for GAINS. Tumor margin status was accurately predicted by GAINS in all three patients, including clear margins in patients 1 and 2 and positive margins in patient 3 as confirmed by paraffin embedded section histopathology. Conclusions The optical see-through GAINS prototype enhances near infrared fluorescence-guided surgery for sentinel lymph node biopsy and tumor margin assessment in breast cancer patients without disrupting the surgical workflow in the operating room. PMID:28213790

Optical See-Through Cancer Vision Goggles Enable Direct Patient Visualization and Real-Time Fluorescence-Guided Oncologic Surgery.

PubMed

Mondal, Suman B; Gao, Shengkui; Zhu, Nan; Habimana-Griffin, LeMoyne; Akers, Walter J; Liang, Rongguang; Gruev, Viktor; Margenthaler, Julie; Achilefu, Samuel

2017-07-01

The inability to visualize the patient and surgical site directly, limits the use of current near infrared fluorescence-guided surgery systems for real-time sentinel lymph node biopsy and tumor margin assessment. We evaluated an optical see-through goggle augmented imaging and navigation system (GAINS) for near-infrared, fluorescence-guided surgery. Tumor-bearing mice injected with a near infrared cancer-targeting agent underwent fluorescence-guided, tumor resection. Female Yorkshire pigs received hind leg intradermal indocyanine green injection and underwent fluorescence-guided, popliteal lymph node resection. Four breast cancer patients received 99m Tc-sulfur colloid and indocyanine green retroareolarly before undergoing sentinel lymph node biopsy using radioactive tracking and fluorescence imaging. Three other breast cancer patients received indocyanine green retroareolarly before undergoing standard-of-care partial mastectomy, followed by fluorescence imaging of resected tumor and tumor cavity for margin assessment. Using near-infrared fluorescence from the dyes, the optical see-through GAINS accurately identified all mouse tumors, pig lymphatics, and four pig popliteal lymph nodes with high signal-to-background ratio. In 4 human breast cancer patients, 11 sentinel lymph nodes were identified with a detection sensitivity of 86.67 ± 0.27% for radioactive tracking and 100% for GAINS. Tumor margin status was accurately predicted by GAINS in all three patients, including clear margins in patients 1 and 2 and positive margins in patient 3 as confirmed by paraffin-embedded section histopathology. The optical see-through GAINS prototype enhances near infrared fluorescence-guided surgery for sentinel lymph node biopsy and tumor margin assessment in breast cancer patients without disrupting the surgical workflow in the operating room.

30 CFR 250.1156 - What steps must I take to receive approval to produce within 500 feet of a unit or lease line?

Code of Federal Regulations, 2011 CFR

2011-07-01

... produce within 500 feet of a unit or lease line? 250.1156 Section 250.1156 Mineral Resources BUREAU OF... Prior to Production § 250.1156 What steps must I take to receive approval to produce within 500 feet of... producing from a reservoir within a well that has any portion of the completed interval less than 500 feet...

Fish and wildlife species as sentinels of environmental endocrine disruption

USGS Publications Warehouse

Sheffield, S.R.; Matter, J.M.; Rattner, B.A.; Guiney, P.D.; Kendall, Ronald J.; Dickerson, Richard L.; Giesy, John P.; Suk, William P.

1998-01-01

This chapter provides an overview of the history and criteria for use of captive and free-ranging fish and wildlife (amphibians, reptiles, birds, and mammals) species as sentinels of potential environmental endocrine disruption. Biochemical, behavioral, physiological, immunological, genetic, reproductive, developmental, and ecological correlates of endocrine disruption in these sentinels are presented and reviewed. In addition, data needs to promote better use of sentinel species in the assessment of endocrine disruption are discussed.

The history of sentinel node biopsy in head and neck cancer: From visualization of lymphatic vessels to sentinel nodes.

PubMed

de Bree, Remco; Nieweg, Omgo E

2015-09-01

The aim of this report is to describe the history of sentinel node biopsy in head and neck cancer. Sentinel node biopsy is a minimally invasive technique to select patients for treatment of metastatic lymph nodes in the neck. Although this procedure has only recently been accepted for early oral cancer, the first studies on visualization of the cervical lymphatic vessels were reported in the 1960s. In the 1980s mapping of lymphatic drainage from specific head and neck sites was introduced. Sentinel node biopsy was further developed in the 1990s and after validation in this century the procedure is routinely performed in early oral cancer in several head and neck centers. New techniques may improve the accuracy of sentinel node biopsy further, particularly in difficult subsites like the floor of mouth. Copyright © 2015 Elsevier Ltd. All rights reserved.

Sentinel 2 products and data quality status

NASA Astrophysics Data System (ADS)

Clerc, Sebastien; Gascon, Ferran; Bouzinac, Catherine; Touli-Lebreton, Dimitra; Francesconi, Benjamin; Lafrance, Bruno; Louis, Jerome; Alhammoud, Bahjat; Massera, Stephane; Pflug, Bringfried; Viallefont, Francoise; Pessiot, Laetitia

2017-04-01

Since July 2015, Sentinel-2A provides high-quality multi-spectral images with 10 m spatial resolution. With the launch of Sentinel-2B scheduled for early March 2017, the mission will create a consistent time series with a revisit time of 5 days. The consistency of the time series is ensured by some specific performance requirements such as multi-temporal spatial co-registration and radiometric stability, routinely monitored by the Sentinel-2 Mission Performance Centre (S2MPC). The products also provide a rich set of metadata and auxiliary data to support higher-level processing. This presentation will focus on the current status of the Sentinel-2 L1C and L2A products, including dissemination and product format aspects. Up-to-date mission performance estimations will be presented. Finally we will provide an outlook on the future evolutions: commissioning tasks for Sentinel-2B, geometric refinement, product format and processing improvements.

Evolution of the Copernicus Space Component: preparing for tomorrow

NASA Astrophysics Data System (ADS)

Aschbacher, Josef

2016-04-01

Copernicus, the ambitious and unique worldwide Earth Observation programme led by the EU, ensures the regular observation and monitoring of Earth's atmosphere, oceans, and continental surfaces, and provides reliable, timely and accurate information to support a broad range of environmental and security policies. The space component of Copernicus is composed of a fleet of satellite missions specifically developed to satisfy Copernicus user needs (the Sentinel families) and also of satellites from other space agencies or organisations, not designed originally for Copernicus, but contributing to the programme (Contributing Missions). The data from the Copernicus satellites, along with some in-situ data, feeds a range of information services in six thematic domains: ocean, land, atmosphere, emergency response, climate change and security. The first two Sentinel satellites (an imaging all-weather night-and-day radar mission, called Sentinel-1, and a high resolution multi-spectral optical mission, Sentinel-2) have already been launched in 2014 and 2015, respectively. The third one (a multi-instrument global sea/land monitoring mission, called Sentinel-3) will be launched in the next weeks. The remaining families will join in the following years and will cover all environmental domains: Sentinel-4, Sentinel-5 precursor and Sentinel-5 will be aimed at monitoring the air quality, stratospheric ozone and solar radiation at high temporal and spatial resolution, while Sentinel-6 will provide high precision ocean altimetry measurements. With two spacecraft of each Sentinel type flying simultaneously and two additional identical spacecraft in the making to replace the first couples at the end of their lifetimes, the provision of environmental information of our planet will be guaranteed until at least 2035. In the meantime, new priorities have been introduced in the EU policies arising from recent events in Europe and new societal needs; migration issue, better management of EU external borders, natural resources handling and climate change among others. Copernicus has therefore to respond to the dynamics of the EU policies' priorities with the required rapidity and flexibility, bringing concrete results in terms of information and growth (Sentinels' evolution) and, at the same time, taking account of the continuity of existing Sentinels data and Services (Second Generation). The Sentinels' evolution, more time stringent than the Second Generation, is a joint EU-ESA endeavour just started concerning a CO2 monitoring mission. Other domains/techniques under investigation for future missions are: polar ice/ocean interferometric altimetry, thermal Infrared, soil moisture or hyper-spectral land imaging. This presentation will therefore give an overview of the current status and future perspectives of the Copernicus space component.

Citrullus lanatus 'sentinel' (watermelon) extract reduces atherosclerosis in LDL receptor-deficient mice.

PubMed

Poduri, Aruna; Rateri, Debra L; Saha, Shubin K; Saha, Sibu; Daugherty, Alan

2013-05-01

Watermelon (Citrullus lanatus or C. lanatus) has many potentially bioactive compounds including citrulline, which may influence atherosclerosis. In this study, we determined the effects of C. lanatus, provided as an extract of the cultivar 'sentinel,' on hypercholesterolemia-induced atherosclerosis in mice. Male low-density lipoprotein receptor-deficient mice at 8 weeks old were given either C. lanatus 'sentinel' extract (2% vol/vol; n=10) or a mixture of matching carbohydrates (2% vol/vol; n=8) as the control in drinking water while being fed a saturated fat-enriched diet for 12 weeks ad libitum. Mice consuming C. lanatus 'sentinel' extract had significantly increased plasma citrulline concentrations. Systolic blood pressure was comparable between the two groups. Consumption of C. lanatus 'sentinel' extract led to lower body weight and fat mass without influencing lean mass. There were no differences in food and water intake and in urine output between the two groups. C. lanatus 'sentinel' extract administration decreased plasma cholesterol concentrations that were attributed to reductions of intermediate-/low-density lipoprotein cholesterol. Plasma concentrations of monocyte chemoattractant protein-1 and interferon-gamma were decreased and those of interleukin-10 were increased in mice consuming C. lanatus 'sentinel' extract. Intake of C. lanatus 'sentinel' extract resulted in reductions of atherosclerosis in both aortic arch and thoracic regions. In conclusion, consumption of C. lanatus 'sentinel' extract led to reduced body weight gain, decreased plasma cholesterol concentrations, improved homeostasis of pro- and anti-inflammatory cytokines, and attenuated development of atherosclerosis without affecting systolic blood pressure in hypercholesterolemic mice. Copyright © 2013 Elsevier Inc. All rights reserved.

[Application of digital 3D technique combined with nanocarbon-aided navigation in endoscopic sentinel lymph node biopsy for breast cancer].

PubMed

Zhang, Pu-Sheng; Luo, Yun-Feng; Yu, Jin-Long; Fang, Chi-Hua; Shi, Fu-Jun; Deng, Jian-Wen

2016-08-20

To study the clinical value of digital 3D technique combined with nanocarbon-aided navigation in endoscopic sentinel lymph node biopsy for breast cancer. Thirty-nine female patients with stage I/II breast cancer admitted in our hospital between September 2014 and September 2015 were recruited. CT lymphography data of the patients were segmented to reconstruct digital 3D models, which were imported into FreeForm Modeling Surgical System Platform for visual simulation surgery before operation. Endoscopic sentinel lymph node biopsy and endoscopic axillary lymph node dissection were then carried out, and the accuracy and clinical value of digital 3D technique in endoscopic sentinel lymph node biopsy were analyzed. s The 3D models faithfully represented the surgical anatomy of the patients and clearly displayed the 3D relationship among the sentinel lymph nodes, axillary lymph nodes, axillary vein, pectoralis major, pectoralis minor muscle and latissimus dorsi. In the biopsy, the detection rate of sentinel lymph nodes was 100% in the patients with a coincidence rate of 87.18% (34/39), a sensitivity of 91.67% (11/12), and a false negative rate of 8.33% (1/12). Complications such as limb pain, swelling, wound infection, and subcutaneouseroma were not found in these patients 6 months after the operation. Endoscopic sentinel lymph node biopsy assisted by digital 3D technique and nanocarbon-aided navigation allows a high detection rate of sentinel lymph nodes with a high sensitivity and a low false negative rate and can serve as a new method for sentinel lymph node biopsy for breast cancer.

Utilization of sentinel lymph node biopsy for uterine cancer.

PubMed

Wright, Jason D; Cham, Stephanie; Chen, Ling; Burke, William M; Hou, June Y; Tergas, Ana I; Desai, Vrunda; Hu, Jim C; Ananth, Cande V; Neugut, Alfred I; Hershman, Dawn L

2017-06-01

To limit the potential short and long-term morbidity of lymphadenectomy, sentinel lymph node biopsy has been proposed for endometrial cancer. The principle of sentinel lymph node biopsy relies on removal of a small number of lymph nodes that are the first drainage basins from a tumor and thus the most likely to harbor tumor cells. While the procedure may reduce morbidity, efficacy data are limited and little is known about how commonly the procedure is performed. We examined the patterns and predictors of use of sentinel lymph node biopsy and outcomes of the procedure in women with endometrial cancer who underwent hysterectomy. We used the Perspective database to identify women with uterine cancer who underwent hysterectomy from 2011 through 2015. Billing and charge codes were used to classify women as having undergone lymphadenectomy, sentinel lymph node biopsy, or no nodal assessment. Multivariable models were used to examine clinical, demographic, and hospital characteristics with use of sentinel lymph node biopsy. Length of stay and cost were compared among the different methods of nodal assessment. Among 28,362 patients, 9327 (32.9%) did not undergo nodal assessment, 17,669 (62.3%) underwent lymphadenectomy, and 1366 (4.8%) underwent sentinel lymph node biopsy. Sentinel lymph node biopsy was performed in 1.3% (95% confidence interval, 1.0-1.6%) of abdominal hysterectomies, 3.4% (95% confidence interval, 2.7-4.1%) of laparoscopic hysterectomies, and 7.5% (95% confidence interval, 7.0-8.0%) of robotic-assisted hysterectomies. In a multivariable model, more recent year of surgery was associated with performance of sentinel lymph node biopsy. Compared to abdominal hysterectomy, those undergoing laparoscopic (adjusted risk ratio, 2.45; 95% confidence interval, 1.89-3.18) and robotic-assisted (adjusted risk ratio, 2.69; 95% confidence interval, 2.19-3.30) hysterectomy were more likely to undergo sentinel lymph node biopsy. Among women who underwent minimally invasive hysterectomy, length of stay and cost were lower for sentinel lymph node biopsy compared to lymphadenectomy. The use of sentinel lymph node biopsy for endometrial cancer increased from 2011 through 2015. The increased use was most notable in women who underwent a robotic-assisted hysterectomy. Copyright © 2017 Elsevier Inc. All rights reserved.

Operational marine products from Copernicus Sentinel-3 mission

NASA Astrophysics Data System (ADS)

Tomazic, Igor; Montagner, Francois; O'Carroll, Anne; Kwiatkowska, Ewa; Scharroo, Remko; Nogueira Loddo, Carolina; Martin-Puig, Cristina; Bonekamp, Hans; Lucas, Bruno; Dinardo, Salvatore; Dash, Prasanjit; Taberner, Malcolm; Coto Cabaleiro, Eva; Santacesaria, Vincenzo; Wilson, Hilary

2017-04-01

The first Copernicus Sentinel-3 satellite, Sentinel-3A, was launched in early 2016, with the mission to provide a consistent, long-term collection of marine and land data for operational analysis, forecasting and environmental and climate monitoring. The marine centre is part of the Sentinel-3 Payload Data Ground Segment, located at EUMETSAT. This centre together with the existing EUMETSAT facilities provides a routine centralised service for operational meteorology, oceanography, and other Sentinel-3 marine users as part of the European Commission's Copernicus programme. The EUMETSAT marine centre delivers operational Sea Surface Temperature, Ocean Colour and Sea Surface Topography data products based on the measurements from the Sea and Land Surface Temperature Radiometer (SLSTR), Ocean and Land Colour Instrument (OLCI) and Synthetic Aperture Radar Altimeter (SRAL), respectively, all aboard Sentinel-3. All products have been developed together with ESA and industry partners and EUMETSAT is responsible for the production, distribution, and future evolution of Level-2 marine products. We will give an overview of the scientific characteristics and algorithms of all marine Level-2 products, as well as instrument calibration and product validation results based on on-going Sentinel-3 Cal/Val activities. Information will be also provided about the current status of the product dissemination and the future evolutions that are envisaged. Also, we will provide information how to access Sentinel-3 data from EUMETSAT and where to look for further information.

Sentinel Lymph Node Biopsy After Neoadjuvant Chemotherapy in Patients With an Initial Diagnosis of Cytology-Proven Lymph Node-Positive Breast Cancer.

PubMed

Enokido, Katsutoshi; Watanabe, Chie; Nakamura, Seigo; Ogiya, Akiko; Osako, Tomo; Akiyama, Futoshi; Yoshimura, Akiyo; Iwata, Hiroji; Ohno, Shinji; Kojima, Yasuyuki; Tsugawa, Koichiro; Motomura, Kazuyoshi; Hayashi, Naoki; Yamauchi, Hideko; Sato, Nobuaki

2016-08-01

Sentinel lymph node biopsy (SNB) is the standard treatment of node-negative breast cancer; however, whether SNB should be performed for patients with node-positive disease before neoadjuvant chemotherapy (NAC) is controversial. We evaluated the accuracy of SNB after NAC in patients with breast cancer with nodal metastasis before chemotherapy to determine the false-negative rate (FNR) and detection rate for SNB. In the present multicenter prospective study performed from September 2011 to April 2013, 143 patients with breast cancer and positive axillary nodes, proved by fine needle aspiration cytology at the initial diagnosis (stage T1-T3N1M0), were enrolled. All patients underwent breast surgery with SNB and complete axillary lymph node dissection. After NAC, the pathologic complete nodal response rate was 52.4%. The sentinel lymph node could be identified in 130 cases (90.9%); the FNR was 16.0% (13 of 81). The FNR of each clinical subtype was 42.1% (8 of 19) for the estrogen receptor-positive and human epithelial growth factor 2 (HER2)-negative (luminal type), 16.7% (2 of 12) for ER-positive and HER2-positive (luminal-HER2 type), 3.2% (1 of 31) for HER2-positive (HER2-enriched type), and 10.5% (2 of 19) for ER-negative and HER2-negative (triple-negative breast cancer; P = .003). The FNR was significantly greater in the luminal than in the nonluminal type (odds ratio, 9.91; 95% confidence interval, 6.77-14.52). SNB after NAC in patients with initially node-positive breast cancer was technically feasible but should not be recommended for the luminal subtype. However, the tumor subtype can guide patient selection, and axillary lymph node dissection could be omitted for the luminal-HER2, HER2-enriched, and triple-negative breast cancer subtypes. Copyright © 2016 The Authors. Published by Elsevier Inc. All rights reserved.

Impact of Completion Lymph Node Dissection on Patients with Positive Sentinel Lymph Node Biopsy in Melanoma

PubMed Central

Lee, David Y; Lau, Briana J; Huynh, Kelly T; Flaherty, Devin C; Lee, Ji-Hey; Stern, Stacey L; Day, Steve J O'; Foshag, Leland J; Faries, Mark B

2016-01-01

Background The need for complete lymph node dissection (CLND) in patients with positive sentinel lymph node biopsy (SNB) is an important unanswered clinical question. Study Design Patients diagnosed with positive SNB at a melanoma referral center from 1991 to 2013 were studied. Outcomes of patients who underwent CLND were compared to those who did not undergo immediate CLND (observation group, OBS). Results There were 471 patients who had positive SNB; 375 (79.6%) in the CLND group and 96 (20.4%) in the OBS group. The groups were similar except that the CLND group was younger and had more sentinel nodes removed. Five-year nodal recurrence free survival was significantly better in the CLND group compared to the OBS group (93.1% vs 84.4%, p= 0.005). However, the 5- (66.4% vs 55.2%) and 10- year (59.5% vs 45.0%) distant metastasis free survival was not significantly different (p= 0.061). The CLND group's melanoma specific survival (MSS) was superior to the OBS group; 5 year MSS was (73.7 vs 65.5%) and10 year MSS- (66.8 vs 48.3%, p=0.015). On multivariate analysis, CLND was associated with improved MSS (HR 0.60, 95% CI 0.40-0.89, p= 0.011) and lower nodal recurrence (HR 0.46, 95% CI 0.24-0.86, p=0.016). Increased Breslow thickness, older age, ulceration, and trunk melanoma were all associated with worse outcomes. On subgroup analysis, following factors were associated with better outcomes from CLND- male gender, non-ulcerated primary, intermediate thickness, Clark level IV or lower extremity tumors. Conclusions Treatment of positive SNB with CLND was associated with improved MSS and nodal recurrence rate. Follow up beyond 5 years was needed to see a significant difference in MSS. PMID:27236435

A prediction tool incorporating the biomarker S-100B for patient selection for completion lymph node dissection in stage III melanoma.

PubMed

Damude, S; Wevers, K P; Murali, R; Kruijff, S; Hoekstra, H J; Bastiaannet, E

2017-09-01

Completion lymph node dissection (CLND) in sentinel node (SN)-positive melanoma patients is accompanied with morbidity, while about 80% yield no additional metastases in non-sentinel nodes (NSNs). A prediction tool for NSN involvement could be of assistance in patient selection for CLND. This study investigated which parameters predict NSN-positivity, and whether the biomarker S-100B improves the accuracy of a prediction model. Recorded clinicopathologic factors were tested for their association with NSN-positivity in 110 SN-positive patients who underwent CLND. A prediction model was developed with multivariable logistic regression, incorporating all predictive factors. Five models were compared for their predictive power by calculating the Area Under the Curve (AUC). A weighted risk score, 'S-100B Non-Sentinel Node Risk Score' (SN-SNORS), was derived for the model with the highest AUC. Besides, a nomogram was developed as visual representation. NSN-positivity was present in 24 (21.8%) patients. Sex, ulceration, number of harvested SNs, number of positive SNs, and S-100B value were independently associated with NSN-positivity. The AUC for the model including all these factors was 0.78 (95%CI 0.69-0.88). SN-SNORS was the sum of scores for the five parameters. Scores of ≤9.5, 10-11.5, and ≥12 were associated with low (0%), intermediate (21.0%) and high (43.2%) risk of NSN involvement. A prediction tool based on five parameters, including the biomarker S-100B, showed accurate risk stratification for NSN-involvement in SN-positive melanoma patients. If validated in future studies, this tool could help to identify patients with low risk for NSN-involvement. Copyright © 2017 Elsevier Ltd, BASO ~ The Association for Cancer Surgery, and the European Society of Surgical Oncology. All rights reserved.

Estimation and mapping of above-ground biomass of mangrove forests and their replacement land uses in the Philippines using Sentinel imagery

NASA Astrophysics Data System (ADS)

Castillo, Jose Alan A.; Apan, Armando A.; Maraseni, Tek N.; Salmo, Severino G.

2017-12-01

The recent launch of the Sentinel-1 (SAR) and Sentinel-2 (multispectral) missions offers a new opportunity for land-based biomass mapping and monitoring especially in the tropics where deforestation is highest. Yet, unlike in agriculture and inland land uses, the use of Sentinel imagery has not been evaluated for biomass retrieval in mangrove forest and the non-forest land uses that replaced mangroves. In this study, we evaluated the ability of Sentinel imagery for the retrieval and predictive mapping of above-ground biomass of mangroves and their replacement land uses. We used Sentinel SAR and multispectral imagery to develop biomass prediction models through the conventional linear regression and novel Machine Learning algorithms. We developed models each from SAR raw polarisation backscatter data, multispectral bands, vegetation indices, and canopy biophysical variables. The results show that the model based on biophysical variable Leaf Area Index (LAI) derived from Sentinel-2 was more accurate in predicting the overall above-ground biomass. In contrast, the model which utilised optical bands had the lowest accuracy. However, the SAR-based model was more accurate in predicting the biomass in the usually deficient to low vegetation cover non-forest replacement land uses such as abandoned aquaculture pond, cleared mangrove and abandoned salt pond. These models had 0.82-0.83 correlation/agreement of observed and predicted value, and root mean square error of 27.8-28.5 Mg ha-1. Among the Sentinel-2 multispectral bands, the red and red edge bands (bands 4, 5 and 7), combined with elevation data, were the best variable set combination for biomass prediction. The red edge-based Inverted Red-Edge Chlorophyll Index had the highest prediction accuracy among the vegetation indices. Overall, Sentinel-1 SAR and Sentinel-2 multispectral imagery can provide satisfactory results in the retrieval and predictive mapping of the above-ground biomass of mangroves and the replacement non-forest land uses, especially with the inclusion of elevation data. The study demonstrates encouraging results in biomass mapping of mangroves and other coastal land uses in the tropics using the freely accessible and relatively high-resolution Sentinel imagery.

Assimilation of Sentinel-1 and SMAP observations to improve GEOS-5 soil moisture

NASA Astrophysics Data System (ADS)

Lievens, Hans; Reichle, Rolf; Wagner, Wolfgang; De Lannoy, Gabrielle; Liu, Qing; Verhoest, Niko

2017-04-01

The SMAP (Soil Moisture Active and Passive) mission carries an L-band radiometer that provides brightness temperature observations at a nominal resolution of 40 km. These radiance observations are routinely assimilated into GEOS-5 (Goddard Earth Observing System version 5) to generate the SMAP Level 4 Soil Moisture product. The use of C-band radar backscatter observations from Sentinel-1 has the potential to add value to the radiance assimilation by increasing the level of spatial detail. The specifications of Sentinel-1 are appealing, particularly its high spatial resolution (5 by 20 m in interferometric wide swath mode) and frequent revisit time (potentially every 3 days for the Sentinel-1A and Sentinel-1B constellation). However, the shorter wavelength of Sentinel-1 observations implies less sensitivity to soil moisture. This study investigates the value of Sentinel-1 data for hydrologic simulations by assimilating the radar observations into GEOS-5, either separately from or simultaneously with SMAP radiometer observations. The assimilation can be performed if either or both Sentinel-1 or SMAP observations are available, and is thus not restricted to synchronised overpasses. To facilitate the assimilation of the radar observations, GEOS-5 is coupled to the water cloud model, simulating the radar backscatter as observed by Sentinel-1. The innovations, i.e. differences between observations and simulations, are converted into increments to the model soil moisture state through an Ensemble Kalman Filter. The model runs are performed at 9-km spatial and 3-hourly temporal resolution, over the period from May 2015 to October 2016. The impact of the assimilation on surface and root-zone soil moisture simulations is assessed using in situ measurements from SMAP core validation sites and sparse networks. The assimilation of Sentinel-1 backscatter is found to consistently improve surface and root-zone soil moisture, relative to the open loop (no assimilation). However, the improvements are less pronounced than those with the assimilation of SMAP observations, likely because of less frequent observations. The best performance was obtained with the simultaneous assimilation of Sentinel-1 and SMAP data, indicating the complementary value of both types of observations for improving hydrologic simulations.

Sentinel-2 data exploitation with ESA's Sentinel-2 Toolbox

NASA Astrophysics Data System (ADS)

Gascon, Ferran; Ramoino, Fabrizzio; deanos, Yves-louis

2017-04-01

The Sentinel-2 Toolbox is a project kicked off by ESA in early 2014, under the umbrella of the ESA SEOM programme with the aim to provide a tool for visualizing, analysing, and processing the Sentinel-2 datasets. The toolbox is an extension of the SeNtinel Application Platform (SNAP), a project resulting from the effort of the developers of the Sentinel-1, Sentinel-2 and Sentinel-3 toolbox to provide a single common application framework suited for the mixed exploitation of SAR, high resolution optical and medium resolution optical datasets. All three development teams collaborate to drive the evolution of the common SNAP framework in a developer forum. In this triplet, the Sentinel-2 toolbox is dedicated to enhance SNAP support for high resolution optical imagery. It is a multi-mission toolbox, already providing support for Sentinel-2, RapidEye, Deimos, SPOT 1 to SPOT 5 datasets. In terms of processing algorithms, SNAP provides tools specific to the Sentinel-2 mission : • An atmospheric correction module, Sen2Cor, is integrated into the toolbox, and provides scene classification, atmospheric correction, cirrus detection and correction. The output L2A products can be opened seamlessly in the toolbox. • A multitemporal synthesis processor (L3) • A biophysical products processor (L2B) • A water processor • A deforestation detector • OTB tools integration • SNAP Engine for Cloud Exploitation along with a set of more generic tools for high resolution optical data exploitation. Together with the generic functionalities of SNAP this provides an ideal environment for designing multi-missions processing chains and producing value-added products from raw datasets. The use of SNAP is manifold and the desktop tools provides a rich application for interactive visualization, analysis and processing of data. But all tools available from SNAP can be accessed via command-line through the Graph Processing Framework (GPT), the kernel of the SNAP processing engine. This makes it a perfect candidate for driving the processing of data on servers for bulk processing.

FIGO stage IIIC endometrial cancer identification among patients with complex atypical hyperplasia, grade 1 and 2 endometrioid endometrial cancer: laparoscopic indocyanine green sentinel lymph node mapping versus frozen section of the uterus, why get around the problem?

PubMed

Papadia, Andrea; Gasparri, Maria Luisa; Siegenthaler, Franziska; Imboden, Sara; Mohr, Stefan; Mueller, Michael D

2017-03-01

To compare two surgical strategies used to identify lymph node metastases in patients with preoperative diagnosis of complex atypical hyperplasia (CAH), grade 1 and 2 endometrial cancer (EC). Data on patients with preoperative diagnosis of CAH, grade 1 and 2 EC undergoing laparoscopic indocyanine green (ICG) sentinel lymph node (SLN) mapping followed by frozen section of the uterus were collected. When risk factors were identified at frozen section, patients were subjected to a systematic lymphadenectomy. False negative (FN) rates, negative predictive values (NPV), positive predictive values (PPV) and correlation with stage IIIC EC were calculated for the systematic lymphadenectomy based on frozen section of the uterus and for the SLN mapping. Six (9.5%) out of 63 patients had lymph nodal metastases. Based on frozen section of the uterus, 22 (34.9%) and 15 (22.2%) patients underwent a pelvic and a pelvic and paraaortic lymphadenectomy, respectively. Five patients with stage IIIC disease were identified with a FN rate of 16.7% and a NPV and PPV of 97.6 and 27.3%, respectively. Overall and bilateral detection rates of ICG SLN mapping were 100 and 97.6%, respectively; no FN were recorded. The identification of patients with stage IIIC disease with ICG SLN mapping showed a NPV and PPV of 100%. Correlation between indication to lymphadenectomy and stage IIIC disease was poor (κ = 0.244) when based on frozen section of the uterus and excellent (κ = 1) when based on SLN mapping. ICG SLN mapping reduces the number of unnecessary systematic lymphadenectomies and the risk of underdiagnosing patients with metastatic lymph nodes.

Sentinel-3 coverage-driven mission design: Coupling of orbit selection and instrument design

NASA Astrophysics Data System (ADS)

Cornara, S.; Pirondini, F.; Palmade, J. L.

2017-11-01

The first satellite of the Sentinel-3 series was launched in February 2016. Sentinel-3 payload suite encompasses the Ocean and Land Colour Instrument (OLCI) with a swath of 1270 km, the Sea and Land Surface Temperature Radiometer (SLSTR) yielding a dual-view scan with swaths of 1420 km (nadir) and 750 km (oblique view), the Synthetic Aperture Radar Altimeter (SRAL) working in Ku-band and C-band, and the dual-frequency Microwave Radiometer (MWR). In the early stages of mission and system design, the main driver for the Sentinel-3 reference orbit selection was the requirement to achieve a revisit time of two days or less globally over ocean areas with two satellites (i.e. 4-day global coverage with one satellite). The orbit selection was seamlessly coupled with the OLCI instrument design in terms of field of view (FoV) definition driven by the observation zenith angle (OZA) and sunglint constraints applied to ocean observations. The criticality of the global coverage requirement for ocean monitoring derives from the sunglint phenomenon, i.e. the impact on visible channels of the solar ray reflection on the water surface. This constraint was finally overcome thanks to the concurrent optimisation of the orbit parameters, notably the Local Time at Descending Node (LTDN), and the OLCI instrument FoV definition. The orbit selection process started with the identification of orbits with short repeat cycle (2-4 days), firstly to minimise the time required to achieve global coverage with existing constraints, and then to minimise the swath required to obtain global coverage and the maximum required OZA. This step yielded the selection of a 4-day repeat cycle orbit, thus allowing 2-day coverage with two adequately spaced satellites. Then suitable candidate orbits with higher repeat cycles were identified in the proximity of the selected altitudes and the reference orbit was ultimately chosen. Rationale was to keep the swath for global coverage as close as possible to the previous optimum value, but to tailor the repeat cycle length (i.e. the ground-track grid) to optimise the topography mission performances. The final choice converged on the sun-synchronous orbit 14 + 7/27, reference altitude ∼800 km, LTDN = 10h00. Extensive coverage analyses were carried out to characterise the mission performance and the fulfilment of the requirements, encompassing revisit time, number of acquisitions, observation viewing geometry and swath properties. This paper presents a comprehensive overview of the Sentinel-3 orbit selection, starting from coverage requirements and highlighting the close interaction with the instrument design activity.

The Basic Radar Altimetry Toolbox for Sentinel 3 Users

NASA Astrophysics Data System (ADS)

Lucas, Bruno; Rosmorduc, Vinca; Niemeijer, Sander; Bronner, Emilie; Dinardo, Salvatore; Benveniste, Jérôme

2013-04-01

The Basic Radar Altimetry Toolbox (BRAT) is a collection of tools and tutorial documents designed to facilitate the processing of radar altimetry data. This project started in 2006 from the joint efforts of ESA (European Space Agency) and CNES (Centre National d'Etudes Spatiales). The latest version of the software, 3.1, was released on March 2012. The tools enable users to interact with the most common altimetry data formats, being the most used way, the Graphical User Interface (BratGui). This GUI is a front-end for the powerful command line tools that are part of the BRAT suite. BRAT can also be used in conjunction with Matlab/IDL (via reading routines) or in C/C++/Fortran via a programming API, allowing the user to obtain desired data, bypassing the data-formatting hassle. The BratDisplay (graphic visualizer) can be launched from BratGui, or used as a stand-alone tool to visualize netCDF files - it is distributed with another ESA toolbox (GUT) as the visualizer. The most frequent uses of BRAT are teaching remote sensing, altimetry data reading (all missions from ERS-1 to Saral and soon Sentinel-3), quick data visualization/export and simple computation on the data fields. BRAT can be used for importing data and having a quick look at his contents, with several different types of plotting available. One can also use it to translate the data into other formats such as netCDF, ASCII text files, KML (Google Earth) and raster images (JPEG, PNG, etc.). Several kinds of computations can be done within BratGui involving combinations of data fields that the user can save for posterior reuse or using the already embedded formulas that include the standard oceanographic altimetry formulas (MSS, -SSH, MSLA, editing of spurious data, etc.). The documentation collection includes the standard user manual explaining all the ways to interact with the set of software tools but the most important item is the Radar Altimeter Tutorial, that contains a strong introduction to altimetry, showing its applications in different fields such as Oceanography, Cryosphere, Geodesy, Hydrology among others. Included are also "data use cases", with step-by-step examples, on how to use the toolbox in the different contexts. The upcoming release that is on the forge will focus on Sentinel 3 Surface Topography Mission that is build on the successful heritage of ERS, Envisat and Cryosat. The first of the two sentinel is expected to be launched in 2014. It will have on-board a dual-frequency (Ku and C band) advanced Synthetic Aperture Radar Altimeter and will provide measurements at a resolution of ~300m in SAR mode along track. Sentinel 3 will provide exact measurements of sea-surface height along with accurate topography measurements over sea ice, ice sheets, rivers and lakes. The future version will provide, among other enhancements, support for reading the upcoming S3 datasets and specific "use-cases" for SAR altimetry in order to train the users and made them aware of the great potential of SAR altimetery for coastal and inland applications. The BRAT software is distributed under the GNU GPL open-source license and can be obtained, along with all the documentation (including the tutorial), on the webstite: http://earth.esa.int/brat

A Phenology-based Approach for Rice Crop Mapping from Multi-temporal Sentinel-1A Data in Taiwan

NASA Astrophysics Data System (ADS)

Chen, C. F.; Chen, J. B.; Nguyen, S. T.; Chen, C. R.; Chiang, S. H.

2016-12-01

Rice is the most important food crop in Taiwan, accounting for approximately 5% (166,616 ha) of the total cultivated area. Besides its nutritional value, rice agriculture remains the primary source of livelihood for the majority of rural populations in the country. Rice monitoring is a crucial activity due to official initiatives to ensure the national food security. Because the size of rice fields in Taiwan is relatively small, rice monitoring is traditionally implemented through time-consuming and costly visual interpretation of aerial photos. The Sentinel-1A launched on 3 April 2014 provides the data that have sufficient spatial and temporal resolutions (i.e., 10 m resolution and 12-day revisit cycle) for monitoring small patches of rice fields in the country. This study aimed to develop a phenology-based approach to map rice-growing areas in Taiwan from multi-temporal descending Sentinel-1A VH and VV data. The data were processed for the second rice cropping season (July‒December) in 2015, consisting four main steps: (1) data pre-processing, including radiometric and geometric corrections, and speckle noise filtering of the VH and VV backscattering coefficient data, (2) normalization difference sigma-naught index (NDSI) calculation based on the sowing and heading periods obtained from the analysis of rice crop phenology in the region, (3) threshold-based rice classification using the expectation-maximization method, and (4) accuracy assessment of the mapping results. The mapping results compared with the ground reference data indicated that the overall accuracies and Kappa coefficients achieved for the VH data were 92.0% and 0.84, while the values for the VV data were 81.1% and 0.62, respectively. The mapping results further verified with the government's rice area statistics reaffirmed the consistency between these two datasets with the root mean square error (RMSE) less than 1%, in both cases. This study demonstrates the potential application of multi-temporal Sentinel-1A data for rice crop monitoring in Taiwan using information of rice crop phenology. The methods were thus proposed for rice monitoring in the country and other regions around the world.

Snow Cover Mapping and Ice Avalanche Monitoring from the Satellite Data of the Sentinels

NASA Astrophysics Data System (ADS)

Wang, S.; Yang, B.; Zhou, Y.; Wang, F.; Zhang, R.; Zhao, Q.

2018-04-01

In order to monitor ice avalanches efficiently under disaster emergency conditions, a snow cover mapping method based on the satellite data of the Sentinels is proposed, in which the coherence and backscattering coefficient image of Synthetic Aperture Radar (SAR) data (Sentinel-1) is combined with the atmospheric correction result of multispectral data (Sentinel-2). The coherence image of the Sentinel-1 data could be segmented by a certain threshold to map snow cover, with the water bodies extracted from the backscattering coefficient image and removed from the coherence segment result. A snow confidence map from Sentinel-2 was used to map the snow cover, in which the confidence values of the snow cover were relatively high. The method can make full use of the acquired SAR image and multispectral image under emergency conditions, and the application potential of Sentinel data in the field of snow cover mapping is exploited. The monitoring frequency can be ensured because the areas obscured by thick clouds are remedied in the monitoring results. The Kappa coefficient of the monitoring results is 0.946, and the data processing time is less than 2 h, which meet the requirements of disaster emergency monitoring.

Human and Animal Sentinels for Shared Health Risks

PubMed Central

Rabinowitz, Peter; Scotch, Matthew; Conti, Lisa

2009-01-01

Summary The tracking of sentinel health events in humans in order to detect and manage disease risks facing a larger population is a well accepted technique applied to influenza, occupational conditions, and emerging infectious diseases. Similarly, animal health professionals routinely track disease events in sentinel animal colonies and sentinel herds. The use of animals as sentinels for human health threats, or of humans as sentinels for animal disease risk, dates back at least to the era when coal miners brought caged canaries into mines to provide early warning of toxic gases. Yet the full potential of linking animal and human health information to provide warning of such “shared risks” from environmental hazards has not been realized. Reasons appear to include the professional segregation of human and animal health communities, the separation of human and animal surveillance data, and evidence gaps in the linkages between human and animal responses to environmental health hazards. The One Health initiative and growing international collaboration in response to pandemic threats, coupled with development the fields of informatics and genomics, hold promise for improved sharing of knowledge about sentinel events in order to detect and reduce environmental health threats shared between species. PMID:20148187

Clinical relevance of sentinel lymph node status examined with conventional histology and molecular biology.

PubMed

Micciolo, Rocco; Boi, Sebastiana; Paoli, Loredana; Cristofolini, Paolo; Girlando, Salvatore; Dalla Palma, Paolo; Cristofolini, Mario

2009-01-01

The presence of nodal metastases in patients with primary cutaneous melanoma adversely affects the biological behavior and is related to a poor prognosis. The role of sentinel lymph node biopsy is still debated. The aim of this study was to evaluate the prognostic role of sentinel lymph node biopsy with respect to disease-free period and overall survival. Patients with invasive cutaneous melanoma who underwent sentinel lymph node biopsy in the Santa Chiara Hospital of Trento between October 1997 and December 2002 were evaluated. The lymph nodes were examined with conventional histology, S100 and tyrosinase in immunohistochemistry, and tyrosinase in molecular biology. There were 144 patients with 198 sentinel lymph nodes. A significant association was found in conventional histology with Clark level and Breslow thickness. The prognostic role of sentinel lymph node status was independent of the other considered variables. However, no significant association was found with the molecular biology test. A significant excess of positive results at molecular biology was found. Sentinel lymph node biopsy is an important independent prognostic factor for invasive cutaneous melanoma, but only when evaluated with conventional histology. As a result of this study, we stopped performing the tyrosinase test in molecular biology.

The added value of a portable gamma camera for intraoperative detection of sentinel lymph node in squamous cell carcinoma of the oral cavity: A case report.

PubMed

Mayoral, M; Paredes, P; Sieira, R; Vidal-Sicart, S; Marti, C; Pons, F

2014-01-01

The use of sentinel lymph node biopsy in squamous cell carcinoma of the oral cavity is still subject to debate although some studies have reported its feasibility. The main reason for this debate is probably due to the high false-negative rate for floor-of-mouth tumors per se. We report the case of a 54-year-old man with a T1N0 floor-of-mouth squamous cell carcinoma who underwent the sentinel lymph node procedure. Lymphoscintigraphy and SPECT/CT imaging were performed for lymphatic mapping with a conventional gamma camera. Sentinel lymph nodes were identified at right Ib, left IIa and Ia levels. However, these sentinel lymph nodes were difficult to detect intraoperatively with a gamma probe owing to the activity originating from the injection site. The use of a portable gamma camera made it possible to localize and excise all the sentinel lymph nodes. This case demonstrates the usefulness of this tool to improve sentinel lymph node detecting in floor-of-mouth tumors, especially those close to the injection area. Copyright © 2013 Elsevier España, S.L. and SEMNIM. All rights reserved.

A critical review of variables affecting the accuracy and false-negative rate of sentinel node biopsy procedures in early breast cancer.

PubMed

Vijayakumar, Vani; Boerner, Philip S; Jani, Ashesh B; Vijayakumar, Srinivasan

2005-05-01

Radionuclide sentinel lymph node localization and biopsy is a staging procedure that is being increasingly used to evaluate patients with invasive breast cancer who have clinically normal axillary nodes. The most important prognostic indicator in patients with invasive breast cancer is the axillary node status, which must also be known for correct staging, and influences the selection of adjuvant therapies. The accuracy of sentinel lymph node localization depends on a number of factors, including the injection method, the operating surgeon's experience and the hospital setting. The efficacy of sentinel lymph node mapping can be determined by two measures: the sentinel lymph node identification rate and the false-negative rate. Of these, the false-negative rate is the most important, based on a review of 92 studies. As sentinel lymph node procedures vary widely, nuclear medicine physicians and radiologists must be acquainted with the advantages and disadvantages of the various techniques. In this review, the factors that influence the success of different techniques are examined, and studies which have investigated false-negative rates and/or sentinel lymph node identification rates are summarized.

Comparison of SPECT/CT and Planar Lympho-scintigraphy in Sentinel Node Biopsies of Oral Cavity Squamous Cell Carcinomas.

PubMed

Chandra, Piyush; Dhake, Sanket; Shah, Sneha; Agrawal, Archi; Purandare, Nilendu; Rangarajan, Venkatesh

2017-01-01

Evidence supporting the use of Sentinel node biopsy (SNB) for nodal staging of early oral squamous cell carcinomas (OSCC) appears to be very promising. Pre-operative lymphatic mapping using planar lymphoscinitigraphy (PL) with or without SPECT/CT in the SNB procedure is useful in sentinel node localization and for planning appropriate surgery. Recently, a large prospective multi-centric study evaluating SNB in cutaneous melanoma, breast and pelvic malignancies, demonstrated that adding SPECT to PL leads to surgical adjustments in a considerable number of patients. Our aim of this study was to evaluate the incremental value of additional SPECT/CT over PL alone in SNB for OSCC. This was a retrospective analysis of 44 patients (40- tongue, 4- buccal mucosa) with T1-T2, clinically N0 oral cavity SCC who underwent sentinel node biopsy procedure. PL and SPECT lymphoscinitigraphy images were compared for pre-operative mapping of sentinel nodes. Using a handheld gamma probe, a total of 179 sentinel nodes were harvested, with a mean of 4.06 per patient. PL revealed 75 hotspots with a mean of 1.70 per patient, and SPECT/CT revealed 92 hotspots with a mean of 2.09 per patient. Additional hotpots were identified in 14 patients on SPECT/CT, which included 4 patients, where PL did not detect any sentinel nodes. Pre-operative SPECT/CT in addition to planar lympho-scinitigraphy in sentinel node biopsies of oral cavity SCC detects more number of sentinel nodes compared to planar imaging alone. The higher sensitivity of SPECT combined with better anatomical localization using diagnostic CT may further improve the precision of SNB procedure.

Zika beyond the Americas: Travelers as sentinels of Zika virus transmission. A GeoSentinel analysis, 2012 to 2016.

PubMed Central

Grobusch, Martin P.; Gautret, Philippe; Kuhn, Susan; Lim, Poh Lian; Yates, Johnnie; McCarthy, Anne E.; Rothe, Camilla; Kato, Yasuyuki; Huber, Kristina; Schwartz, Eli; Shaw, Marc T. M.; Rapp, Christophe; Blumberg, Lucille; Jensenius, Mogens; van Genderen, Perry J. J.

2017-01-01

Background Zika virus (ZIKV) was first isolated in Africa; decades later, caused large outbreaks in the Pacific, and is considered endemic in Asia. We aim to describe ZIKV disease epidemiology outside the Americas, the importance of travelers as sentinels of disease transmission, and discrepancies in travel advisories from major international health organizations. Methods and findings This descriptive analysis using GeoSentinel Surveillance Network records involves sixty-four travel and tropical medicine clinics in 29 countries. Ill returned travelers with a confirmed or probable diagnosis of ZIKV disease acquired in Africa, Asia and the Pacific seen between 1 January 2012 and 31 December 2016 are included, and the frequencies of demographic, trip, and diagnostic characteristics described. ZIKV was acquired in Asia (18), the Pacific (10) and Africa (1). For five countries (Indonesia, Philippines, Thailand, Vietnam, Cameroon), GeoSentinel patients were sentinel markers of recent Zika activity. Additionally, the first confirmed ZIKV infection acquired in Kiribati was reported to GeoSentinel (2015), and a probable case was reported from Timor Leste (April 2016), representing the only case known to date. Review of Zika situation updates from major international health authorities for country risk classifications shows heterogeneity in ZIKV country travel advisories. Conclusions Travelers are integral to the global spread of ZIKV, serving as sentinel markers of disease activity. Although GeoSentinel data are collected by specialized clinics and do not capture all imported cases, we show that surveillance of imported infections by returned travelers augments local surveillance system data regarding ZIKV epidemiology and can assist with risk categorization by international authorities. However, travel advisories are variable due to risk uncertainties. PMID:28973011

Synergy between Sentinel-1 radar time series and Sentinel-2 optical for the mapping of restored areas in Danube delta

NASA Astrophysics Data System (ADS)

Niculescu, Simona; Lardeux, Cédric; Hanganu, Jenica

2018-05-01

Wetlands are important and valuable ecosystems, yet, since 1900, more than 50 % of wetlands have been lost worldwide. An example of altered and partially restored coastal wetlands is the Danube Delta in Romania. Over time, human intervention has manifested itself in more than a quarter of the entire Danube surface. This intervention was brutal and has rendered ecosystem restoration very difficult. Studies for the rehabilitation / re-vegetation were started immediately after the Danube Delta was declared as a Biosphere Reservation in 1990. Remote sensing offers accurate methods for detecting and mapping change in restored wetlands. Vegetation change detection is a powerful indicator of restoration success. The restoration projects use vegetative cover as an important indicator of restoration success. To follow the evolution of the vegetation cover of the restored areas, satellite images radar and optical of last generation have been used, such as Sentinel-1 and Sentinel-2. Indeed the sensor sensitivity to the landscape depends on the wavelength what- ever radar or optical data and their polarization for radar data. Combining this kind of data is particularly relevant for the classification of wetland vegetation, which are associated with the density and size of the vegetation. In addition, the high temporal acquisition frequency of Sentinel-1 which are not sensitive to cloud cover al- low to use temporal signature of the different land cover. Thus we analyse the polarimetric and temporal signature of Sentinel-1 data in order to better understand the signature of the different study classes. In a second phase, we performed classifications based on the Random Forest supervised classification algorithm involving the entire Sentinel-1 time series, then starting from a Sentinel-2 collection and finally involving combinations of Sentinel-1 and -2 data.

Sentinel-2B image quality commissioning phase results and Sentinel2 constellation performances

NASA Astrophysics Data System (ADS)

Languille, F.; Gaudel, A.; Vidal, B.; Binet, R.; Poulain, V.; Trémas, T.

2017-09-01

In the frame of the Copernicus program of the European Commission, Sentinel-2 is a constellation of 2 satellites on a polar sun-synchronous orbit with a revisit time of 5 days (with both satellites), a high field of view - 290km, 13 spectral bands in visible and shortwave infrared, and high spatial resolution - 10m, 20m and 60m. The Sentinel-2 mission offers a global coverage over terrestrial surfaces. The satellites acquire systematically terrestrial surfaces under the same viewing conditions in order to have temporal images stacks. The first satellite was launched in June 2015 and the second in March 2017. In cooperation with the European Space Agency (ESA), the French space agency (CNES) is in charge of the image quality of the project, and so ensured the CAL/VAL commissioning phase during the months following the launch. This cooperation is also extended to routine phase as CNES supports European Space Research Institute (ESRIN) and the Sentinel-2 Mission performance Centre (MPC) for validation in geometric and radiometric image quality aspects, and in Sentinel-2 Global Reference Image (GRI) geolocation performance assessment. This paper points on geometric image quality on Sentinel-2B commissioning phase. It relates to the methods and the performances obtained, as well as the comparison between S2A and S2B. This deals with geolocation and multispectral registration. A small focus is also done on the Sentinel-2 GRI which is a set of S2A images at 10m resolution covering the whole world with a good and consistent geolocation. This ground reference leads to ensure an accurate multi-temporal registration -on refined Sentinel-2 products over GRI- which is also presented in this paper.

Intraoperative Fluorescence Imaging for Detection of Sentinel Lymph Nodes and Lymphatic Vessels during Open Prostatectomy using Indocyanine Green.

PubMed

Yuen, Keiji; Miura, Tetsuya; Sakai, Iori; Kiyosue, Akiko; Yamashita, Masuo

2015-08-01

We investigated the feasibility and validity of intraoperative fluorescence imaging using indocyanine green for the detection of sentinel lymph nodes and lymphatic vessels during open prostatectomy. Indocyanine green was injected into the prostate under transrectal ultrasound guidance just before surgery. Intraoperative fluorescence imaging was performed using a near-infrared camera system in 66 consecutive patients with clinically localized prostate cancer after a 10-patient pilot test to optimize indocyanine green dosing, observation timing and injection method. Lymphatic vessels were visualized and followed to identify the sentinel lymph nodes. Confirmatory pelvic lymph node dissection including all fluorescent nodes and open radical prostatectomy were performed in all patients. Lymphatic vessels were successfully visualized in 65 patients (98%) and sentinel lymph nodes in 64 patients (97%). Sentinel lymph nodes were located in the obturator fossa, internal and external iliac regions, and rarely in the common iliac and presacral regions. A median of 4 sentinel lymph nodes per patient was detected. Three lymphatic pathways, the paravesical, internal and lateral routes, were identified. Pathological examination revealed metastases to 9 sentinel lymph nodes in 6 patients (9%). All pathologically positive lymph nodes were detected as sentinel lymph nodes using this imaging. No adverse reactions due to the use of indocyanine green were observed. Intraoperative fluorescence imaging using indocyanine green during open prostatectomy enables the detection of lymphatic vessels and sentinel lymph nodes with high sensitivity. This novel method is technically feasible, safe and easy to apply with minimal additional operative time. Copyright © 2015 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.

Sentinel Lymphadenectomy in Vulvar Cancer Using Near-Infrared Fluorescence From Indocyanine Green Compared With Technetium 99m Nanocolloid.

PubMed

Soergel, Philipp; Hertel, Hermann; Nacke, Anna Kaarina; Klapdor, Rüdiger; Derlin, Thorsten; Hillemanns, Peter

2017-05-01

Nowadays, sentinel diagnostic is performed using technetium 99m (Tc) nanocolloid as a radioactive marker and sometimes patent blue. In the last years, indocyanine green has been evaluated for sentinel diagnostic in different tumor entities. Indocyanine green is a fluorescent molecule that emits a light signal in the near-infrared band after excitation. Our study aimed to evaluate indocyanine green compared with the criterion-standard Tc-nanocolloid. We included patients with primary, unifocal vulvar cancer of less than 4 cm with clinically node-negative groins in this prospective trial. Sentinel diagnostic was carried out using Tc-nanocolloid, indocyanine green, and patent blue. We examined each groin for light signals from the near-infrared band, for radioactivity, and for blue staining. A sentinel lymph node was defined as a Tc-nanocolloid-positive lymph node. All sentinel lymph nodes and all additional blue or fluorescent lymph nodes were excised and tested and then sent for histologic examination. In all, 27 patients were included in whom we found 91 sentinel lymph nodes in 52 groins. All these lymph nodes were positive for indocyanine green, also giving a sensitivity of 100% (95% confidence interval [CI], 96.0%-100%) compared with Tc-nanocolloid. Eight additional lymph nodes showed indocyanine green fluorescence but no Tc positivity, so that the positive predictive value was 91.9% (95% confidence interval, 84.6%-96.5%). In 1 patient, a false-negative sentinel missed by all 3 modalities was found. Our results show that indocyanine green is a promising approach for inguinal sentinel identification in vulvar cancer with a similar sensitivity as radioactive Tc-nanocolloid and worth to be evaluated in further studies.

Synergetic Use of Sentinel-1 and Sentinel-2 Data for Soil Moisture Mapping at 100 m Resolution.

PubMed

Gao, Qi; Zribi, Mehrez; Escorihuela, Maria Jose; Baghdadi, Nicolas

2017-08-26

The recent deployment of ESA's Sentinel operational satellites has established a new paradigm for remote sensing applications. In this context, Sentinel-1 radar images have made it possible to retrieve surface soil moisture with a high spatial and temporal resolution. This paper presents two methodologies for the retrieval of soil moisture from remotely-sensed SAR images, with a spatial resolution of 100 m. These algorithms are based on the interpretation of Sentinel-1 data recorded in the VV polarization, which is combined with Sentinel-2 optical data for the analysis of vegetation effects over a site in Urgell (Catalunya, Spain). The first algorithm has already been applied to observations in West Africa by Zribi et al., 2008, using low spatial resolution ERS scatterometer data, and is based on change detection approach. In the present study, this approach is applied to Sentinel-1 data and optimizes the inversion process by taking advantage of the high repeat frequency of the Sentinel observations. The second algorithm relies on a new method, based on the difference between backscattered Sentinel-1 radar signals observed on two consecutive days, expressed as a function of NDVI optical index. Both methods are applied to almost 1.5 years of satellite data (July 2015-November 2016), and are validated using field data acquired at a study site. This leads to an RMS error in volumetric moisture of approximately 0.087 m³/m³ and 0.059 m³/m³ for the first and second methods, respectively. No site calibrations are needed with these techniques, and they can be applied to any vegetation-covered area for which time series of SAR data have been recorded.

Synergetic Use of Sentinel-1 and Sentinel-2 Data for Soil Moisture Mapping at 100 m Resolution

PubMed Central

Gao, Qi; Zribi, Mehrez

2017-01-01

The recent deployment of ESA’s Sentinel operational satellites has established a new paradigm for remote sensing applications. In this context, Sentinel-1 radar images have made it possible to retrieve surface soil moisture with a high spatial and temporal resolution. This paper presents two methodologies for the retrieval of soil moisture from remotely-sensed SAR images, with a spatial resolution of 100 m. These algorithms are based on the interpretation of Sentinel-1 data recorded in the VV polarization, which is combined with Sentinel-2 optical data for the analysis of vegetation effects over a site in Urgell (Catalunya, Spain). The first algorithm has already been applied to observations in West Africa by Zribi et al., 2008, using low spatial resolution ERS scatterometer data, and is based on change detection approach. In the present study, this approach is applied to Sentinel-1 data and optimizes the inversion process by taking advantage of the high repeat frequency of the Sentinel observations. The second algorithm relies on a new method, based on the difference between backscattered Sentinel-1 radar signals observed on two consecutive days, expressed as a function of NDVI optical index. Both methods are applied to almost 1.5 years of satellite data (July 2015–November 2016), and are validated using field data acquired at a study site. This leads to an RMS error in volumetric moisture of approximately 0.087 m3/m3 and 0.059 m3/m3 for the first and second methods, respectively. No site calibrations are needed with these techniques, and they can be applied to any vegetation-covered area for which time series of SAR data have been recorded. PMID:28846601

[Selective biopsy of the sentinel lymph node in patients with breast cancer and previous excisional biopsy: is there a change in the reliability of the technique according to time from surgery?].

PubMed

Sabaté-Llobera, A; Notta, P C; Benítez-Segura, A; López-Ojeda, A; Pernas-Simon, S; Boya-Román, M P; Bajén, M T

2015-01-01

To assess the influence of time on the reliability of sentinel lymph node biopsy (SLNB) in breast cancer patients with previous excisional biopsy (EB), analyzing both the sentinel lymph node detection and the lymph node recurrence rate. Thirty-six patients with cT1/T2 N0 breast cancer and previous EB of the lesion underwent a lymphoscintigraphy after subdermal periareolar administration of radiocolloid, the day before SLNB. Patients were classified into two groups, one including 12 patients with up to 29 days elapsed between EB and SLNB (group A), and another with the remaining 24 in which time between both procedures was of 30 days or more (group B). Scintigraphic and surgical detection of the sentinel lymph node, histological status of the sentinel lymph node and of the axillary lymph node dissection, if performed, and lymphatic recurrences during follow-up, were analyzed. Sentinel lymph node visualization at the lymphoscintigraphy and surgical detection were 100% in both groups. Histologically, three patients showed macrometastasis in the sentinel lymph node, one from group A and two from group B. None of the patients, not even those with malignancy of the sentinel lymph node, relapsed after a medium follow-up of 49.5 months (24-75). Time elapsed between EB and SLNB does not influence the reliability of this latter technique as long as a superficial injection of the radiopharmaceutical is performed, proving a very high detection rate of the sentinel lymph node without evidence of lymphatic relapse during follow-up. Copyright © 2014 Elsevier España, S.L.U. and SEMNIM. All rights reserved.

Influence of previous breast surgery in sentinel lymph node biopsy in patients with breast cancer.

PubMed

López-Prior, V; Díaz-Expósito, R; Casáns Tormo, I

The aim of this study was to review the feasibility of selective sentinel lymph node biopsy in patients with previous surgery for breast cancer, as well as to examine the factors that may interfere with sentinel node detection. A retrospective review was performed on 91 patients with breast cancer and previous breast surgery, and who underwent sentinel lymph node biopsy. Patients were divided into two groups according to their previous treatment: aesthetic breast surgery in 30 patients (group I) and breast-conserving surgery in 61 (group II). Lymphoscintigraphy was performed after an intra-tumour injection in 21 cases and a peri-areolar injection in 70 cases. An analysis was made of lymphatic drainage patterns and overall sentinel node detection according to clinical, pathological and surgical variables. The overall detection of the sentinel lymph node in the lymphoscintigraphy was 92.3%, with 7.7% of extra-axillary drainages. The identification rate was similar after aesthetic breast surgery (93.3%) and breast-conserving surgery (91.8%). Sentinel lymph nodes were found in the contralateral axilla in two patients (2.2%), and they were included in the histopathology study. The non-identification rate in the lymphoscintigraphy was 7.7%. There was a significantly higher non-detection rate in the highest histological grade tumours (28.6% grade III, 4.5% grade I and 3.6% grade II). Sentinel lymph node biopsy in patients with previous breast surgery is feasible and deserves further studies to assess the influence of different aspects in sentinel node detection in this clinical scenario. A high histological grade was significantly associated with a lower detection. Copyright © 2017 Elsevier España, S.L.U. y SEMNIM. All rights reserved.

Zika beyond the Americas: Travelers as sentinels of Zika virus transmission. A GeoSentinel analysis, 2012 to 2016.

PubMed

Leder, Karin; Grobusch, Martin P; Gautret, Philippe; Chen, Lin H; Kuhn, Susan; Lim, Poh Lian; Yates, Johnnie; McCarthy, Anne E; Rothe, Camilla; Kato, Yasuyuki; Bottieau, Emmanuel; Huber, Kristina; Schwartz, Eli; Stauffer, William; Malvy, Denis; Shaw, Marc T M; Rapp, Christophe; Blumberg, Lucille; Jensenius, Mogens; van Genderen, Perry J J; Hamer, Davidson H

2017-01-01

Zika virus (ZIKV) was first isolated in Africa; decades later, caused large outbreaks in the Pacific, and is considered endemic in Asia. We aim to describe ZIKV disease epidemiology outside the Americas, the importance of travelers as sentinels of disease transmission, and discrepancies in travel advisories from major international health organizations. This descriptive analysis using GeoSentinel Surveillance Network records involves sixty-four travel and tropical medicine clinics in 29 countries. Ill returned travelers with a confirmed or probable diagnosis of ZIKV disease acquired in Africa, Asia and the Pacific seen between 1 January 2012 and 31 December 2016 are included, and the frequencies of demographic, trip, and diagnostic characteristics described. ZIKV was acquired in Asia (18), the Pacific (10) and Africa (1). For five countries (Indonesia, Philippines, Thailand, Vietnam, Cameroon), GeoSentinel patients were sentinel markers of recent Zika activity. Additionally, the first confirmed ZIKV infection acquired in Kiribati was reported to GeoSentinel (2015), and a probable case was reported from Timor Leste (April 2016), representing the only case known to date. Review of Zika situation updates from major international health authorities for country risk classifications shows heterogeneity in ZIKV country travel advisories. Travelers are integral to the global spread of ZIKV, serving as sentinel markers of disease activity. Although GeoSentinel data are collected by specialized clinics and do not capture all imported cases, we show that surveillance of imported infections by returned travelers augments local surveillance system data regarding ZIKV epidemiology and can assist with risk categorization by international authorities. However, travel advisories are variable due to risk uncertainties.

Population-based surveillance for bacterial meningitis in China, September 2006-December 2009.

PubMed

Li, Yixing; Yin, Zundong; Shao, Zhujun; Li, Manshi; Liang, Xiaofeng; Sandhu, Hardeep S; Hadler, Stephen C; Li, Junhong; Sun, Yinqi; Li, Jing; Zou, Wenjing; Lin, Mei; Zuo, Shuyan; Mayer, Leonard W; Novak, Ryan T; Zhu, Bingqing; Xu, Li; Luo, Huiming

2014-01-01

During September 2006-December 2009, we conducted active population and sentinel laboratory-based surveillance for bacterial meningitis pathogens, including Streptococcus pneumoniae, Neisseria meningitidis, and Haemophilus influenzae type b, in 4 China prefectures. We identified 7,876 acute meningitis and encephalitis syndrome cases, including 6,388 among prefecture residents. A total of 833 resident cases from sentinel hospitals met the World Health Organization case definition for probable bacterial meningitis; 339 of these cases were among children <5 years of age. Laboratory testing confirmed bacterial meningitis in 74 of 3,391 tested cases. The estimated annual incidence (per 100,000 population) of probable bacterial meningitis ranged from 1.84 to 2.93 for the entire population and from 6.95 to 22.30 for children <5 years old. Active surveillance with laboratory confirmation has provided a population-based estimate of the number of probable bacterial meningitis cases in China, but more complete laboratory testing is needed to better define the epidemiology of the disease in this country.

Methane and water spectroscopic database for TROPOMI/Sentinel-5 Precursor in the 2.3 μm region

NASA Astrophysics Data System (ADS)

Birk, Manfred; Wagner, Georg; Loos, Joep; Wilzewski, Jonas; Mondelain, Didier; Campargue, Alain; Hase, Frank; Orphal, Johannes; Perrin, Agnes; Tran, Ha; Daumont, Ludovic; Rotger-Languereau, Maud; Bigazzi, Alberto; Zehner, Claus

2017-04-01

The ESA project „SEOM-Improved Atmospheric Spectroscopy Databases (IAS)" will improve the spectroscopic database for retrieval of the data products CO, CH4, O3 and SO2 column amounts measured by the TROPOMI instrument (TROPOspheric Monitoring Instrument) aboard the Sentinel-5 Precursor. The project was launched in February 2014 with 3 years duration extended to 4 years recently. The spectroscopy of CO, CH4 and O3 in the 2.3 μm region is covered first while UV measurements of SO2 and UV/FIR/IR measurements of ozone will be carried out later. Measurements were mainly taken with a high resolution Fourier Transform spectrometer combined with a coolable multi reflection cell. Cavity ring down measurements served for validation. The analysis has been completed. A clear improvement can be seen when using the new data for CH4, H2O and CO retrieval from ground-based high resolution solar occultation measurements obtained with instrumentation in the TCCON and NDACC network.

Sentinel Lymph Node Biopsy in Early Breast Cancer.

PubMed

Kühn, Thorsten

2011-01-01

The role of axillary surgery for the treatment of primary breast cancer is in a process of constant change. During the last decade, axillary dissection with removal of at least 10 lymph nodes (ALD) was replaced by sentinel lymph node biopsy (SLNB) as a staging procedure. Since then, the indication for SLNB rapidly expanded. Today's surgical strategies aim to minimize the rate of patients with a negative axillary status who undergo ALD. For some subgroups of patients, the indication for SLNB (e.g. multicentric disease, large tumors) or its implication for treatment planning (micrometastatic involvement, neoadjuvant chemotherapy) is being discussed. Although the indication for ALD is almost entirely restricted to patients with positive axillary lymph nodes today, the therapeutic effect of completion ALD is more and more questioned. On the other hand, the diagnostic value of ALD in node-positive patients is discussed. This article reflects today's standards in axillary surgery and discusses open issues on the diagnostic and therapeutic role of SLNB and ALD in the treatment of early breast cancer.

Population-based Surveillance for Bacterial Meningitis in China, September 2006–December 2009

PubMed Central

Li, Yixing; Yin, Zundong; Shao, Zhujun; Li, Manshi; Liang, Xiaofeng; Sandhu, Hardeep S.; Hadler, Stephen C.; Li, Junhong; Sun, Yinqi; Li, Jing; Zou, Wenjing; Lin, Mei; Zuo, Shuyan; Mayer, Leonard W.; Novak, Ryan T.; Zhu, Bingqing; Xu, Li

2014-01-01

During September 2006–December 2009, we conducted active population and sentinel laboratory–based surveillance for bacterial meningitis pathogens, including Streptococcus pneumoniae, Neisseria meningitidis, and Haemophilus influenzae type b, in 4 China prefectures. We identified 7,876 acute meningitis and encephalitis syndrome cases, including 6,388 among prefecture residents. A total of 833 resident cases from sentinel hospitals met the World Health Organization case definition for probable bacterial meningitis; 339 of these cases were among children <5 years of age. Laboratory testing confirmed bacterial meningitis in 74 of 3,391 tested cases. The estimated annual incidence (per 100,000 population) of probable bacterial meningitis ranged from 1.84 to 2.93 for the entire population and from 6.95 to 22.30 for children <5 years old. Active surveillance with laboratory confirmation has provided a population-based estimate of the number of probable bacterial meningitis cases in China, but more complete laboratory testing is needed to better define the epidemiology of the disease in this country. PMID:24377388

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Sentinel lymph node mapping in melanoma with technetium-99m dextran.

PubMed

Neubauer, S; Mena, I; Iglesis, R; Schwartz, R; Acevedo, J C; Leon, A; Gomez, L

2001-06-01

The aim of this work is to evaluate the capability of Tc99m B Dextran as a lymphoscintigraphic agent in the detection of the sentinel node in skin lesions. Forty-one patients with melanomas (39) and Merkel cell tumors (2) had perilesional intradermal injection of Tc99m-Dextran 2 hours before surgery. Serial gamma camera images and a handheld gamma probe were used to direct sentinel node biopsy. In 39/41 patients, lymph channels and 52 sentinel nodes (one to three sentinel nodes/patient) could be visualized. In one patient, with a dorsal melanoma, no lymph channels or lymph nodes could be demonstrated on the images and only minimal radioactivity was found in the regional nodes with the probe. Another patient with a facial lesion failed to demonstrate lymph channels or nodes. No adverse reactions were observed. Tc99m-Dextran provided good definition of lymph channels and sentinel node localization, without the risks related to the use of potentially hazardous labeled materials of biological origin.

FoxP3 and indoleamine 2,3-dioxygenase immunoreactivity in sentinel nodes from melanoma patients.

PubMed

Ryan, Marisa; Crow, Jennifer; Kahmke, Russel; Fisher, Samuel R; Su, Zuowei; Lee, Walter T

2014-01-01

1) Assess FoxP3/indoleamine 2,3-dioxygenase immunoreactivity in head and neck melanoma sentinel lymph nodes and 2) correlate FoxP3/indoleamine 2,3-dioxygenase with sentinel lymph node metastasis and clinical recurrence. Retrospective cohort study. Patients with sentinel lymph node biopsy for head and neck melanoma between 2004 and 2011 were identified. FoxP3/indoleamine 2,3-dioxygenase prevalence and intensity were determined from the nodes. Poor outcome was defined as local, regional or distant recurrence. The overall immunoreactivity score was correlated with clinical recurrence and sentinel lymph node metastasis using the chi-square test for trend. Fifty-six sentinel lymph nodes were reviewed, with 47 negative and 9 positive for melanoma. Patients with poor outcomes had a statistically significant trend for higher immunoreactivity scores (p=0.03). Positive nodes compared to negative nodes also had a statistically significant trend for higher immunoreactivity scores (p=0.03). Among the negative nodes, there was a statistically significant trend for a poor outcome with higher immunoreactivity scores (p=0.02). FoxP3/indoleamine 2,3-dioxygenase immunoreactivity correlates with sentinel lymph node positivity and poor outcome. Even in negative nodes, higher immunoreactivity correlated with poor outcome. Therefore higher immunoreactivity may portend a worse prognosis even without metastasis in the sentinel lymph node. This could identify a subset of patients that may benefit from future trials and treatment for melanoma through Treg and IDO suppression. Published by Elsevier Inc.

[The historical perspective of the sentinel lymph node concept].

PubMed

Bekker, J; Meijer, S

2008-01-05

The sentinel lymph node procedure is currently standard care in the treatment of breast cancer. The introduction of this procedure in 1992 would not have been possible without the pioneering discoveries regarding lymph nodes and cancer. The Italian surgeon Gaspar Asellius (1581-1626) visualized the lymphatic vessels of a dog after it had been fed and shortly before dissection. At the end of the 17th century, the French anatomists Lauth and Sappey visualized the lymphatics by injecting deceased criminals with mercury. In 1858, the German pathologist Virchow (1821-1902) launched the theory that lymph nodes act as defensive barriers. He also made the first microscopical illustration ofa sentinel lymph node. Gould et al. and Cabaãs independently launched the precursors of the current modern sentinel lymph node concept in 1959 and 1977 respectively. Gould et al. were the first people to use the term "sentinel node'. Cabañas used lymphangiography for the visualisation of the sentinel lymph node. Controversies about the barrier function of the lymph nodes, the fear of skip metastasis and the difficulties of performing the Cabañas procedure, prevented a breakthrough of this concept. In 1992 Morton et al. rediscovered the valuable sentinel node biopsy concept and introduced blue dye for the investigation of patients with melanoma. The combination of lymphoscintigraphy, intra-operative gamma probe guidance and patent blue further increased the reliability of the sentinel lymph node biopsy procedure. Unnecessary lymph gland dissection procedures with considerable morbidity can be prevented by this procedure.

Rugged: an operational, open-source solution for Sentinel-2 mapping

NASA Astrophysics Data System (ADS)

Maisonobe, Luc; Seyral, Jean; Prat, Guylaine; Guinet, Jonathan; Espesset, Aude

2015-10-01

When you map the entire Earth every 5 days with the aim of generating high-quality time series over land, there is no room for geometrical error: the algorithms have to be stable, reliable, and precise. Rugged, a new open-source library for pixel geolocation, is at the geometrical heart of the operational processing for Sentinel-2. Rugged performs sensor-to-terrain mapping taking into account ground Digital Elevation Models, Earth rotation with all its small irregularities, on-board sensor pixel individual lines-of-sight, spacecraft motion and attitude, and all significant physical effects. It provides direct and inverse location, i.e. it allows the accurate computation of which ground point is viewed from a specific pixel in a spacecraft instrument, and conversely which pixel will view a specified ground point. Direct and inverse location can be used to perform full ortho-rectification of images and correlation between sensors observing the same area. Implemented as an add-on for Orekit (Orbits Extrapolation KIT; a low-level space dynamics library), Rugged also offers the possibility of simulating satellite motion and attitude auxiliary data using Orekit's full orbit propagation capability. This is a considerable advantage for test data generation and mission simulation activities. Together with the Orfeo ToolBox (OTB) image processing library, Rugged provides the algorithmic core of Sentinel-2 Instrument Processing Facilities. The S2 complex viewing model - with 12 staggered push-broom detectors and 13 spectral bands - is built using Rugged objects, enabling the computation of rectification grids for mapping between cartographic and focal plane coordinates. These grids are passed to the OTB library for further image resampling, thus completing the ortho-rectification chain. Sentinel-2 stringent operational requirements to process several terabytes of data per week represented a tough challenge, though one that was well met by Rugged in terms of the robustness and performance of the library.

The Damper Spring Unit of the Sentinel 1 Solar Array

NASA Technical Reports Server (NTRS)

Doejaaren, Frans; Ellenbroek, Marcel

2012-01-01

The Damper Spring Unit (DSU, see Figure 1) has been designed to provide the damping required to control the deployment speed of the spring driven solar array deployment in an ARA Mk3 or FRED based Solar Array in situations where the standard application of a damper at the root-hinge is not feasible. The unit consists of four major parts: a main bracket, an eddy current damper, a spring unit, an actuation pulley which is coupled via Kevlar cables to a synchro-pulley of a hinge. The damper slows down the deployment speed and prevents deployment shocks at deployment completion. The spring unit includes 4 springs which overcome the resistances of the damper and the specific DSU control cable loop. This means it can be added to any spring driven deployment system without major modifications of that system. Engineering models of the Sentinel 1 solar array wing have been built to identify the deployment behavior, and to help to determine the optimal pulley ratios of the solar array and to finalize the DSU design. During the functional tests, the behavior proved to be very sensitive for the alignment of the DSU. This was therefore monitored carefully during the qualification program, especially prior to the TV cold testing. During TV "Cold" testing the measured retarding torque exceeded the max. required value: 284 N-mm versus the required 247 N-mm. Although this requirement was not met, the torque balance analysis shows that the 284 N-mm can be accepted, because the spring unit can provide 1.5 times more torque than required. Some functional tests of the DSU have been performed without the eddy current damper attached. It provided input data for the ADAMS solar array wing model. Simulation of the Sentinel-1 deployment (including DSU) in ADAMS allowed the actual wing deployment tests to be limited in both complexity and number of tests. The DSU for the Sentinel-1 solar array was successfully qualified and the flight models are in production.

Programmatic overview of GMES Space Component and implementation status

NASA Astrophysics Data System (ADS)

Aschbacher, Josef; Milagro, Maria Pilar

2010-05-01

GMES, the Global Monitoring for Environment and Security initiative, is a programme to provide the most comprehensive understanding of the state of land, air and water. Created in 1998 as an independent joint initiative of the European Commission (EC) and the European Space Agency (ESA), GMES will combine information from the world's biggest fleet of satellites and from thousands of atmospheric and Earth based sensors across the world in order to provide joined-up, timely, reliable and easily accessible information in domains such as natural disaster planning and response, the environment, agriculture, land use, climate change and security. GMES is made up of an In-situ Component, a Services Component and a Space Component. ESA is responsible for coordinating the Space Component which is composed of dedicated satellite missions, called Sentinels, and so called Contributing Missions, owned and operated by national agencies or commercial entities of ESA/EU Member States, EUMETSAT or other third parties. It also comprises the associated Ground Segment infrastructure necessary to access, process and disseminate the data from the multitude of missions contributing to GMES. ESA is also responsible for the development and procurement of the dedicated Sentinel satellites. Lastly, ESA will act as interim operator for Sentinel missions -1, -2 and land part of Sentinel-3 while EUMETSAT will operate the ocean part of Sentinel-3 as well as the S-4/-5 instruments which are flying on-board EUMETSAT's MTG and post-EPS respectively. The Sentinels will be the first series of dedicated operational satellites to meet the Earth observation needs of GMES users concerning atmosphere, ocean and land monitoring as well as emergency response and security. The Sentinel-1 constellation is a pair of synthetic aperture radar (SAR) imaging satellites. It ensures continuity of C-band SAR data and builds upon heritage and experience with the ERS and Envisat satellites. Sentinel-1 satellites will provide almost 10 times the data obtained by Envisat's ASAR instrument. A pair of Sentinel-2 satellites will routinely provide high resolution (10-60 m) optical images globally with frequent revisits tailored to the needs of GMES land and emergency services. Sentinel-2 aims at ensuring continuity of SPOT and LANDSAT type data, with improvements to allow service evolution. A pair of Sentinel-3 satellites will provide global near real time ocean, ice and land monitoring. It continues observations of ERS, Envisat and SPOT/Vegetation. Sentinel 4 and 5 will be dedicated to monitor atmospheric trace gases from geostationary and low Earth orbit respectively. A Sentinel-5 precursor satellite will be launched at the end of 2014 to fill the gap until the arrival of Sentinel-5 on board post-EPS. The Contributing Missions are satellite missions operated by national agencies or commercial entities of Member States, EUMETSAT or other third parties, which do not replace nor duplicate the capacities of the dedicated Sentinel missions but rather complement them. The GMES data will feed the different services: Land, Marine, Atmosphere, Emergency and Security. Data from the former 3 services will also feed Climate Change applications. Some of these services will become fully operational in the next years. As part of the ESA led GMES Space Component, ESA and the EC are working together to define the principles and implementation scheme of the Sentinel Data Policy. The new data policy aims at providing free-of-charge access to all Sentinel data, both for public, commercial and scientific use. These "free and open" data policy principles have been approved by ESA Member States. EU approval is expected in the course of 2010.

Environmental sentinel biomonitors: integrated response systems for monitoring toxic chemicals

NASA Astrophysics Data System (ADS)

van der Schalie, William H.; Reuter, Roy; Shedd, Tommy R.; Knechtges, Paul L.

2002-02-01

Operational environments for military forces are becoming potentially more dangerous due to the increased number, use, and misuse of toxic chemicals across the entire range of military missions. Defense personnel may be exposed to harmful chemicals as a result of industrial accidents or intentional or unintentional action of enemy, friendly forces, or indigenous populations. While there has been a significant military effort to enable forces to operate safely and survive and sustain operations in nuclear, biological, chemical warfare agent environments, until recently there has not been a concomitant effort associated with potential adverse health effects from exposures of deployed personnel to toxic industrial chemicals. To provide continuous real-time toxicity assessments across a broad spectrum of individual chemicals or chemical mixtures, an Environmental Sentinel Biomonitor (ESB) system concept is proposed. An ESB system will integrate data from one or more platforms of biologically-based systems and chemical detectors placed in the environment to sense developing toxic conditions and transmit time-relevant data for use in risk assessment, mitigation, and/or management. Issues, challenges, and next steps for the ESB system concept are described, based in part on discussions at a September 2001 workshop sponsored by the U.S. Army Center for Environmental Health Research.

Retrieval of the Land Surface Reflectance for Landsat-8 and Sentinel-2 and its validation.

NASA Astrophysics Data System (ADS)

Roger, J. C.; Vermote, E.; Skakun, S.; Franch, B.; Holben, B. N.; Justice, C. O.

2017-12-01

The land surface reflectance is a fundamental climate data record at the basis of the derivation of other climate data records (Albedo, LAI/Fpar, Vegetation indices) and a key parameter in the understanding of the land-surface-climate processes. For 25 years, Vermote and al. develop atmospheric corrections methods to define a land surface reflectance product for various satellites (AVHRR, MODIS, VIIRS…). This presentation highlights the algorithms developed both for Landsant-8 and Sentinel-2. We also emphasize the validation of the "Land surface reflectance" satellite products, which is a very important step to be done. For that purpose, we compared the surface reflectance products to a reference determined by using the accurate radiative transfer code 6S and very detailed measurements of the atmosphere obtained over the AERONET network (which allows to test for a large range of aerosol characteristics); formers being important inputs for atmospheric corrections. However, the application of this method necessitates the definition of a very detailed protocol for the use of AERONET data especially as far as size distribution and absorption are concerned, so that alternative validation methods or protocols could be compared. We describe here the protocol we have been working on based on our experience with the AERONET data and its application to Landsat-8 and Sentinel-2). We also derive a detailed error budget in relation to this approach. For a mean loaded atmosphere, t550 less than 0.25, the maximum uncertainty is 0.0025 corresponding to a relative uncertainty (in the RED channels): U < 1% for rsurf > 0.10, and 1% < U <2% for 0.10 >rsurf > 0.04.

A merged surface reflectance product from the Landsat and Sentinel-2 Missions

NASA Astrophysics Data System (ADS)

Vermote, E.; Claverie, M.; Masek, J. G.; Becker-Reshef, I.; Justice, C. O.

2013-12-01

This project is aimed at producing a merged surface product from the Landsat and Sentinel-2 missions to ultimately achieve high temporal coverage (~2 days repeat cycle) at high spatial resolution (20-60m). The goal is to achieve a seamless/consistent stream of surface reflectance data from the different sensors. The first part of this presentation discusses the basic requirements of such a product and the necessary processing steps: mainly calibration, atmospheric corrections, BRDF effect corrections, spectral band pass adjustments and gridding. We demonstrate the performance of those different corrections by using MODIS and VIIRS (Climate Modeling Grid at 0.05deg) data globally as well as Formosat-2 (8m spatial resolution) data (one crop site in South of France where 105 scenes were acquired during 2006-2010). The consistency of the surface reflectance product from MODIS and Formosat-2 ranges from 6 to 8% relative depending on the spectral bands (Green to NIR) with a bias between 2% (NIR) to 5% (green), which is acceptable given the cumulated limitation in cross-calibration, atmospheric correction and BRDF correction. The second part is devoted to the simulation of the merged Landsat and Sentinel-2 mission by using Landsat-7, LDCM (early) and SPOT-4 Take 5 dataset. SPOT-4 Take 5 dataset is a collection of 42 sites distributed globally and systematically acquired by SPOT-4 HRV every 5 days during the decommissioning phase of the SPOT4 mission (February-May 2013). Finally, the benefits of such a merged surface reflectance at high spatial and temporal resolution are discussed within the context of the agricultural monitoring, in particular in the perspective of the GEOGLAM (Global Earth Observation for Global Land Agriculture Monitoring) project.

76 FR 52879 - Changes in Flood Elevation Determinations

Federal Register 2010, 2011, 2012, 2013, 2014

2011-08-24

... Commerce City Commerce City, 7887 East Sentinel Express. 60th Avenue, Commerce City, CO 80022. Adams (FEMA... Sentinel. Civic Center Drive, Thornton, CO 80229. Adams (FEMA Docket No.: B- Unincorporated areas February...; ``Skip'' Fischer, 08-0748P). The Northglenn- Chairman, Adams County Thornton Sentinel. Board of...

Intraoperative assessment of sentinel lymph node by one-step nucleic acid amplification in breast cancer patients after neoadjuvant treatment reduces the need for a second surgery for axillary lymph node dissection.

PubMed

Espinosa-Bravo, Martin; Navarro-Cecilia, Joaquin; Ramos Boyero, Manuel; Diaz-Botero, Sebastian; Dueñas Rodríguez, Basilio; Luque López, Carolina; Ramos Grande, Teresa; Ruano Perez, Ricardo; Peg, Vicente; Rubio, Isabel T

2017-02-01

Sentinel lymph node (SLN) biopsy has been shown to be both accurate and feasible for women who receive neoadjuvant chemotherapy (NAC). Intraoperative assessment of SLN by frozen sections can produce false negative results. The aim of this study was to compare two different techniques of intraoperative assessment of SLN in breast cancer patients treated with NAC: frozen section (FS) and molecular assay (OSNA). A multicenter cohort of 320 consecutive breast cancer patients treated with NAC between 2010 and 2014 was analyzed. FS was performed intraoperatively in 166 patients (H&E cohort) and OSNA in 154 patients (OSNA cohort). A mean of 2.15 SLNs by FS and 1.22 SLNs by OSNA was assessed (p = 0.03). SLN metastasis was found in 44 patients (26.5%) by FS and in 48 (31.2%) by OSNA (p = 0.4). There was no statistical significance in rates of macrometastasis (75%), micrometastasis (20.5%) or ITCs (4.5%) when assessed by FS compared to OSNA (52.3%, 36.3% and 11.4%, respectively) (p = 0.06). There were 10 patients in the H&E cohort with positive-SLN in the definitive pathology assessment with negative intraoperative FS. When OSNA and definitive pathology were compared, there were no differences in rates of macrometastasis (61.1%), micrometastasis (33.3%) nor ITCs (5.6%) (p = 0.5). Fifty-four patients in the H&E cohort and 44 in the OSNA cohort had ALND after positive-SLNs. ALND was performed in a second surgery in 10 patients (18.5%) in the H&E cohort for intraoperative FS false negative results, 90% being micrometastasis. 42 out of 44 patients (95.5%) in the OSNA cohort had an ALND in the same surgery (p = 0.03). OSNA assay detects SLNs metastases as accurately as conventional pathology in the NAC setting. Intraoperative definitive assessment of the SLN by OSNA reduces the need for a second surgery for ALND in 18.5% of breast cancer patients with a positive-SLN after NAC. Copyright © 2016 Elsevier Ltd. All rights reserved.

Sentinel-2A: Orbit Modelling Improvements and their Impact on the Orbit Prediction

NASA Astrophysics Data System (ADS)

Peter, Heike; Otten, Michiel; Fernández Sánchez, Jaime; Fernández Martín, Carlos; Féménias, Pierre

2016-07-01

Sentinel-2A is the second satellite of the European Copernicus Programme. The satellite has been launched on 23rd June 2015 and it is operational since mid October 2015. This optical mission carries a GPS receiver for precise orbit determination. The Copernicus POD (Precise Orbit Determination) Service is in charge of generating precise orbital products and auxiliary files for Sentinel-2A as well as for the Sentinel-1 and -3 missions. The accuracy requirements for the Sentinel-2A orbit products are not very stringent with 3 m in 3D (3 sigma) for the near real-time (NRT) orbit and 10 m in 2D (3 sigma) for the predicted orbit. The fulfilment of the orbit accuracy requirements is normally not an issue. The Copernicus POD Service aims, however, to provide the best possible orbits for all three Sentinel missions. Therefore, a sophisticated box-wing model is generated for the Sentinel-2 satellite as it is done for the other two missions as well. Additionally, the solar wing of the satellite is rewound during eclipse, which has to be modelled accordingly. The quality of the orbit prediction is dependent on the results of the orbit estimation performed before it. The values of the last estimation of each parameter is taken for the orbit propagation, i.e. estimating ten atmospheric drag coefficients per 24h, the value of the last coefficient is used as a fix parameter for the subsequent orbit prediction. The question is whether the prediction might be stabilised by, e.g. using an average value of all ten coefficients. This paper presents the status and the quality of the Sentinel-2 orbit determination in the operational environment of the Copernicus POD Service. The impact of the orbit model improvements on the NRT and predicted orbits is studied in detail. Changes in the orbit parametrization as well as in the settings for the orbit propagation are investigated. In addition, the impact of the quality of the input GPS orbit and clock product on the Sentinel-2A orbit prediction results is checked. The results of this study do not only improve the Sentinel-2 orbit products but will also support the generation of reliable orbit predictions for the Sentinel-3 mission. The Sentinel-3 satellite is equipped with a laser retro-reflector and reliable orbit predictions are, therefore, very important to guarantee a continuous support of the satellite laser tracking stations.

Identification of transplanting stage of rice using Sentinel-1 data

NASA Astrophysics Data System (ADS)

Hongo, C.; Tosa, T.; Tamura, E.; Sigit, G.; Barus, B.

2017-12-01

As the adaptation of climate change, the Government of Indonesia has launched agricultural insurance program for damage of rice by drought, flood and pest and disease. For assessment of the damage ratio and calculation of indemnity, extraction of paddy field and identification of transplanting stage are key issues. In this research, we conducted identification of rice transplanting stage in dry season of 2015, using data from Sentinel-1, for paddy in Cianjur, West Java, Indonesia. As the first step, time series order of backscattering coefficient was analyzed about paddy, forest, villages and fish farming ponds with use of Sentinel-1 data acquired on April 1, April 13, April 25, May 7, May 19, June 24, July 18 and August 11. The result shows that the backscattering coefficient of paddy substantially decreased from data on May 7 and reached minimum value and then after increased toward June. A paddy area showing this change was almost the same area where rice was at harvesting stage and we did field investigation work from August 11 to 13. Considering a growth period of rice in our research site was about 110 days, so the result supported the fact that transplantation of rice was done around May 7. On the other hand, backscattering coefficient of forest, villages and fish farming ponds was constant and showed clear difference from the coefficient of paddy. As the next step, minimum and maximum value of backscattering coefficient were extracted from the data of May 7, May 19 and June 24, respectively. Then increase amount was calculated by deducting the minimum value from the maximum. Finally, using the minimum value of backscattering coefficient and the increased amount, a classification of image was made to identify transplanting stage through maximum likelihood method, decision tree method and threshold setting method (regression analysis by 3σ-rule). As the result, the maximum likelihood method made the most accurate distinguishment about transplanting stage while the decision tree method showed tendency to underestimate a paddy area already planted. As to the threshold setting method (regression analysis by 3σ-rule), its distinguishment accuracy was better than those of other methods about a paddy area adjacent to forest and villages of which backscattering coefficient was influenced by other sources' coefficients.

History, present status and future of sentinel node biopsy in breast cancer. The Mary Béves Lecture.

PubMed

Mansel, R E; Khonji, N I; Clarke, D

2000-01-01

The word Sentinel' is defined in The Oxford English Dictionary as 'a guard, one who keeps watch or a sentry'. When translated to the concept of a tumour and its lymph node drainage, the sentinel node could be interpreted to mean the lymph node that guards or keeps watch over a tumour. The sentinel lymph node can thus be defined as the first lymph node that drains a primary tumour within the regional lymphatic basin of that tumour. We know that tumour progression in breast cancer often occurs in an orderly, progressive fashion. So in theory, if the sentinel node is tumour free then the rest of the nodes in the lymphatic basin should also be uninvolved by the tumour.

Discrete call types referring to predation risk enhance the efficiency of the meerkat sentinel system

PubMed Central

Rauber, R.; Manser, M. B.

2017-01-01

Sentinel behaviour, a form of coordinated vigilance, occurs in a limited range of species, mostly in cooperative breeders. In some species sentinels confirm their presence vocally by giving a single sentinel call type, whereby the rate and subtle acoustic changes provide graded information on the variation of perceived predation risk. In contrast, meerkat (Suricata suricatta) sentinels produce six different sentinel call types. Here we show that manipulation of perception of danger has different effects on the likelihood of emitting these different call types, and that these call types affect foraging individuals differently. Increasing the perceived predation risk by playing back alarm calls decreased the production rate of the common short note calls and increased the production rate of the rare long calls. Playbacks of short note calls increased foraging behaviour and decreased vigilance in the rest of the group, whereas the opposite was observed when playing long calls. This suggests that the common call types act as all-clear signals, while the rare call types have a warning function. Therefore, meerkats increase the efficiency of their sentinel system by producing several discrete call types that represent changes in predation risk and lead to adjustments of the group’s vigilance behaviour. PMID:28303964

Animals as sentinels of chemical terrorism agents: an evidence-based review.

PubMed

Rabinowitz, Peter; Wiley, James; Odofin, Lynda; Wilcox, Matthew; Dein, F Joshua

2008-02-01

The goal of this systematic review was to identify evidence that animals could serve as sentinels of an attack with a chemical terrorism agent. The biomedical literature was systematically searched for evidence that wild or domestic animals exposed to certain chemical weapons of terrorism had either greater susceptibility, shorter latency period, or increased exposure risk versus humans. Additionally, we searched for documented reports of such animals historically serving as sentinels for chemical warfare agents. For a small number of agents, there was limited evidence that domestic and/or wild animals could provide sentinel information to humans following an airborne attack with chemical agents, usually related to increased potential for environmental exposure. Some of this evidence was based on anecdotal case reports, and in many cases high quality chemical terrorism agent evidence regarding comparative susceptibility, exposure, and latency between humans and sentinel animal species was not found. Currently, there is insufficient evidence for routine use of animals as sentinels for airborne chemical warfare agents. At the same time, Poison Center surveillance systems should include animal calls, and greater communication between veterinarians and physicians could help with preparedness for a chemical terrorism attack. Further analysis of comparative chemical warfare agent toxicity between sentinel animal species and humans is needed.

Is blue dye still required during sentinel lymph node biopsy for breast cancer?

PubMed

Peek, Mirjam Cl; Kovacs, Tibor; Baker, Rose; Hamed, Hisham; Kothari, Ash; Douek, Michael

2016-01-01

In early breast cancer, the optimal technique for sentinel lymph node biopsy (SLNB) is the combined technique (radioisotope and Patent Blue V) which achieves high identification rates. Despite this, many centres have decided to stop using blue dye due to blue-dye-related complications (tattoo, anaphylaxis). We evaluated the SLNB identification rate using the combined technique with and without Patent Blue V and the blue-dye-related complication rates. Clinical and histological data were analysed on patients undergoing SLNB between March 2014 and April 2015. SLNB was performed following standard hospital protocols using the combined technique. A total of 208 patients underwent SLNB and 160 patients (342 nodes) with complete operation notes were available for final analysis. The identification rate with the combined technique was 98.8% ( n = 158/160), with blue dye alone 92.5% ( n = 148/160) and with radioisotope alone 97.5% ( n = 156/160). A total of 76.9% (263/342) of nodes were radioactive and blue, 15.5% (53/342) only radioactive and 2.3% (8/342) only blue, 5.3% (18/342) were neither radioactive nor blue. No anaphylactic reactions were reported and blue skin staining was reported in six (3.8%) patients. The combined technique should continue be the preferred technique for SLNB and should be standardised. Radioisotope alone (but not blue dye alone) has comparable sentinel node identification rates in experienced hands. National guidelines are required to optimise operative documentation.

29 CFR 1952.152 - Completion of developmental steps and certification.

Code of Federal Regulations, 2013 CFR

2013-07-01

... Personnel Administration.” Agreement with the North Carolina Department of Human Resources specifies that... availability of consultative services. (j) In accordance with § 1952.153(h) a manual Management Information....152 Section 1952.152 Labor Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH...

29 CFR 1952.152 - Completion of developmental steps and certification.

Code of Federal Regulations, 2012 CFR

2012-07-01

... Personnel Administration.” Agreement with the North Carolina Department of Human Resources specifies that... availability of consultative services. (j) In accordance with § 1952.153(h) a manual Management Information....152 Section 1952.152 Labor Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH...

29 CFR 1952.174 - Completion of developmental steps and certification.

Code of Federal Regulations, 2014 CFR

2014-07-01

... approved: Authority to grant or deny temporary variances rests with the Division of Industrial Safety, and... Board hears appeals from the Division of Industrial Safety's decisions on temporary variances. (b) In....174 Section 1952.174 Labor Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH...

29 CFR 1952.174 - Completion of developmental steps and certification.

Code of Federal Regulations, 2013 CFR

2013-07-01

... approved: Authority to grant or deny temporary variances rests with the Division of Industrial Safety, and... Board hears appeals from the Division of Industrial Safety's decisions on temporary variances. (b) In....174 Section 1952.174 Labor Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH...

29 CFR 1952.174 - Completion of developmental steps and certification.

Code of Federal Regulations, 2011 CFR

2011-07-01

... approved: Authority to grant or deny temporary variances rests with the Division of Industrial Safety, and... Board hears appeals from the Division of Industrial Safety's decisions on temporary variances. (b) In....174 Section 1952.174 Labor Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH...

29 CFR 1952.174 - Completion of developmental steps and certification.

Code of Federal Regulations, 2012 CFR

2012-07-01

... approved: Authority to grant or deny temporary variances rests with the Division of Industrial Safety, and... Board hears appeals from the Division of Industrial Safety's decisions on temporary variances. (b) In....174 Section 1952.174 Labor Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH...

Examining the strength of the newly-launched Sentinel 2 MSI sensor in detecting and discriminating subtle differences between C3 and C4 grass species

NASA Astrophysics Data System (ADS)

Shoko, C.; Mutanga, O.

2017-07-01

C3 and C4 grass species discrimination has increasingly become relevant in understanding their response to environmental changes and to monitor their integrity in providing goods and services. While remotely-sensed data provide robust, cost-effective and repeatable monitoring tools for C3 and C4 grasses, this has been largely limited by the scarcity of sensors with better earth imaging characteristics. The recent launch of the advanced Sentinel 2 MultiSpectral Instrument (MSI) presents a new prospect for discriminating C3 and C4 grasses. The present study tested the potential of Sentinel 2, characterized by refined spatial resolution and more unique spectral bands in discriminating between Festuca (C3) and Themeda (C4) grasses. To evaluate the performance of Sentinel 2 MSI; spectral bands, vegetation indices and spectral bands plus indices were used. Findings from Sentinel 2 were compared with those derived from the widely-used Worldview 2 commercial sensor and the Landsat 8 Operational Land Imager (OLI). Overall classification accuracies have shown that Sentinel 2 bands have potential (90.36%), than indices (85.54%) and combined variables (88.61%). The results were comparable to Worldview 2 sensor, which produced slightly higher accuracies using spectral bands (95.69%), indices (86.02%) and combined variables (87.09%), and better than Landsat 8 OLI spectral bands (75.26%), indices (82.79%) and combined variables (86.02%). Sentinel 2 bands produced lower errors of commission and omission (between 4.76 and 14.63%), comparable to Worldview 2 (between 1.96 and 7.14%), than Landsat 8 (between 18.18 and 30.61%), when classifying the two species. The classification accuracy from Sentinel 2 also did not differ significantly (z = 1.34) from Worldview 2, using standard bands; it was significantly (z > 1.96) different using indices and combined variables, whereas when compared to Landsat 8, Sentinel 2 accuracies were significantly different (z > 1.96) using all variables. These results demonstrated that key vegetation species discrimination could be improved by the use of the freely and improved Sentinel 2 MSI data.

Sentinel lymph node biopsy for early oral cancers: Westmead Hospital experience.

PubMed

Abdul-Razak, Muzib; Chung, Hsiang; Wong, Eva; Palme, Carsten; Veness, Michael; Farlow, David; Coleman, Hedley; Morgan, Gary

2017-01-01

Sentinel lymph node biopsy (SLNB) has become an alternative option to elective neck dissection (END) for early oral cavity squamous cell carcinoma (OCSCC) outside of Australia. We sought to assess the technical feasibility of SLNB and validate its accuracy against that of END in an Australian setting. We performed a prospective cohort study consisting of 30 consecutive patients with cT 1 - 2 N 0 OCSCC referred to the Head and Neck Cancer Service, Westmead Hospital, Sydney, between 2011 and 2014. All patients underwent SLNB followed by immediate selective neck dissection (levels I-III). A total of 30 patients were diagnosed with an early clinically node-negative OCSCC (seven cT1 and 23 cT2), with the majority located on the oral tongue. A median of three (range: 1-14) sentinel nodes were identified on lymphoscintigraphy, and all sentinel nodes were successfully retrieved, with 50% having a pathologically positive sentinel node. No false-negative sentinel nodes were identified using selective neck dissection as the gold standard. The negative predictive value (NPV) of SLNB was 100%, with 40% having a sentinel node identified outside the field of planned neck dissection on lymphoscintigraphy. Of these, one patient had a positive sentinel node outside of the ipsilateral supraomohyoid neck dissection template. SLNB for early OCSCC is technically feasible in an Australian setting. It has a high NPV and can potentially identify at-risk lymphatic basins outside the traditional selective neck dissection levels even in well-lateralized lesions. © 2016 Royal Australasian College of Surgeons.

Technetium-99m-labeled rituximab for use as a specific tracer of sentinel lymph node biopsy: a translational research study.

PubMed

Wang, Xuejuan; Yang, Zhi; Lin, Baohe; Zhang, Yan; Zhai, Shizhen; Zhao, Qichao; Xie, Qing; Liu, Fei; Han, Xuedi; Li, Jinfeng; Ouyang, Tao

2016-06-21

We aimed to develop and translate a CD20-antigen-targeted radiopharmaceutical, Technetium-99 m-labeled (99mTc) rituximab, for sentinel lymph node (SLN) detection. 99mTc-rituximab was synthesized and tested for stability in human serum. The binding affinity to CD20 was evaluated in Raji cells by flow cytometric analysis. Biodistribution and sentinel node mapping were carried out in bal b/c mice. Eighty-five patients with breast cancer participated in this study. Dynamic sentinel lymphoscintigraphy was first assessed in 12 patients before planar lymphoscintigraphy was assessed in a larger cohort. All patients underwent sentinel lymph node biopsy (SLNB), followed by axillary lymph node dissection. The cell-binding study showed that 99mTc-rituximab possessed compatible affinity to human CD20. In the mechanism study, 99mTc-labeled anti-mouse CD20 monoclonal antibodies could bind to mouse CD20 and accumulate in the SLN with 2.62±1.25 % of the percentage of injected activity, which could be blocked by excessive unlabeled antibody. Low uptake of non-sentinel nodes and fast clearance from the injection site were observed in the mice. Sentinel nodes were identified in 82 of 85 breast cancer patients (96.5%) by lymphoscintigraphy and SLNB. The sensitivity, specificity, and accuracy were 96.8% (30/31), 100% (51/51), and 98.8% (81/82), respectively. 99mTc-rituximab, specifically binding to CD20, met most of the requirements of an ideal sentinel mapping agent for use in clinical settings.

Application of carbon nanoparticles in laparoscopic sentinel lymph node detection in patients with early-stage cervical cancer.

PubMed

Lu, Yan; Wei, Jin-Ying; Yao, De-Sheng; Pan, Zhong-Mian; Yao, Yao

2017-01-01

To investigate the value of carbon nanoparticles in identifying sentinel lymph nodes in early-stage cervical cancer. From January 2014 to January 2016, 40 patients with cervical cancer stage IA2-IIA, based on the International Federation of Gynecology and Obstetrics (FIGO) 2009 criteria, were included in this study. The normal cervix around the tumor was injected with a total of 1 mL of carbon nanoparticles (CNP)at 3 and 9 o'clock. All patients then underwent laparoscopic pelvic lymph node dissection and radical hysterectomy. The black-dyed sentinel lymph nodes were removed for routine pathological examination and immunohistochemical staining. Among the 40 patients, 38 patients had at least one sentinel lymph node (SLN). The detection rate was 95% (38/40). One hundred seventy-three SLNs were detected with an average of 3.9 SLNs per side. 25 positive lymph nodes, which included 21 positive SLNs, were detected in 8 (20%) patients. Sentinel lymph nodes were localized in the obturator (47.97%), internal lilac (13.87%), external lilac (26.59%), parametrial (1.16%), and common iliac (8.67%) regions. The sensitivity of the SLN detection was 100% (5/5), the accuracy was 97.37% (37/38), and the negative predictive value was 100. 0% and the false negative rate was 0%. Sentinel lymph nodes can be used to accurately predict the pathological state of pelvic lymph nodes in early cervical cancer. The detection rates and accuracy of sentinel lymph node were high. Carbon nanoparticles can be used to trace the sentinel lymph node in early cervical cancer.

Predictors of sentinel lymph node metastases in breast cancer-radioactivity and Ki-67.

PubMed

Thangarajah, Fabinshy; Malter, Wolfram; Hamacher, Stefanie; Schmidt, Matthias; Krämer, Stefan; Mallmann, Peter; Kirn, Verena

2016-12-01

Since the introduction of the sentinel node technique for breast cancer in the 1990s patient's morbidity was reduced. Tracer uptake is known to be dependent from lymph node integrity and activity of macrophages. The aim of this study was to assess whether radioactivity of the tracer can predict sentinel lymph node metastases. Furthermore, a potential association with Ki-67 index was examined. Non-invasive prediction of lymph node metastases could lead to a further decrease of morbidity. We retrospectively analyzed patients with primary breast cancer who underwent surgery at the Department of Obstetrics and Gynecology in the University Hospital of Cologne between 2012 and 2013. Injection of radioactive tracer was done a day before surgery in the department of Nuclear Medicine. Clinical data and radioactivity of the sentinel node measured the day before and intraoperatively were abstracted from patient's files. Of 246 patients, 64 patients had at least one, five patients had two and one patient had three positive sentinel lymph nodes. Occurrence of sentinel lymph node metastases was not associated with preoperative tracer activity (p = 0,319), intraoperative tracer activity of first sentinel node (p = 0,086) or with loss of tracer activity until operation (p = 0,909). There was no correlation between preoperative Ki-67 index and occurrence of lymph node metastases (p = 0,403). In our cohort, there was no correlation between radioactivity and sentinel node metastases. Tracer uptake might not only be influenced by lymph node metastases and does not predict metastatic lymph node involvement. Copyright © 2016 Elsevier Ltd. All rights reserved.

Sentinel 2B: the image quality performances at the beginning of the mission

NASA Astrophysics Data System (ADS)

Trémas, T.; Lonjou, V.; Dick, A.; Languille, F.; Gaudel-Vacaresse, A.; Vidal, B.; Revel, C.

2017-09-01

Launched on March 6th, 2017 from Kourou, Sentinel 2B has passed the phase of commissioning. Sentinel 2B will work together with Sentinel 2A launched in June 2015. The building and implementation of the satellite has been made under the responsibility of ESA, for the European Commission. The subset of Image Quality commissioning was delegated by ESA to CNES, referring to the experience of the French Space Agency on previous imagers. This phase lasted 4 months after the launch, a little longer than the formal In Orbit Calibration period conducted by ESA, some Image Quality parameters requiring several months before converging to a stable state. This paper presents the status of the satellite, from an IQ prospective, just before it entered its operational phase. The radiometric and geometric performances are listed, including: the absolute radiometric calibration, the equalization, the SNR, the absolute and the multi-temporal location accuracy. The performances of both satellites Sentinel and Sentinel 2B working together, will be addressed. A particular focus will be done on multi-temporal location performances, homogeneity of radiometric inter calibrations. The accomplishment of the Global Reference Image over Europe is evoked as well. The IQ commissioning phase ended on June 2017. From this date, the monitoring of IQ parameters is under the responsibility of ESA/ESRIN. Nevertheless, CNES continues to support ESA to survey the accuracy of S2A and S2B performances. The article ends by dealing with the prospective offered by the couple Sentinel 2A + Sentinel 2B.

Intraoperative analysis of sentinel lymph nodes by imprint cytology for cancer of the breast.

PubMed

Shiver, Stephen A; Creager, Andrew J; Geisinger, Kim; Perrier, Nancy D; Shen, Perry; Levine, Edward A

2002-11-01

The utilization of lymphatic mapping techniques for breast carcinoma has made intraoperative evaluation of sentinel lymph nodes (SLN) attractive, because axillary lymph node dissection can be performed during the initial surgery if the SLN is positive. The optimal technique for rapid SLN assessment has not been determined. Both frozen sectioning and imprint cytology are used for rapid intraoperative SLN evaluation. A retrospective review of the intraoperative imprint cytology results of 133 SLN mapping procedures from 132 breast carcinoma patients was performed. SLN were evaluated intraoperatively by bisecting the lymph node and making imprints of each cut surface. Imprints were stained with hematoxylin and eosin (H&E) and Diff-Quik. Permanent sections were evaluated with up to four H&E stained levels and cytokeratin immunohistochemistry. Imprint cytology results were compared with final histologic results. Sensitivity and specificity of imprint cytology were 56% and 100%, respectively, producing a 100% positive predictive value and 88% negative predictive value. Imprint cytology was significantly more sensitive for macrometastasis than micrometastasis 87% versus 22% (P = 0.00007). Of 13 total false negatives, 11 were found to be due to sampling error and 2 due to errors in intraoperative interpretation. Both intraoperative interpretation errors involved a diagnosis of lobular breast carcinoma. The sensitivity and specificity of imprint cytology are similar to that of frozen section evaluation. Imprint cytology is therefore a viable alternative to frozen sectioning when intraoperative evaluation is required. If SLN micrometastasis is used to determine the need for further lymphadenectomy, more sensitive intraoperative methods will be needed to avoid a second operation.

76 FR 2294 - Revision to the South Coast Portion of the California State Implementation Plan, CPV Sentinel...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-01-13

... precursors, sulfur oxides (SO X ), to the CPV Sentinel Energy Project. The District's SIP approved NSR... Management District shall transfer sulfur oxides and particulate emission credits from the CPV Sentinel... needed to issue permits to construct and to meet requirements for sulfur oxides and particulate matter...

Estimating meningitis hospitalization rates for sentinel hospitals conducting invasive bacterial vaccine-preventable diseases surveillance.

PubMed

2013-10-04

The World Health Organization (WHO)-coordinated Global Invasive Bacterial Vaccine-Preventable Diseases (IB-VPD) sentinel hospital surveillance network provides data for decision making regarding use of pneumococcal conjugate vaccine and Haemophilus influenzae type b (Hib) vaccine, both recommended for inclusion in routine childhood immunization programs worldwide. WHO recommends that countries conduct sentinel hospital surveillance for meningitis among children aged <5 years, including collection of cerebrospinal fluid (CSF) for laboratory detection of bacterial etiologies. Surveillance for pneumonia and sepsis are recommended at selected hospitals with well-functioning laboratories where meningitis surveillance consistently meets process indicators (e.g., surveillance performance indicators). To use sentinel hospital surveillance for meningitis to estimate meningitis hospitalization rates, WHO developed a rapid method to estimate the number of children at-risk for meningitis in a sentinel hospital catchment area. Monitoring changes in denominators over time using consistent methods is essential for interpreting changes in sentinel surveillance incidence data and for assessing the effect of vaccine introduction on disease epidemiology. This report describes the method and its use in The Gambia and Senegal.

Evaluation of automated urban surface water extraction from Sentinel-2A imagery using different water indices

NASA Astrophysics Data System (ADS)

Yang, Xiucheng; Chen, Li

2017-04-01

Urban surface water is characterized by complex surface continents and small size of water bodies, and the mapping of urban surface water is currently a challenging task. The moderate-resolution remote sensing satellites provide effective ways of monitoring surface water. This study conducts an exploratory evaluation on the performance of the newly available Sentinel-2A multispectral instrument (MSI) imagery for detecting urban surface water. An automatic framework that integrates pixel-level threshold adjustment and object-oriented segmentation is proposed. Based on the automated workflow, different combinations of visible, near infrared, and short-wave infrared bands in Sentinel-2 image via different water indices are first compared. Results show that object-level modified normalized difference water index (MNDWI with band 11) and automated water extraction index are feasible in urban surface water mapping for Sentinel-2 MSI imagery. Moreover, comparative results are obtained utilizing optimal MNDWI from Sentinel-2 and Landsat 8 images, respectively. Consequently, Sentinel-2 MSI achieves the kappa coefficient of 0.92, compared with that of 0.83 from Landsat 8 operational land imager.

Copernicus POD Service Operations

NASA Astrophysics Data System (ADS)

Fernandez, Jaime; Escobar, Diego; Ayuga, Francisco; Peter, Heike; Femenias, Pierre

2015-12-01

The Copernicus POD (Precise Orbit Determination) Service is part of the Copernicus PDGS Ground Segment of the Sentinel missions. A GMV-led consortium is operating the Copernicus POD Service (CPOD) being in charge of generating precise orbital products and auxiliary data files for their use as part of the processing chains of the respective Sentinel PDGS (Payload Data Ground Segment). This paper describes the CPOD Service and presents the current status operating Sentinel-1A and its readiness to support the Sentinel-2A and in particular Sentinel-3A incoming Commissioning Phases, with an especial emphasis on describing the Calibration and Validation (Cal/Val) activities to be performed during the Comm. Phase. Then, it is shown how the quality of the orbital products is guaranteed through external validation activities and the role of the Copernicus POD QWG (Quality Working Group).

Comparative evaluation of the efficiency of the BG-Sentinel trap, CDC light trap and Mosquito-oviposition trap for the surveillance of vector mosquitoes.

PubMed

Li, Yiji; Su, Xinghua; Zhou, Guofa; Zhang, Hong; Puthiyakunnon, Santhosh; Shuai, Shufen; Cai, Songwu; Gu, Jinbao; Zhou, Xiaohong; Yan, Guiyun; Chen, Xiao-Guang

2016-08-12

The surveillance of vector mosquitoes is important for the control of mosquito-borne diseases. To identify a suitable surveillance tool for the adult dengue vector Aedes albopictus, the efficacy of the BG-Sentinel trap, CDC light trap and Mosquito-oviposition trap (MOT) on the capture of vector mosquitoes were comparatively evaluated in this study. The capture efficiencies of the BG-Sentinel trap, CDC light trap and Mosquito-oviposition trap for common vector mosquitoes were tested in a laboratory setting, through the release-recapture method, and at two field sites of Guangzhou, China from June 2013 to May 2014. The captured mosquitoes were counted, species identified and compared among the three traps on the basis of species. In the release-recapture experiments in a laboratory setting, the BG-Sentinel trap caught significantly more Aedes albopictus and Culex quinquefasciatus than the CDC light trap and Mosquito-ovitrap, except for Anopheles sinensis. The BG-Sentinel trap had a higher efficacy in capturing female rather than male Ae. albopictus and Cx. quinquefasciatus, but the capture in CDC light traps displayed no significant differences. In the field trial, BG-Sentinel traps collected more Aedes albopictus than CDC light traps and MOTs collected in both urban and suburban areas. The BG-Sentinel trap was more sensitive for monitoring the population density of Aedes albopictus than the CDC light trap and MOT during the peak months of the year 2013. However, on an average, CDC light traps captured significantly more Cx. quinquefasciatus than BG-Sentinel traps. The population dynamics of Cx. quinquefasciatus displayed a significant seasonal variation, with the lowest numbers in the middle of the year. This study indicates that the BG-Sentinel trap is more effective than the commonly used CDC light trap and MOT in sampling adult Aedes albopictus and Culex quinquefasciatus. We recommend its use in the surveillance of dengue vector mosquitoes in China.

Preoperative 18F-FDG-PET/CT imaging and sentinel node biopsy in the detection of regional lymph node metastases in malignant melanoma.

PubMed

Singh, Baljinder; Ezziddin, Samer; Palmedo, Holger; Reinhardt, Michael; Strunk, Holger; Tüting, Thomas; Biersack, Hans-Jürgen; Ahmadzadehfar, Hojjat

2008-10-01

The objective of this study was to evaluate the role of preoperative 18F-fluorodeoxyglucose-positron emission tomography/computed tomography scanning, preoperative lymphoscintigraphy (LS), and sentinel lymph node biopsy in patients with malignant melanoma. Fifty-two patients (36 men: 16 women; mean age 55.0+/-13.0 years; median age 61 years; range 17-76 years) with malignant melanoma were selected. According to the latest version of the American Joint Committee on Cancer staging system, the disease in the study patients was initially classified as either stage I or II. The other primary tumor characteristics were mean Breslow depth=2.87 mm and median=2 mm; range 1-12.0 mm and Clarks levels III-V. None of the study patients had clinical or radiological evidence of regional lymph node metastatic disease. At least one sentinel node was identified in all patients. Preoperative LS detected a total of 111 sentinel lymph nodes (average 2.13 sentinel lymph node per patient) and demonstrated a single nodal draining basin in 38 (73%) patients and multiple (2-3 draining basins) in the remaining 14 (27%) patients. Fourteen out of the 52 patients (27%) had at least one involved sentinel node. Positron emission tomography was true positive in two patients with a sentinel node greater than 1 cm and false positive in two other patients. In this study, the detection of sentinel lymph node by LS and gamma probe had a sensitivity of 100%. In contrast, 18F-FDG-PET imaging demonstrated very low sensitivity (14.3%; 95% CI, 2.5 to 44%) and positive predictive value (50%; 95% CI, 9 to 90%) for localizing the subclinical nodal metastases. The specificity, net present value, and diagnostic accuracy were 94.7, 75, and 73%, respectively. Preoperative fluorodeoxyglucose-positron emission tomography/computed tomography imaging is not able to substitute LS/sentinel lymph node biopsy in patients at stage I or II.

40 CFR 35.926 - Value engineering (VE).

Code of Federal Regulations, 2013 CFR

2013-07-01

... 40 Protection of Environment 1 2013-07-01 2013-07-01 false Value engineering (VE). 35.926 Section... engineering (VE). (a) Value engineering proposal. All step 2 grant applications for projects having a... completion of VE analysis and submittal of VE summary reports). (b) Value engineering analysis. For projects...

40 CFR 35.926 - Value engineering (VE).

Code of Federal Regulations, 2010 CFR

2010-07-01

... 40 Protection of Environment 1 2010-07-01 2010-07-01 false Value engineering (VE). 35.926 Section... engineering (VE). (a) Value engineering proposal. All step 2 grant applications for projects having a... completion of VE analysis and submittal of VE summary reports). (b) Value engineering analysis. For projects...

40 CFR 35.926 - Value engineering (VE).

Code of Federal Regulations, 2012 CFR

2012-07-01

... 40 Protection of Environment 1 2012-07-01 2012-07-01 false Value engineering (VE). 35.926 Section... engineering (VE). (a) Value engineering proposal. All step 2 grant applications for projects having a... completion of VE analysis and submittal of VE summary reports). (b) Value engineering analysis. For projects...

40 CFR 35.926 - Value engineering (VE).

Code of Federal Regulations, 2011 CFR

2011-07-01

... 40 Protection of Environment 1 2011-07-01 2011-07-01 false Value engineering (VE). 35.926 Section... engineering (VE). (a) Value engineering proposal. All step 2 grant applications for projects having a... completion of VE analysis and submittal of VE summary reports). (b) Value engineering analysis. For projects...

40 CFR 35.926 - Value engineering (VE).

Code of Federal Regulations, 2014 CFR

2014-07-01

... 40 Protection of Environment 1 2014-07-01 2014-07-01 false Value engineering (VE). 35.926 Section... engineering (VE). (a) Value engineering proposal. All step 2 grant applications for projects having a... completion of VE analysis and submittal of VE summary reports). (b) Value engineering analysis. For projects...

29 CFR 1952.152 - Completion of developmental steps and certification.

Code of Federal Regulations, 2011 CFR

2011-07-01

... availability of consultative services. (j) In accordance with § 1952.153(h) a manual Management Information....152 Section 1952.152 Labor Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH...(a) the Occupational Safety and Health Act of North Carolina (S.B. 342, Chapter 295) was enacted by...

29 CFR 1952.152 - Completion of developmental steps and certification.

Code of Federal Regulations, 2014 CFR

2014-07-01

... availability of consultative services. (j) In accordance with § 1952.153(h) a manual Management Information....152 Section 1952.152 Labor Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH...(a) the Occupational Safety and Health Act of North Carolina (S.B. 342, Chapter 295) was enacted by...

Sentinel Lymph Node Evaluation in Women with Cervical Cancer

PubMed Central

Holman, Laura L.; Levenback, Charles F.; Frumovitz, Michael

2014-01-01

Lymph node status is the most important prognosticator of survival among women with early stage cervical cancer. This means that many cervical cancer patients will undergo pelvic lymphadenectomy as part of their treatment. Unfortunately, this procedure is associated with significant morbidity. Utilizing the sentinel lymph node technique for women with cervical cancer has the potential to decrease this morbidity. Multiple studies have suggested that sentinel lymph node mapping in these patients is feasible with excellent detection rates and sensitivity. This review examines the current body of literature regarding sentinel lymph node biopsy among women with cervical cancer. PMID:24407177

TJC: HCOs need to be on alert for HIT problems related to sociotechnical factors, take steps to improve safety culture, process, and leadership.

PubMed

2015-06-01

Noting that too many errors related to health information technology (HIT) are resulting in adverse consequences, The Joint Commission (TJC) has issued a Sentinel Event Alert, urging health care providers to take steps to improve their safety culture, approach to process improvement, and leadership in this area. In this latest alert, the accrediting agency is taking particular aim at risks posed by sociotechnical factors--or the ways in which HIT is implemented and used. Experts say that many of these risks are, in fact, exemplified at a higher level in the emergency setting, where providers are under constant pressure to see more patients and move them though the system faster. In an analysis of 3,375 sentinel events that resulted in permanent patient harm or death between January 1, 2010, and June 20, 2013, The Joint Commission (TJC) found that 120 events included HIT-related contributing factors. Many of the problems cited by TJC relate to orders or medicines being prescribed for the wrong patients. These can result from toggling errors or pop-up screens where providers are asked to click on the appropriate patient or medicine, and they mistakenly click on the wrong selection. In the ED, experts recommend the creation of a multidisciplinary performance improvement group to continuously monitor the ED information system (EDIS), recognize problems, and work with the vendor to resolve them. Also important is a quick and easy way for providers to report HIT-related problems. Experts add that emergency providers need to be fully engaged in the process of selecting HIT that they will be using, and that health care organizations should arrange for usability assessments before purchasing HIT.

Lymphatic Mapping and Sentinel Lymph Node Biopsy in Women With Squamous Cell Carcinoma of the Vulva: A Gynecologic Oncology Group Study

PubMed Central

Levenback, Charles F.; Ali, Shamshad; Coleman, Robert L.; Gold, Michael A.; Fowler, Jeffrey M.; Judson, Patricia L.; Bell, Maria C.; De Geest, Koen; Spirtos, Nick M.; Potkul, Ronald K.; Leitao, Mario M.; Bakkum-Gamez, Jamie N.; Rossi, Emma C.; Lentz, Samuel S.; Burke, James J.; Van Le, Linda; Trimble, Cornelia L.

2012-01-01

Purpose To determine the safety of sentinel lymph node biopsy as a replacement for inguinal femoral lymphadenectomy in selected women with vulvar cancer. Patients and Methods Eligible women had squamous cell carcinoma, at least 1-mm invasion, and tumor size ≥ 2 cm and ≤ 6 cm. The primary tumor was limited to the vulva, and there were no groin lymph nodes that were clinically suggestive of cancer. All women underwent intraoperative lymphatic mapping, sentinel lymph node biopsy, and inguinal femoral lymphadenectomy. Histologic ultra staging of the sentinel lymph node was prescribed. Results In all, 452 women underwent the planned procedures, and 418 had at least one sentinel lymph node identified. There were 132 node-positive women, including 11 (8.3%) with false-negative nodes. Twenty-three percent of the true-positive patients were detected by immunohistochemical analysis of the sentinel lymph node. The sensitivity was 91.7% (90% lower confidence bound, 86.7%) and the false-negative predictive value (1-negative predictive value) was 3.7% (90% upper confidence bound, 6.1%). In women with tumor less than 4 cm, the false-negative predictive value was 2.0% (90% upper confidence bound, 4.5%). Conclusion Sentinel lymph node biopsy is a reasonable alternative to inguinal femoral lymphadenectomy in selected women with squamous cell carcinoma of the vulva. PMID:22753905

The SENTINEL-3 Mission: Overview and Status

NASA Astrophysics Data System (ADS)

Benveniste, J.; Mecklenburg, S.

2015-12-01

The Copernicus Programme, being Europe's Earth Observation and Monitoring Programme led by the European Union, aims to provide, on a sustainable basis, reliable and timely services related to environmental and security issues. The Sentinel-3 mission forms part of the Copernicus Space Component. Its main objectives, building on the heritage and experience of the European Space Agency's (ESA) ERS and ENVISAT missions, are to measure sea-surface topography, sea- and land-surface temperature and ocean- and land-surface colour in support of ocean forecasting systems, and for environmental and climate monitoring. The series of Sentinel-3 satellites will ensure global, frequent and near-real time ocean, ice and land monitoring, with the provision of observation data in routine, long term (up to 20 years of operations) and continuous fashion, with a consistent quality and a high level of reliability and availability. The Sentinel-3 missions will be jointly operated by ESA and EUMETSAT. ESA will be responsible for the operations, maintenance and evolution of the Sentinel-3 ground segment on land related products and EUMETSAT for the marine products. The Sentinel-3 ground segment systematically acquires, processes and distributes a set of pre-defined core data products. Sentinel-3A is foreseen to be launched at the beginning of November 2015. The paper will give an overview on the mission, its instruments and objectives, the data products provided, the mechanisms to access the mission's data, and if available first results.

Analysis of signal-dependent sensor noise on JPEG 2000-compressed Sentinel-2 multi-spectral images

NASA Astrophysics Data System (ADS)

Uss, M.; Vozel, B.; Lukin, V.; Chehdi, K.

2017-10-01

The processing chain of Sentinel-2 MultiSpectral Instrument (MSI) data involves filtering and compression stages that modify MSI sensor noise. As a result, noise in Sentinel-2 Level-1C data distributed to users becomes processed. We demonstrate that processed noise variance model is bivariate: noise variance depends on image intensity (caused by signal-dependency of photon counting detectors) and signal-to-noise ratio (SNR; caused by filtering/compression). To provide information on processed noise parameters, which is missing in Sentinel-2 metadata, we propose to use blind noise parameter estimation approach. Existing methods are restricted to univariate noise model. Therefore, we propose extension of existing vcNI+fBm blind noise parameter estimation method to multivariate noise model, mvcNI+fBm, and apply it to each band of Sentinel-2A data. Obtained results clearly demonstrate that noise variance is affected by filtering/compression for SNR less than about 15. Processed noise variance is reduced by a factor of 2 - 5 in homogeneous areas as compared to noise variance for high SNR values. Estimate of noise variance model parameters are provided for each Sentinel-2A band. Sentinel-2A MSI Level-1C noise models obtained in this paper could be useful for end users and researchers working in a variety of remote sensing applications.

Frozen section analysis and sentinel lymph node biopsy in well differentiated thyroid cancer

PubMed Central

2013-01-01

Background The aim of this study is to prospectively review the role of sentinel lymph node (SLN) biopsy in the management of well differentiated thyroid carcinoma (WDTC), and to determine the efficacy of intraoperative frozen section analysis at detecting SLN metastasis and central compartment involvement. Methods The SLN biopsy protocol using 1% methylene blue was performed in 300 patients undergoing thyroidectomy for WDTC. A limited pretracheal central compartment neck dissection (CCND) was performed on all patients. Lymph nodes staining blue were considered as SLN’s. Both frozen and permanent section analyses were performed. Results SLN’s with metastasis were found in 14.3% (43/300) of cases. Of this, 11% (33/300) were positive on intraoperative frozen section analysis. Frozen section results failed in predicting central compartment involvement in 15 cases (5%) whereas central neck compartment involvement was missed in 5 cases (1.7%) when based on permanent section results. On frozen section analysis, the sensitivity, specificity, positive predictive value and negative predictive value (95% CI) of our SLN biopsy technique aiming to remove all disease from the central compartment was 68.8% (53.6-80.9), 100% (98.1-100), 100% (87.0-100) and 94.4% (90.7-96.7) respectively with P < 0.0001. On permanent section analysis, the values were 89.6% (76.6-96.1), 100% (98.1-100), 100% (89.8-100), and 98.1% (95.3-99.3) with P < 0.0001. Conclusion This data series demonstrates that patients with WDTC have positive SLN’s in 14.3% of cases. Moreover, when the SLN’s are negative for metastasis on frozen section, the central compartment was disease-free in 94.4% of cases. Finally, this study shows that 23.3% of positive SLN’s were false negatives on intraoperative frozen section. According to this data, SLN involvement is an accurate predictor of central compartment metastasis, however surgeons should use caution when relying on intraoperative frozen section to determine whether to perform a CCND. PMID:24025621

77 FR 67767 - Revision to the South Coast Portion of the California State Implementation Plan, CPV Sentinel...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-11-14

...'') portion of the California SIP. This source-specific SIP revision is known as the CPV Sentinel Energy... South Coast Portion of the California State Implementation Plan, CPV Sentinel Energy Project AB 1318... Environmental Protection Agency (EPA) is taking final action to approve a source-specific State Implementation...

77 FR 6107 - CPV Sentinel, LLC; Supplemental Notice That Initial Market-Based Rate Filing Includes Request for...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-02-07

... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Docket No. ER12-911-000] CPV Sentinel... 204 Authorization This is a supplemental notice in the above-referenced proceeding of CPV Sentinel...-8659. Dated: February 1, 2012. Kimberly D. Bose, Secretary. [FR Doc. 2012-2701 Filed 2-6-12; 8:45 am...

Implementation of a standardized handoff protocol for post-operative admissions to the surgical intensive care unit.

PubMed

Mukhopadhyay, Dhriti; Wiggins-Dohlvik, Katie C; MrDutt, Mary M; Hamaker, Jeffrey S; Machen, Graham L; Davis, Matthew L; Regner, Justin L; Smith, Randall W; Ciceri, David P; Shake, Jay G

2018-01-01

The transfer of critically ill patients from the operating room (OR) to the surgical intensive care unit (SICU) involves handoffs between multiple providers. Incomplete handoffs lead to poor communication, a major contributor to sentinel events. Our aim was to determine whether handoff standardization led to improvements in caregiver involvement and communication. A prospective intervention study was designed to observe thirty one patient handoffs from OR to SICU for 49 critical parameters including caregiver presence, peri-operative details, and time required to complete key steps. Following a six month implementation period, thirty one handoffs were observed to determine improvement. A significant improvement in presence of physician providers including intensivists and surgeons was observed (p = 0.0004 and p < 0.0001, respectively). Critical details were communicated more consistently, including procedure performed (p = 0.0048), complications (p < 0.0001), difficult airways (p < 0.0001), ventilator settings (p < 0.0001) and pressor requirements (p = 0.0134). Conversely, handoff duration did not increase significantly (p = 0.22). Implementation of a standardized protocol for handoffs between OR and SICU significantly improved caregiver involvement and reduced information omission without affecting provider time commitment. Copyright © 2017 Elsevier Inc. All rights reserved.

Characterizing 3D grain size distributions from 2D sections in mylonites using a modified version of the Saltykov method

NASA Astrophysics Data System (ADS)

Lopez-Sanchez, Marco; Llana-Fúnez, Sergio

2016-04-01

The understanding of creep behaviour in rocks requires knowledge of 3D grain size distributions (GSD) that result from dynamic recrystallization processes during deformation. The methods to estimate directly the 3D grain size distribution -serial sectioning, synchrotron or X-ray-based tomography- are expensive, time-consuming and, in most cases and at best, challenging. This means that in practice grain size distributions are mostly derived from 2D sections. Although there are a number of methods in the literature to derive the actual 3D grain size distributions from 2D sections, the most popular in highly deformed rocks is the so-called Saltykov method. It has though two major drawbacks: the method assumes no interaction between grains, which is not true in the case of recrystallised mylonites; and uses histograms to describe distributions, which limits the quantification of the GSD. The first aim of this contribution is to test whether the interaction between grains in mylonites, i.e. random grain packing, affects significantly the GSDs estimated by the Saltykov method. We test this using the random resampling technique in a large data set (n = 12298). The full data set is built from several parallel thin sections that cut a completely dynamically recrystallized quartz aggregate in a rock sample from a Variscan shear zone in NW Spain. The results proved that the Saltykov method is reliable as long as the number of grains is large (n > 1000). Assuming that a lognormal distribution is an optimal approximation for the GSD in a completely dynamically recrystallized rock, we introduce an additional step to the Saltykov method, which allows estimating a continuous probability distribution function of the 3D grain size population. The additional step takes the midpoints of the classes obtained by the Saltykov method and fits a lognormal distribution with a trust region using a non-linear least squares algorithm. The new protocol is named the two-step method. The conclusion of this work is that both the Saltykov and the two-step methods are accurate and simple enough to be useful in practice in rocks, alloys or ceramics with near-equant grains and expected lognormal distributions. The Saltykov method is particularly suitable to estimate the volumes of particular grain fractions, while the two-step method to quantify the full GSD (mean and standard deviation in log grain size). The two-step method is implemented in a free, open-source and easy-to-handle script (see http://marcoalopez.github.io/GrainSizeTools/).

[Relevance of the sentinel lymph node biopsy in breast multifocal and multicentric cancer].

PubMed

Mosbah, R; Raimond, E; Pelissier, A; Hocedez, C; Graesslin, O

2015-05-01

The sentinel lymph node biopsy is a gold standard in the management of breast cancer. Its role in multifocal or multicentric tumors is still evolving. The aim of this study is to assess the feasibility and pertinence of sentinel lymph node biopsy in multifocal and multicentric tumors based on a systematic review of literature. A systematic review was conducted searching in the following electronic databases PubMed using "sentinel lymph node biopsy", "breast cancer", "multifocal tumor", "multicentric tumor" and "multiple tumor" as keywords. We included original articles published between 2000 and 2014, both French and English, studying feasibility of sentinel lymph node biopsy in invasive breast cancer, multicentric and/or multifocal tumors. The first end point was success rate and false negative rate. Twenty-six articles were included in this literature review, with 2212 cases (782 multifocal, 737 multicentric and 693 multiple tumors). Percentage of tumors whose stage was higher than stage T2 ranged from 0 to 86.3%. Success rate average was 83.1%. False negative average was 8.2%. False negative rate was less than 10% in 15 articles. Mean of sentinel lymph node biopsy was 2 (1-9). The average rate of sentinel lymph node positive was 50.6%. Axillary recurrence rate was 0.5%. Despite the methodological biases of the studies included in this review of literature, the false negative rate of sentinel node biopsy in multifocal and multicentric breast cancers are less than 10% with a low rate of axillary recurrence. Despite the lack of randomized study, this procedure can be routinely performed in accordance with rigorous technical process. Copyright © 2015 Elsevier Masson SAS. All rights reserved.

On Clear-Cut Mapping with Time-Series of Sentinel-1 Data in Boreal Forest

NASA Astrophysics Data System (ADS)

Rauste, Yrjo; Antropov, Oleg; Mutanen, Teemu; Hame, Tuomas

2016-08-01

Clear-cutting is the most drastic and wide-spread change that affects the hydrological and carbon-balance proper- ties of forested land in the Boreal forest zone1.A time-series of 36 Sentinel-1 images was used to study the potential for mapping clear-cut areas. The time series covered one and half year (2014-10-09 ... 2016-03-20) in a 200-km-by-200-km study site in Finland. The Sentinel- 1 images were acquired in Interferometric Wide-swath (IW), dual-polarized mode (VV+VH). All scenes were acquired in the same orbit configuration. Amplitude im- ages (GRDH product) were used. The Sentinel-1 scenes were ortho-rectified with in-house software using a digi- tal elevation model (DEM) produced by the Land Survey of Finland. The Sentinel-1 amplitude data were radio- metrically corrected for topographic effects.The temporal behaviour of C-band backscatter was stud- ied for areas representing 1) areas clear-cut during the ac- quisition of the Sentinel-1 time-series, 2) areas remaining forest during the acquisition of the Sentinel-1 time-series, and 3) areas that had been clear-cut before the acquisition of the Sentinel-1 time-series.The following observations were made:1. The separation between clear-cut areas and forest was generally low;2. Under certain acquisition conditions, clear-cut areas were well separable from forest;3. The good scenes were acquired: 1) in winter during thick snow cover, and 2) in late summer towards the end of a warm and dry period;4. The separation between clear-cut and forest was higher in VH polarized data than in VV-polarized data.5. The separation between clear-cut and forest was higher in the winter/snow scenes than in the dry summer scenes.

The ground prototype processor: Level-1 production during Sentinel-2 in-orbit acceptance

NASA Astrophysics Data System (ADS)

Petrucci, B.; Dechoz, C.; Lachérade, S.; L'Helguen, C.; Raynaud, J.-L.; Trémas, T.; Picard, C.; Rolland, A.

2015-10-01

Jointly with the European Commission, the Sentinel-2 earth observation optical mission is developed by the European Space Agency (ESA). Relying on a constellation of satellites put in orbit starting mid-2015, Sentinel-2 will be devoted to the monitoring of land and coastal areas worldwide thanks to an imagery at high revisit (5 days with two satellites), high resolution (10m, 20m and 60m) with large swath (290km), and multi-spectral imagery (13 bands in visible and shortwave infra-red). In this framework, the French Space Agency (CNES: Centre National d'Etudes Spatiales) supports ESA on the activities related to Image Quality, defining the image products and prototyping the processing techniques. Scope of this paper is to present the Ground Prototype Processor (GPP) that will be in charge of Level-1 production during Sentinel-2 In Orbit Acceptance phase. GPP has been developed by a European industrial consortium composed of Advanced Computer Systems (ACS), Magellium and DLR on the basis of CNES technical specification of Sentinel-2 data processing and under the joint management of ESA-ESTEC and CNES. It will assure the generation of the products used for Calibration and Validation activities and it will provide the reference data for Sentinel-2 Payload Data Ground Segment Validation. At first, Sentinel-2 end-users products definition is recalled with the associated radiometric and geometric performances; secondly the methods implemented will be presented with an overview of the Ground Image Processing Parameters that need to be tuned during the In Orbit Acceptance phase to assure the required performance of the products. Finally, the complexity of the processing having been showed, the challenges of the production in terms of data volume and processing time will be highlighted. The first Sentinel-2 Level-1 products are shown.

10 % fluorescein sodium vs 1 % isosulfan blue in breast sentinel lymph node biopsy.

PubMed

Ren, Lidong; Liu, Zhao; Liang, Mengdi; Wang, Li; Song, Xingli; Wang, Shui

2016-11-03

Sentinel lymph node biopsy (SLNB) is well accepted to be a standard procedure in breast cancer surgery with clinically negative lymph nodes. Isosulfan blue is the first dye approved by the USA Food and Drug Administration for the localization of the lymphatic system. Few alternative tracers have been investigated. In this study, we aimed to compare the differences between 10 % fluorescein sodium and 1 % isosulfan blue in breast sentinel lymph node biopsy and to investigate the feasibility of using 10 % fluorescein sodium as a new dye for breast sentinel lymph node biopsy. A total of 30 New Zealand rabbits were randomly divided into the fluorescein sodium group and the isosulfan blue group (15 rabbits per group). Fluorescein sodium or isosulfan blue was injected subcutaneously into the second pair of mammary areolas. The average fading time of the second lymph nodes in the isosulfan blue group was significantly shorter than that in the fluorescein sodium group. Moreover, the detection rates of SLNs were higher in the fluorescein sodium group than in the isosulfan blue group. No significant differences between the fluorescein sodium group and isosulfan blue group were observed regarding the distances between the detected sentinel lymph nodes and second pair of mammary areolas, the distances between the second lymph nodes and second pair of mammary areolas, the number of detected sentinel lymph nodes and second lymph nodes, the average dyeing time of the sentinel and the second lymph nodes, and the average fading time of the second lymph nodes. In summary, we first reported that fluorescein sodium is a potential new tracer for breast sentinel lymph node biopsy.

Satellite radar interferometry for monitoring subsidence induced by longwall mining activity using Radarsat-2, Sentinel-1 and ALOS-2 data

NASA Astrophysics Data System (ADS)

Ng, Alex Hay-Man; Ge, Linlin; Du, Zheyuan; Wang, Shuren; Ma, Chao

2017-09-01

This paper describes the simulation and real data analysis results from the recently launched SAR satellites, ALOS-2, Sentinel-1 and Radarsat-2 for the purpose of monitoring subsidence induced by longwall mining activity using satellite synthetic aperture radar interferometry (InSAR). Because of the enhancement of orbit control (pairs with shorter perpendicular baseline) from the new satellite SAR systems, the mine subsidence detection is now mainly constrained by the phase discontinuities due to large deformation and temporal decorrelation noise. This paper investigates the performance of the three satellite missions with different imaging modes for mapping longwall mine subsidence. The results show that the three satellites perform better than their predecessors. The simulation results show that the Sentinel-1A/B constellation is capable of mapping rapid mine subsidence, especially the Sentinel-1A/B constellation with stripmap (SM) mode. Unfortunately, the Sentinel-1A/B SM data are not available in most cases and hence real data analysis cannot be conducted in this study. Despite the Sentinel-1A/B SM data, the simulation and real data analysis suggest that ALOS-2 is best suited for mapping mine subsidence amongst the three missions. Although not investigated in this study, the X-band satellites TerraSAR-X and COSMO-SkyMed with short temporal baseline and high spatial resolution can be comparable with the performance of the Radarsat-2 and Sentinel-1 C-band data over the dry surface with sparse vegetation. The potential of the recently launched satellites (e.g. ALOS-2 and Sentinel-1A/B) for mapping longwall mine subsidence is expected to be better than the results of this study, if the data acquired from the ideal acquisition modes are available.

Simplifying Logistics and Avoiding the Unnecessary in Patients With Breast Cancer Undergoing Sentinel Node Biopsy. A Prospective Feasibility Trial of the Preoperative Injection of Super Paramagnetic Iron Oxide Nanoparticles.

PubMed

Karakatsanis, A; Olofsson, H; Stålberg, P; Bergkvist, L; Abdsaleh, S; Wärnberg, F

2018-06-01

Sentinel node is routinely localized with the intraoperative use of a radioactive tracer, involving challenging logistics. Super paramagnetic iron oxide nanoparticle is a non-radioactive tracer with comparable performance that could allow for preoperative localization, would simplify the procedure, and possibly be of value in axillary mapping before neoadjuvant treatment. The current trial aimed to determine the a priori hypothesis that the injection of super paramagnetic iron oxide nanoparticles in the preoperative period for the localization of the sentinel node is feasible. This is a prospective feasibility trial, conducted from 9 September 2014 to 22 October 2014 at Uppsala University Hospital. In all, 12 consecutive patients with primary breast cancer planned for resection of the primary and sentinel node biopsy were recruited. Super paramagnetic iron oxide nanoparticles were injected in the preoperative visit in the outpatient clinic. The radioactive tracer ( 99 mTc) and the blue dye were injected perioperatively in standard fashion. A volunteer was injected with super paramagnetic iron oxide nanoparticles to follow the decline in the magnetic signal in the sentinel node over time. The primary outcome was successful sentinel node detection. Super paramagnetic iron oxide nanoparticles' detection after preoperative injection (3-15 days) was successful in all cases (100%). In the volunteer, axillary signal was presented for 4 weeks. No adverse effects were noted. Conclusion and relevance: Preoperative super paramagnetic iron oxide nanoparticles' injection is feasible and leads to successful detection of the sentinel node. That may lead to simplified logistics as well as the identification, sampling, and marking of the sentinel node in patients planned for neoadjuvant treatment.

Exploring Capabilities of SENTINEL-2 for Vegetation Mapping Using Random Forest

NASA Astrophysics Data System (ADS)

Saini, R.; Ghosh, S. K.

2018-04-01

Accurate vegetation mapping is essential for monitoring crop and sustainable agricultural practice. This study aims to explore the capabilities of Sentinel-2 data over Landsat-8 Operational Land Imager (OLI) data for vegetation mapping. Two combination of Sentinel-2 dataset have been considered, first combination is 4-band dataset at 10m resolution which consists of NIR, R, G and B bands, while second combination is generated by stacking 4 bands having 10 m resolution along with other six sharpened bands using Gram-Schmidt algorithm. For Landsat-8 OLI dataset, six multispectral bands have been pan-sharpened to have a spatial resolution of 15 m using Gram-Schmidt algorithm. Random Forest (RF) and Maximum Likelihood classifier (MLC) have been selected for classification of images. It is found that, overall accuracy achieved by RF for 4-band, 10-band dataset of Sentinel-2 and Landsat-8 OLI are 88.38 %, 90.05 % and 86.68 % respectively. While, MLC give an overall accuracy of 85.12 %, 87.14 % and 83.56 % for 4-band, 10-band Sentinel and Landsat-8 OLI respectively. Results shown that 10-band Sentinel-2 dataset gives highest accuracy and shows a rise of 3.37 % for RF and 3.58 % for MLC compared to Landsat-8 OLI. However, all the classes show significant improvement in accuracy but a major rise in accuracy is observed for Sugarcane, Wheat and Fodder for Sentinel 10-band imagery. This study substantiates the fact that Sentinel-2 data can be utilized for mapping of vegetation with a good degree of accuracy when compared to Landsat-8 OLI specifically when objective is to map a sub class of vegetation.

[Sentinel lymph node metastasis in patients with ductal breast carcinoma in situ].

PubMed

Ruvalcaba-Limón, Eva; de Jesús Garduño-Raya, María; Bautista-Piña, Verónica; Trejo-Martínez, Claudia; Maffuz-Aziz, Antonio; Rodríguez-Cuevas, Sergio

2014-01-01

Sentinel lymph node biopsy in patients with ductal carcinoma in situ still controversial, with positive lymph node in range of 1.4-12.5% due occult invasive breast carcinoma in surgical specimen. To know the frequency of sentimel node metastases in patients with ductal carcinoma in situ, identify differences between positive and negative cases. Retrospective study of patients with ductal carcinoma in situ treated with sentinel lymph node biopsy because mastectomy indication, palpable tumor, radiological lesion = 5 cm, non-favorable breast-tumor relation and/or patients whom surgery could affect lymphatic flow drainage. Of 168 in situ carcinomas, 50 cases with ductal carcinoma in situ and sentinel lymph node biopsy were included, with a mean age of 51.6 years, 30 (60%) asymptomatic. The most common symptoms were palpable nodule (18%), nipple discharge (12%), or both (8%). Microcalcifications were common (72%), comedonecrosis pattern (62%), grade-2 histology (44%), and 28% negative hormonal receptors. Four (8%) cases had intra-operatory positive sentinel lymph node and one patient at final histo-pathological study (60% micrometastases, 40% macrometastases), all with invasive carcinoma in surgical specimen. Patients with intra-operatory positive sentinel lymph node where younger (44.5 vs 51 years), with more palpable tumors (50% vs 23.1%), and bigger (3.5 vs 2 cm), more comedonecrosis pattern (75% vs 60.8%), more indifferent tumors (75% vs 39.1%), and less cases with hormonal receptors (50% vs 73.9%), compared with negative sentinel lymph node cases, all these differences without statistic significance. One of each 12 patients with ductal carcinoma in situ had affection in sentinel lymph node, so we recommend continue doing this procedure to avoid second surgeries due the presence of occult invasive carcinoma.

Murine norovirus detection in the exhaust air of IVCs is more sensitive than serological analysis of soiled bedding sentinels.

PubMed

Zorn, Julia; Ritter, Bärbel; Miller, Manuel; Kraus, Monika; Northrup, Emily; Brielmeier, Markus

2017-06-01

One limitation to housing rodents in individually ventilated cages (IVCs) is the ineffectiveness of traditional health monitoring programs that test soiled bedding sentinels every quarter. Aerogen transmission does not occur with this method. Moreover, the transmission of numerous pathogens in bedding is uncertain, and sentinel susceptibility to various pathogens varies. A novel method using particle collection from samples of exhaust air was developed in this study which was also systematically compared with routine health monitoring using soiled bedding sentinels. We used our method to screen these samples for the presence of murine norovirus (MNV), a mouse pathogen highly prevalent in laboratory animal facilities. Exhaust air particles from prefilters of IVC racks with known MNV prevalence were tested by quantitative reverse transcription polymerase chain reaction (RT-qPCR). MNV was detected in exhaust air as early as one week with one MNV-positive cage per rack, while sentinels discharged MNV RNA without seroconverting. MNV was reliably and repeatedly detected in particles collected from samples of exhaust air in all seven of the three-month sampling rounds, with increasing MNV prevalence, while sentinels only seroconverted in one round. Under field conditions, routine soiled bedding sentinel health monitoring in our animal facility failed to identify 67% ( n = 85) of positive samples by RT-qPCR of exhaust air particles. Thus, this method proved to be highly sensitive and superior to soiled bedding sentinels in the reliable detection of MNV. These results represent a major breakthrough in hygiene monitoring of rodent IVC systems and contribute to the 3R principles by reducing the number of animals used and by improving experimental conditions.

Sentinel-2 radiometric image quality commissioning: first results

NASA Astrophysics Data System (ADS)

Lachérade, S.; Lonjou, V.; Farges, M.; Gamet, P.; Marcq, S.; Raynaud, J.-L.; Trémas, T.

2015-10-01

In partnership with the European Commission and in the frame of the Copernicus program, the European Space Agency (ESA) is developing the Sentinel-2 optical imaging mission devoted to the operational monitoring of land and coastal areas. The Sentinel-2 mission is based on a satellites constellation deployed in polar sun-synchronous orbit. Sentinel-2 offers a unique combination of global coverage with a wide field of view (290km), a high revisit (5 days with two satellites), a high spatial resolution (10m, 20m and 60m) and multi-spectral imagery (13 spectral bands in visible and shortwave infrared domains). The first satellite, Sentinel-2A, has been launched in June 2015. The Sentinel-2A Commissioning Phase starts immediately after the Launch and Early Orbit Phase and continues until the In-Orbit Commissioning Review which is planned three months after the launch. The Centre National d'Etudes Spatiales (CNES) supports ESA/ESTEC to insure the Calibration/Validation commissioning phase during the first three months in flight. This paper provides first an overview of the Sentinel-2 system and a description of the products delivered by the ground segment associated to the main radiometric specifications to achieve. Then the paper focuses on the preliminary radiometric results obtained during the in-flight commissioning phase. The radiometric methods and calibration sites used in the CNES image quality center to reach the specifications of the sensor are described. A status of the Sentinel-2A radiometric performances at the end of the first three months after the launch is presented. We will particularly address in this paper the results in term of absolute calibration, pixel to pixel relative sensitivity and MTF estimation.

Use of C-band Sentinel-1 and L-band UAVSAR data for flood extent mapping during Hurricane Harvey

NASA Astrophysics Data System (ADS)

Lakshmi, V.; Kundu, S.; Torres, R.

2017-12-01

Hurricane Harvey was one of the most destructive storms that struck the Houston area in August 2017 causing loss of life and property. In this study, an estimation of flooding extent is done using two sets of microwave remote sensing data, Unmanned Aerial Vehicle Synthetic Aperture Radar (UAVSAR) and Sentinel-1. UAVSAR is an L-band SAR (Synthetic Aperture Radar) data which is an airborne repeat-pass interferometric observation system and has 16 km swath. Sentinel-1 is the C band microwave data developed by European Space Agency covering a large area (250 km). Data are analyzed to examine the flood extent over Houston during Harvey. Flood extent mapping is carried out using the Sentinel-1 data and UAVSAR using backscatter signatures which displays the extent of changes and destruction during the flood. Keywords: Harvey, UAVSAR, Sentinel-1, flood extent

Multifunctional Polymer Microbubbles for Advanced Sentinel Lymph Node Imaging and Mapping

DTIC Science & Technology

2012-03-01

undesired PMA attached to microbubble surface. Figure 1: One-pot polymer -lipid microbubbles. (a) Synthesis of thiolated poly(acrylic acid) with...Award Number: W81XWH-11-1-0215 TITLE: Multifunctional Polymer Microbubbles for Advanced Sentinel...February 2012 4. TITLE AND SUBTITLE 5a. CONTRACT NUMBER Multifunctional Polymer Microbubbles for Advanced Sentinel Lymph Node Imaging and Mapping 5b

Knowing what we breathe: Sentinel 4: a geostationary imaging UVN spectrometer for air quality monitoring

NASA Astrophysics Data System (ADS)

Bazalgette Courrèges-Lacoste, G.; Sallusti, M.; Bulsa, G.; Bagnasco, G.; Gulde, S.; Kolm, M. G.; Smith, D. J.; Maurer, R.

2017-09-01

Sentinel-4 is an imaging UVN (UV-VIS-NIR) spectrometer, developed by Airbus DS under ESA contract in the frame of the joint EU/ESA COPERNICUS program. The mission objective is the operational monitoring of trace gas concentrations for atmospheric chemistry and climate applications - hence the motto of Sentinel-4 "Knowing what we breathe".

Sentinel-1 - the radar mission for GMES operational land and sea services

NASA Astrophysics Data System (ADS)

Attema, Evert; Bargellini, Pierre; Edwards, Peter; Levrini, Guido; Lokas, Svein; Moeller, Ludwig; Rosich-Tell, Betlem; Secchi, Patrizia; Torres, Ramon; Davidson, Malcolm; Snoeij, Paul

2007-08-01

The ESA Sentinels will be the first series of operational satellites to meet the Earth observation needs of the European Union - ESA Global Monitoring for Environment and Security (GMES) programme. Existing and planned space assets will be complemented by new developments from ESA. The first is Sentinel-1, a pair of synthetic aperture radar (SAR) imaging satellites.

Lymphatic drainage patterns of oral maxillary tumors: Approachable locations of sentinel lymph nodes mainly at the cervical neck level.

PubMed

Boeve, Koos; Schepman, Kees-Pieter; Vegt, Bert van der; Schuuring, Ed; Roodenburg, Jan L; Brouwers, Adrienne H; Witjes, Max J

2017-03-01

There is debate if the lymphatic drainage pattern of oral maxillary cancer is to the retropharyngeal lymph nodes or to the cervical lymph nodes. Insight in drainage patterns is important for the indication for neck treatment. The purpose of this study was to identify the lymphatic drainage pattern of oral maxillary cancer via preoperative lymphoscintigraphy. Eleven consecutive patients with oral maxillary cancer treated in our center between December 1, 2012, and April 22, 2016 were studied. Sentinel lymph nodes identified by preoperative lymphoscintigraphy after injection of 99m Tc-nanocolloid and by intraoperative detection using a γ-probe, were surgically removed and histopathologically examined. In 10 patients, sentinel lymph nodes were detected and harvested at cervical levels I, II, or III in the neck. In 2 patients, a parapharyngeal sentinel lymph node was detected. One of the harvested sentinel lymph nodes (1/19) was tumor positive. This study suggests the likelihood of 73% of exclusively cervical level I to III sentinel lymph nodes in oral maxillary cancer. © 2016 Wiley Periodicals, Inc. Head Neck 39: 486-491, 2017. © 2016 Wiley Periodicals, Inc.

Technique for reliable sentinel node biopsy in squamous cell carcinomas of the floor of mouth.

PubMed

Stoeckli, Sandro J; Huebner, Thomas; Huber, Gerhard F; Broglie, Martina A

2016-09-01

Applicability of sentinel node biopsy (SNB) for tumors of the floor of mouth (FOM) is controversial. Prospective evaluation of the accuracy of gamma-probe-guided superselective neck dissection of the preglandular triangle of level I for SNB in FOM squamous cell carcinoma (SCC) after preoperative lymphoscintigraphy and single photon emission CT (SPECT)/CT. In total, 22 sentinel lymph nodes were harvested in level I. Eight of 22 (36%) were seen on lymphoscintigraphy and 11 (50%) on SPECT/CT. Eleven sentinel lymph nodes (50%) were only detected intraoperatively. In unilateral tumors, 20% were contralateral, and, in midline tumors, 93% showed bilateral level I sentinel lymph nodes. The false-negative rate was 8.3%, the negative predictive value was 96.4%, and the false-omission rate was 3.6%. The ultimate neck control rate, including salvage treatment, was 100%. SNB in FOM can be reliably performed using the presented surgical technique. Level I exploration, bilaterally in midline tumors, is mandatory irrespective of the visualization of sentinel lymph nodes in other levels. © 2016 Wiley Periodicals, Inc. Head Neck 38: 1367-1372, 2016. © 2016 Wiley Periodicals, Inc.

Sea ice thickness derived from radar altimetry: achievements and future plans

NASA Astrophysics Data System (ADS)

Ricker, R.; Hendricks, S.; Paul, S.; Kaleschke, L.; Tian-Kunze, X.

2017-12-01

The retrieval of Arctic sea ice thickness is one of the major objectives of the European CryoSat-2 radar altimeter mission and the 7-year long period of operation has produced an unprecedented record of monthly sea ice thickness information. We present CryoSat-2 results that show changes and variability of Arctic sea ice from the winter season 2010/2011 until fall 2017. CryoSat-2, however, was designed to observe thick perennial sea ice, while an accurate retrieval of thin seasonal sea ice is more challenging. We have therefore developed a method of completing and improving Arctic sea ice thickness information within the ESA SMOS+ Sea Ice project by merging CryoSat-2 and SMOS sea ice thickness retrievals. Using these satellite missions together overcomes several issues of single-mission retrievals and provides a more accurate and comprehensive view on the state of Arctic sea-ice thickness at higher temporal resolution. However, stand-alone CryoSat-2 observations can be used as reference data for the exploitation of older pulse-limited radar altimetry data sets over sea ice. In order to observe trends in sea ice thickness, it is required to minimize inter-mission biases between subsequent satellite missions. Within the ESA Climate Change Initiative (CCI) on Sea Ice, a climate data record of sea ice thickness derived from satellite radar altimetry has been developed for both hemispheres, based on the 15-year (2002-2017) monthly retrievals from Envisat and CryoSat-2 and calibrated in the 2010-2012 overlap period. The next step in promoting the utilization of sea ice thickness information from radar altimetry is to provide products by a service that meets the requirements for climate applications and operational systems. This task will be pursued within a Copernicus Climate Change Service project (C3S). This framework also aims to include additional sensors such as onboard Sentinel-3 and we will show first results of Sentinel-3 Arctic sea-ice thickness. These developments are the base for preserving the continuity of the sea ice thickness data record and the transformation from research oriented products into an operational service.

Developments in the Aerosol Layer Height Retrieval Algorithm for the Copernicus Sentinel-4/UVN Instrument

NASA Astrophysics Data System (ADS)

Nanda, Swadhin; Sanders, Abram; Veefkind, Pepijn

2016-04-01

The Sentinel-4 mission is a part of the European Commission's Copernicus programme, the goal of which is to provide geo-information to manage environmental assets, and to observe, understand and mitigate the effects of the changing climate. The Sentinel-4/UVN instrument design is motivated by the need to monitor trace gas concentrations and aerosols in the atmosphere from a geostationary orbit. The on-board instrument is a high resolution UV-VIS-NIR (UVN) spectrometer system that provides hourly radiance measurements over Europe and northern Africa with a spatial sampling of 8 km. The main application area of Sentinel-4/UVN is air quality. One of the data products that is being developed for Sentinel-4/UVN is the Aerosol Layer Height (ALH). The goal is to determine the height of aerosol plumes with a resolution of better than 0.5 - 1 km. The ALH product thus targets aerosol layers in the free troposphere, such as desert dust, volcanic ash and biomass during plumes. KNMI is assigned with the development of the Aerosol Layer Height (ALH) algorithm. Its heritage is the ALH algorithm developed by Sanders and De Haan (ATBD, 2016) for the TROPOMI instrument on board the Sentinel-5 Precursor mission that is to be launched in June or July 2016 (tentative date). The retrieval algorithm designed so far for the aerosol height product is based on the absorption characteristics of the oxygen-A band (759-770 nm). The algorithm has heritage to the ALH algorithm developed for TROPOMI on the Sentinel 5 precursor satellite. New aspects for Sentinel-4/UVN include the higher resolution (0.116 nm compared to 0.4 for TROPOMI) and hourly observation from the geostationary orbit. The algorithm uses optimal estimation to obtain a spectral fit of the reflectance across absorption band, while assuming a single uniform layer with fixed width to represent the aerosol vertical distribution. The state vector includes amongst other elements the height of this layer and its aerosol optical thickness. We will present the development work around the ALH retrieval algorithm in the framework of the Sentinel-4/UVN instrument. The main challenges are highlighted and retrieval simulation results are provided. Also, an outlook towards application of the S4 bread board algorithm to Sentinel-5 Precursor data later this year will be discussed.

Orbit determination of the Sentinel satellites - preparations for GPS L2C-tracking

NASA Astrophysics Data System (ADS)

Peter, Heike; Fernández, Jaime; Fernández, Carlos; Féménias, Pierre

2017-04-01

The Copernicus POD (Precise Orbit Determination) Service is part of the Copernicus Processing Data Ground Segment (PDGS) of the Sentinel-1, -2 and -3 missions. A GMV-led consortium is operating the Copernicus POD Service being in charge of generating precise orbital products and auxiliary data files for their use as part of the processing chains of the respective Sentinel PDGS. Since April 2014 four Sentinel satellites have been launched (1A, 2A, 3A, and 1B). Sentinel-2B is expected to be launched in March 2017. Thus the CPOD Service will be operating five satellites simultaneously in spring 2017. The satellites of the Sentinel-1, -2, and -3 missions are all equipped with dual frequency high precision GPS receivers delivering the main observables for POD. Sentinel-3 satellites are additionally equipped with a laser retro reflector for Satellite Laser Ranging and a receiver for DORIS tracking. This allows an additional external validation of the Sentinel-3 orbit accuracy. The three missions require orbital products with various latencies from 30 minutes up to 20-30 days. The accuracy requirements are also different and partly very challenging, targeting 5 cm in 3D for Sentinel-1 and 2-3 cm in radial direction for Sentinel-3. The main quality control of the CPOD orbits is done by validating them with independent orbit solutions provided by the Copernicus POD Quality Working Group. The cross-comparison of orbit solutions from different institutions is essential to monitor and to improve the orbit accuracy. The GPS receivers on the B-satellites have the capability to track L2C signal. The option is, however, not yet activated, because if enabled the old L2 signal can no longer be tracked by the receiver. The measurements of many old GPS IIA and IIR satellites would have to be discarded because of the missing second frequency. To be prepared for the future, tests and simulations are foreseen to learn about the impact of the new observable on the POD results. This paper presents the Copernicus POD Service in terms of operations and orbital accuracy achieved by the different orbit products of the different missions. The long-term evolution and progress of the service is presented and the impact and challenges following a future switch to L2C tracking are analysed.

What Is a False Negative Sentinel Node Biopsy: Definition, Reasons and Ways to Minimize It?

PubMed

Kataria, Kamal; Srivastava, Anurag; Qaiser, Darakhshan

2016-10-01

Sentinel node biopsy helps in assessing the involvement of axillary lymph node without the morbidity of full axillary lymph node dissection, namely arm and shoulder pain, paraesthesia and lymphoedema. The various methods described in the literature identify the sentinel lymph nodes in approximately 96 % of cases and associated with a false negativity rate of 5 to 10 %. A false negative sentinel node is defined as the proportion of cases in whom sentinel node biopsy is reported as negative, but the rest of axillary lymph node(s) harbours cancer cells. The possible causes of a false negative sentinel lymph node may be because of blocked lymphatics either by cancer cells or following fibrosis of previous surgery/radiotherapy, and an alternative pathway opens draining the blue dye or isotope to another uninvolved node . The other reasons may be two lymphatic pathways for a tumour area, the one opening to a superficial node and the other in deep nodes. Sometimes, lymphatics do not relay into a node but traverse it going to a higher node. In some patients, the microscopic focus of metastasis inside a lymph node is so small-micrometastasis (i.e. between 0.2 and 2 mm) or isolated tumour cells (i.e. less than 0.2 mm) that is missed by the pathologist. The purpose of this review is to clear some fears lurking in the mind of most surgeons about the false negative sentinel lymph node (FNSLN).

[Feasibility analysis of sentinel lymph node biopsy in patients with breast cancer after local lumpectomy].

PubMed

Wang, J; Wang, X; Wang, W Y; Liu, J Q; Xing, Z Y; Wang, X

2016-07-01

To explore the feasibility, safety and clinical application value of sentinel lymph node biopsy(SLNB)in patients with breast cancer after local lumpectomy. Clinical data of 195 patients who previously received local lumpectomy from January 2005 to April 2015 were retrospectively analyzed. All the patients with pathologic stage T1-2N0M0 (T1-2N0M0) breast cancer underwent SLNB. Methylene blue, carbon nanoparticles suspension, technetium-99m-labeled dextran, or in combination were used in the SLNB. The interval from lumpectomy to SLNB was 1-91 days(mean, 18.3 days)and the maximum diameter of tumors before first operation was 0.2-4.5 cm (mean, 1.8 cm). The sentinel lymph node was successfully found in all the cases and the detection rate was 100%. 42 patients received axillary lymph node dissection (ALND), 19 patients had pathologically positive sentinel lymph node, with an accuracy rate of 97.6%, sensitivity of 95.0%, false negative rate of 5.0%, and specificity of 100%, and the false positive rate was 0. Logistic regression analysis suggested that the age of patients was significantly associated with sentinel lymph node metastasis after local lumpectomy. For early breast cancer and after breast tumor biopsy, the influence of local lumpectomy on detection rate and accuracy of sentinel lymph node is not significant. Sentinel lymph node biopsy with appropriately chosen tracing technique may still provide a high detection rate and accuracy.

Feasibility of contrast-enhanced ultrasound-guided biopsy of sentinel lymph nodes in dogs.

PubMed

Gelb, Hylton R; Freeman, Lynetta J; Rohleder, Jacob J; Snyder, Paul W

2010-01-01

Our goal was to develop and validate a technique to identify the sentinel lymph nodes of the mammary glands of healthy dogs with contrast-enhanced ultrasound, and evaluate the feasibility of obtaining representative samples of a sentinel lymph node under ultrasound guidance using a new biopsy device. Three healthy intact female adult hounds were anesthetized and each received an injection of octafluoropropane-filled lipid microspheres and a separate subcutaneous injection of methylene blue dye around a mammary gland. Ultrasound was then used to follow the contrast agent through the lymphatic channel to the sentinel lymph node. Lymph node biopsy was performed under ultrasound guidance, followed by an excisional biopsy of the lymph nodes and a regional mastectomy procedure. Excised tissues were submitted for histopathologic examination and evaluated as to whether they were representative of the node. The ultrasound contrast agent was easily visualized with ultrasound leading up to the sentinel lymph nodes. Eight normal lymph nodes (two inguinal, one axillary in two dogs; two inguinal in one dog) were identified and biopsied. Lymphoid tissue was obtained from all biopsy specimens. Samples from four of eight lymph nodes contained both cortical and medullary lymphoid tissue. Contrast-enhanced ultrasound can be successfully used to image and guide minimally invasive biopsy of the normal sentinel lymph nodes draining the mammary glands in healthy dogs. Further work is needed to evaluate whether this technique may be applicable in patients with breast cancer or other conditions warranting evaluation of sentinel lymph nodes in animals.

[Scleroderma cluster among type-setters].

PubMed

Magnavita, N

2007-01-01

The etiology of systemic sclerosis, probably multifactorial, is not yet well defined. Among the many endogenous and exogenous factors probably involved, occupational elements may play an essential role. Here we report a cluster of local scleroderma and systemic sclerosis, which occurred in a small group of typography workers exposed to polyvinyl-acetate glues, containing up to 1% of vinyl-acetate. Vinyl acetate exposure has been associated with acidification of the intracellular environment, which is thought to produce cytotoxic and/or mitogenic responses that are the sentinel pharmacodynamic steps toward cancer. Autoantibody production in systemic sclerosis depends upon intracellular acidification. More studies are needed to clarify the relationship between vinyl acetate exposure and scleroderma.

Breast cancer lymphoscintigraphy: Factors associated with sentinel lymph node non visualization.

PubMed

Vaz, S C; Silva, Â; Sousa, R; Ferreira, T C; Esteves, S; Carvalho, I P; Ratão, P; Daniel, A; Salgado, L

2015-01-01

To evaluate factors associated with non identification of the sentinel lymph node (SLN) in lymphoscintigraphy of breast cancer patients and analyze the relationship with SLN metastases. A single-center, cross-sectional and retrospective study was performed. Forty patients with lymphoscintigraphy without sentinel lymph node identification (negative lymphoscintigraphy - NL) were enrolled. The control group included 184 patients with SLN identification (positive lymphoscintigraphy - PL). Evaluated factors were age, body mass index (BMI), tumor size, histology, localization, preoperative breast lesion hookwire (harpoon) marking and SLN metastases. The statistical analysis was performed with uni- and multivariate logistic regression models and matched-pairs analysis. Age (p=0.036) or having BMI (p=0.047) were the only factors significantly associated with NL. Being ≥60 years with a BMI ≥30 increased the odds of having a NL 2 and 3.8 times, respectively. Marking with hookwire seems to increase the likelihood of NL, but demonstrated statistical significance is lacking (p=0.087). The other tested variables did not affect the examination result. When controlling for age, BMI and marking with the harpoon, a significant association between lymph node metastization and NL was not found (p=0.565). The most important factors related with non identification of SLN in the patients were age, BMI and marking with hook wire. However, only the first two had statistical importance. When these variables were controlled, no association was found between NL and axillary metastases. Copyright © 2015 Elsevier España, S.L.U. and SEMNIM. All rights reserved.

29 CFR 1952.162 - Completion of developmental steps and certification.

Code of Federal Regulations, 2011 CFR

2011-07-01

... occupational safety and health issues specified in the plan on or before July 20, 1976. (n) Amendment to....162 Section 1952.162 Labor Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH...) In accordance with the requirements of § 1952.163(b), the Iowa Occupational Safety and Health Act of...

Complete Statistical Survey Results of 1982 Texas Competency Validation Project.

ERIC Educational Resources Information Center

Rogers, Sandra K.; Dahlberg, Maurine F.

This report documents a project to develop current statewide validated competencies for auto mechanics, diesel mechanics, welding, office occupations, and printing. Section 1 describes the four steps used in the current competency validation project and provides a standardized process for conducting future studies at the local or statewide level.…

29 CFR 1952.124 - Completion of developmental steps and certification.

Code of Federal Regulations, 2012 CFR

2012-07-01

... requirements of § 1952.123(a) the Washington Industrial Safety and Health Act of 1973, hereinafter referred to....124 Section 1952.124 Labor Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH... upgrading of salaries of safety personnel. (h) In accordance with § 1952.123(c) Washington has adopted rules...

29 CFR 1952.124 - Completion of developmental steps and certification.

Code of Federal Regulations, 2014 CFR

2014-07-01

... requirements of § 1952.123(a) the Washington Industrial Safety and Health Act of 1973, hereinafter referred to....124 Section 1952.124 Labor Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH... upgrading of salaries of safety personnel. (h) In accordance with § 1952.123(c) Washington has adopted rules...

29 CFR 1952.124 - Completion of developmental steps and certification.

Code of Federal Regulations, 2013 CFR

2013-07-01

... requirements of § 1952.123(a) the Washington Industrial Safety and Health Act of 1973, hereinafter referred to....124 Section 1952.124 Labor Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH... upgrading of salaries of safety personnel. (h) In accordance with § 1952.123(c) Washington has adopted rules...

Positive versus negative sentinel nodes in early breast cancer patients: axillary or loco-regional relapse and survival. A study spanning 2000-2012.

PubMed

García Fernández, A; Chabrera, C; García Font, M; Fraile, M; Lain, J M; Barco, I; González, C; Gónzalez, S; Reñe, A; Veloso, E; Cassadó, J; Pessarrodona, A; Giménez, N

2013-10-01

Sentinel Node Biopsy (SNB) is a minimally invasive alternative to elective axillary lymph node dissection (ALND) for nodal staging in early breast cancer. The present study was conducted to evaluate prognostic implications of a negative sentinel node (SN) versus a positive SN (followed by completion ALND) in a closely followed-up sample of early breast cancer patients. We studied 889 consecutive breast cancer patients operated for 908 primaries. Patients received adjuvant therapy with chemotherapy, hormone therapy and eventually trastuzumab. Radiation therapy was based on tangential radiation fields that usually included axillary level I. Median follow-up was 47 months. Axillary recurrence was seen in 1.2% (2/162) of positive SN patients, and 0.8% (5/625) of negative SN patients (p = n.s.). There was an overall 3.2% loco-regional failure rate (29/908). Incidence of distant recurrence was 3.3% (23/693) for negative SN patients, and 4.6% (9/196) for positive SN patients (p = n.s.). Overall mortality rate was 4% (8/198) for positive SN patients, while the corresponding specific mortality rate was 2.5% (5/198). For patients with negative SNs, overall mortality was 4.9% (34/693), and the specific mortality was 1.4% (19/693) (p = n.s.). We did not find significant differences in axillary/loco-regional relapse, distant metastases, disease-free interval or mortality between SN negative and SN positive patients, with a follow-up over 4 years. Copyright © 2013 Elsevier Ltd. All rights reserved.

A first-in-man study of 68Ga-nanocolloid PET-CT sentinel lymph node imaging in prostate cancer demonstrates aberrant lymphatic drainage pathways.

PubMed

Doughton, Jacki A; Hofman, Michael S; Eu, Peter; Hicks, Rodney J; Williams, Scott G

2018-05-04

Purpose: To assess feasibility, safety and utility of a novel 68 Ga-nanocolloid radio-tracer with PET-CT lymphoscintigraphy for identification of sentinel lymph nodes (SLN). Methods: Pilot study of patients from a tertiary cancer hospital who required insertion of gold fiducials for prostate cancer radiation therapy. Participation did not affect cancer management. Ultrasound-guided transperineal intra-prostatic injection of PET tracer (iron oxide nanocolloid labelled with gallium-68) after placement of fiducials. PET-CT lymphoscintigraphy imaging at approximately 45 and 100 minutes after in-jection of tracer. The study was monitored using Bayesian trial design with the as-sumption that at least one sentinel lymph node (SLN) could be identified in at least two-thirds of cases with >80% confidence. Results: SLN identification was successful in all 5 participants, allowing completion of the pilot study as per protocol. No adverse effects were observed. Unexpected po-tential pathways for transit of malignant cells as well as expected regional drainage pathways were discovered. Rapid tracer drainage to pelvic bone, perivesical, mesorec-tal, inguinal and Virchow's nodes was identified. Conclusion: SLN identification using 68 Ga-nanocolloid PET-CT can be successfully performed. Non-traditional pathways of disease spread were identified including drainage to pelvic bone as well as perivesical, mesorectal, inguinal and Virchow's nodes. Prevalence of both aberrant and non-lymphatic pathways of spread should be further investigated with this technique. Copyright © 2018 by the Society of Nuclear Medicine and Molecular Imaging, Inc.

Management of perineural invasion in sebaceous carcinoma of the eyelid.

PubMed

Connor, Michael; Droll, Lilly; Ivan, Doina; Cutlan, Jonathan; Weber, Randal S; Frank, Steven J; Esmaeli, Bita

2011-01-01

To report the occurrence and management of perineural invasion in patients with sebaceous carcinoma of the eyelid. An ophthalmology database was searched for all patients treated for sebaceous carcinoma of the eyelid by the principal investigator between May 1999 and May 2010. The clinical records and pathology specimens of the patients with microscopic perineural invasion as an incidental finding in their eyelid surgical specimen were reviewed. Forty-two patients with sebaceous carcinoma of the eyelid were treated by the principal investigator during the study period. Three of them had evidence of microscopic perineural invasion in the surgical specimen. Each patient was treated with surgery with or without radiotherapy. The first patient underwent orbital exenteration and negative sentinel lymph node biopsy, subsequently developed distant metastasis, and died 20 months after exenteration. The second patient underwent resection of the tumor and positive sentinel lymph node biopsy, postoperative irradiation of the eyelid, completion neck dissection and parotidectomy for the positive sentinel lymph node, and irradiation of nodal basins; she was free of disease at last follow up (12 months after tumor resection). The third patient underwent resection of the tumor, developed regional lymph node metastasis 3 months later, underwent lymph node dissection and postoperative nodal irradiation, and was free of disease at last follow up (9 months after tumor resection). Perineural invasion was encountered in 7% of patients with eyelid sebaceous carcinoma. The authors' preference is to treat patients with an incidental finding of microscopic perineural invasion with postoperative adjuvant radiotherapy, ideally within 4 to 6 weeks after surgical resection of the primary eyelid tumor.

Advancement and results in hostile fire indication using potassium line missile warning sensors

NASA Astrophysics Data System (ADS)

Montgomery, Joel; Montgomery, Marjorie; Hardie, Russell

2014-06-01

M&M Aviation has been developing and conducting Hostile Fire Indication (HFI) tests using potassium line emission sensors for the Air Force Visible Missile Warning System (VMWS) to advance both algorithm and sensor technologies for UAV and other airborne systems for self protection and intelligence purposes. Work began in 2008 as an outgrowth of detecting and classifying false alarm sources for the VMWS using the same K-line spectral discrimination region but soon became a focus of research due to the high interest in both machine-gun fire and sniper geo-location via airborne systems. Several initial tests were accomplished in 2009 using small and medium caliber weapons including rifles. Based on these results, the Air Force Research Laboratory (AFRL) funded the Falcon Sentinel program in 2010 to provide for additional development of both the sensor concept, algorithm suite changes and verification of basic phenomenology including variance based on ammunition type for given weapons platform. Results from testing over the past 3 years have showed that the system would be able to detect and declare a sniper rifle at upwards of 3km, medium machine gun at 5km, and explosive events like hand-grenades at greater than 5km. This paper will outline the development of the sensor systems, algorithms used for detection and classification, and test results from VMWS prototypes as well as outline algorithms used for the VMWS. The Falcon Sentinel Program will be outlined and results shown. Finally, the paper will show the future work for ATD and transition efforts after the Falcon Sentinel program completed.

Mapping Rice Cropping Patterns Using Multi-temporal Sentinel-1A Data

NASA Astrophysics Data System (ADS)

Nguyen, S. T.; Chen, C. F.; Chen, C. R.; Chiang, S. H.; Khin, L. V.

2016-12-01

Rice is the world's third largest crop behind maize and wheat, providing food for more than half of the world's population. Rice agriculture has been a key driver of socioeconomic development in Vietnam as it provides food for more than 90 million people and is considered as a main source of income for the majority of rural populations. Vietnam has approximately 7.5 million ha, annually producing roughly 39 million tons of grain rice making this nation become one of the largest rice suppliers on earth with approximately 7.4 million tons of grain rice exported annually. Thus, monitoring rice-growing areas to meet people's food needs while safeguarding the environment is important to developing strategies for national food security and rice grain exports. Previous studies of rice crop monitoring are often carried using coarse resolution optical satellite data such as MODIS data. Because rice fields in Vietnam are generally small and fragmental, the use of coarse resolution optical satellite data reveals disadvantages due to mixed-pixel issues and data contamination caused by cloud cover. The Sentinel-1A satellite launched on 3 April 2014 provides opportunities to collectively map small patches of rice fields at different scales owing to its high spatial resolution of 10 m and temporal resolution of 12 days. The main objective of this study is to develop an approach to map rice-cropping systems in An Giang and Dong Thap provinces, South Vietnam using multi-temporal Sentinel-1A VH data. We processed the data following four main steps: (1) data pre-processing, (2) constructing smooth time-series VH backscatter data, (3) rice crop classification using the support vector machines (SVM), and (4) accuracy assessment. The mapping results validated with the ground the ground reference data indicated that the overall accuracy and Kappa coefficient were 83.4% and 0.7, respectively. The mapping results also compared with the government's rice area statistics at the district level reaffirmed the consistency between these two datasets with the correlation coefficient (R2) of 0.93 and the relative error in area of 2.2%. This study demonstrates the potential application of time-series Sentinel-1A data for rice crop mapping and the methods are thus proposed for large-scale rice crop monitoring in the country.

Beyond the false negative rate: development of quality indicators for sentinel lymph node biopsy in breast cancer.

PubMed

Quan, May Lynn; Wells, Bryan J; McCready, David; Wright, Frances C; Fraser, Novlette; Gagliardi, Anna R

2010-02-01

Sentinel lymph node biopsy (SNLB) has been adopted as the standard method of axillary staging for women with clinically node-negative early-stage breast cancer. The false negative rate as a quality indicator is impractical given the need for a completion axillary dissection to calculate. The objective of this study was to develop practical quality indicators for SLNB using an expert consensus method and to determine if they were feasible to measure. We used a modified Delphi consensus process to develop quality indicators for SLNB. A multidisciplinary expert panel reviewed potential indicators extracted from the medical literature to select quality indicators that were relevant and measurable. Feasibility was determined by abstracting the quality indicator variables from a retrospective chart review. The expert panel prioritized 11 quality indicators as benchmarks for assessing the quality of surgical care in SNLB. Nine of the indicators were measurable at the chart or institutional level. A systematic evidence- and consensus-based approach was used to develop measurable quality indicators that could be used by practicing surgeons and administrators to evaluate performance of SLNB in breast cancer.

Laparoscopic sentinel node procedure using a combination of patent blue and radiocolloid in women with endometrial cancer.

PubMed

Barranger, Emmanuel; Cortez, Annie; Grahek, Dany; Callard, Patrice; Uzan, Serge; Darai, Emile

2004-03-01

We assessed the feasibility of a laparoscopic sentinel node (SN) procedure based on the combined use of radiocolloid and patent blue labeling in patients with endometrial cancer. Seventeen patients (median age, 69 years) with endometrial cancer of stage I (16 patients) or stage II (1 patient) underwent a laparoscopic SN procedure based on combined radiocolloid and patent blue injected pericervically. After the SN procedure, all patients underwent complete laparoscopic pelvic lymphadenectomy and either laparoscopically assisted vaginal hysterectomy (16 patients) or laparoscopic radical hysterectomy (1 patient). SNs (mean number per patient, 2.6; range, 1-4) were identified in 16 (94.1%) of the 17 patients. Macrometastases were detected in three SNs from two patients by hematoxylin and eosin staining. In three other patients, immunohistochemical analysis identified six micrometastatic SNs and one SN containing isolated tumor cells. No false-negative SN results were observed. An SN procedure based on a combination of radiocolloid and patent blue is feasible in patients with early endometrial cancer. Combined use of laparoscopy and this SN procedure permits minimally invasive management of endometrial cancer.

Skin Immune Landscape: Inside and Outside the Organism.

PubMed

Abdallah, Florence; Mijouin, Lily; Pichon, Chantal

2017-01-01

The skin is an essential organ to the human body protecting it from external aggressions and pathogens. Over the years, the skin was proven to have a crucial immunological role, not only being a passive protective barrier but a network of effector cells and molecular mediators that constitute a highly sophisticated compound known as the "skin immune system" (SIS). Studies of skin immune sentinels provided essential insights of a complex and dynamic immunity, which was achieved through interaction between the external and internal cutaneous compartments. In fact, the skin surface is cohabited by microorganisms recognized as skin microbiota that live in complete harmony with the immune sentinels and contribute to the epithelial barrier reinforcement. However, under stress, the symbiotic relationship changes into a dysbiotic one resulting in skin disorders. Hence, the skin microbiota may have either positive or negative influence on the immune system. This review aims at providing basic background information on the cutaneous immune system from major cellular and molecular players and the impact of its microbiota on the well-coordinated immune responses in host defense.

Inhibition of infectious bursal disease virus transmission using bioceramic derived from chicken feces.

PubMed

Thammakarn, Chanathip; Ishida, Yuki; Suguro, Atsushi; Hakim, Hakimullah; Nakajima, Katsuhiro; Kitazawa, Minori; Takehara, Kazuaki

2015-06-02

Bioceramic powder (BCX), at pH 13.0, derived from chicken feces, was evaluated for its efficacy to inactivate virus and inhibit virus horizontal transmission by fecal-oral route, using infectious bursal disease virus (IBDV) vaccine strain D78 as a challenge virus. Three 1-week-old SPF chicks were vaccinated per os and used as seeder birds. Six hours later, 3 sentinel 1-week-old SPF chicks were introduced into the same cage. Results revealed that BCX had excellent efficacy to inactivate IBDV within 3 min. Treating IBDV contaminated litter in the cage with BCX could prevent transmission of IBDV to new sensitive chicks completely. Further, transmission of IBDV to the sentinel chicks was significantly inhibited by adding BCX to litter and chicken feed. These data suggest that BCX at pH 13, derived from chicken feces, has excellent efficacy to inactivate IBDV, which can be applied in bedding materials for preventing viral transmission during production round. It is a good material that can effectively be used for enhancing biosecurity system in poultry farms. Copyright © 2015 Elsevier B.V. All rights reserved.

Improving general practice based epidemiologic surveillance using desktop clients: the French Sentinel Network experience.

PubMed

Turbelin, Clément; Boëlle, Pierre-Yves

2010-01-01

Web-based applications are a choice tool for general practice based epidemiological surveillance; however their use may disrupt the general practitioners (GPs) work process. In this article, we propose an alternative approach based on a desktop client application. This was developed for use in the French General Practitioners Sentinel Network. We developed a java application running as a client on the local GP computer. It allows reporting cases to a central server and provides feedback to the participating GPs. XML was used to describe surveillance protocols and questionnaires as well as instances of case descriptions. An evaluation of the users' feelings was carried out and the impact on the timeliness and completeness of surveillance data was measured. Better integration in the work process was reported, especially when the software was used at the time of consultation. Reports were received more frequently with less missing data. This study highlights the potential of allowing multiple ways of interaction with the surveillance system to increase participation of GPs and the quality of surveillance.

Sentinel-1 interferometry and modelling of the 2014 Fogo volcano crisis

NASA Astrophysics Data System (ADS)

Nikkhoo, Mehdi; Walter, Thomas R.; Prats-Iraola, Pau

2015-04-01

The Sentinel-1 mission is a European Space Agency's mission with the aim of earth surface monitoring on land and sea. Through the ESA project INSARAP, we aim at studying the Sentinel-1 InSAR performance for different study areas, and developing new routines for TOPS data analysis. Here we describe results achieved from Sentinel-1 acquisitions over Fogo Island, Cape Verdes. A new volcanic eruption occurred on Fogo volcano in November 2014, leading to a request for assistance communicated by the European ERCC (Emergency Response Coordination Centre). The eruption occurred after a 20 yr period of quiescence inside the Cha das Caldeiras, the embayment of a pre-historic giant landslide. The eruption affected populated areas and has lead to significant loss and destruction, forcing thousands of inhabitants to leave their homes. The timely acquisitions of Sentinel-1 data allows us the comparison of the amplitude and phase differences before and after the eruption. This is one of the first applications of Sentinel-1 data, allowing testing the system and accurate measurements of the deformation processes associated with the volcano eruption. Sentinel-1 InSAR results processed by us in ascending and descending geometry, allows developing numerical models to explain the deformation. To this aim we make use of a novel boundary element code that is based on the artifact free analytical solution of triangular dislocation elements (see Nikkhoo and Walter, 2015, Geophys. J. Int., doi:10.1093/gji/ggv035). The models consider topography and complex source geometries. We find that the magma dike is largely emplaced within the subaerial part of the volcano edifice, where the steep topography has large effects on InSAR results, the surface displacement, and the parameters of the models. Embedded in an inversion scheme, we could reproduce most of the deformation signals as determined in the Sentinel-1 InSAR data, although residuals remain in localized areas that might be associated to processes different than the considered dike. This work hence shows one of the first use of Sentinel-1 data in a volcanic crisis and helps assessing the magma path at depth and associated deformation complexities, relevant for preparation and designing monitoring networks for future eruptions.

Effect of Axillary Dissection vs No Axillary Dissection on 10-Year Overall Survival Among Women With Invasive Breast Cancer and Sentinel Node Metastasis: The ACOSOG Z0011 (Alliance) Randomized Clinical Trial.

PubMed

Giuliano, Armando E; Ballman, Karla V; McCall, Linda; Beitsch, Peter D; Brennan, Meghan B; Kelemen, Pond R; Ollila, David W; Hansen, Nora M; Whitworth, Pat W; Blumencranz, Peter W; Leitch, A Marilyn; Saha, Sukamal; Hunt, Kelly K; Morrow, Monica

2017-09-12

The results of the American College of Surgeons Oncology Group Z0011 (ACOSOG Z0011) trial were first reported in 2005 with a median follow-up of 6.3 years. Longer follow-up was necessary because the majority of the patients had estrogen receptor-positive tumors that may recur later in the disease course (the ACOSOG is now part of the Alliance for Clinical Trials in Oncology). To determine whether the 10-year overall survival of patients with sentinel lymph node metastases treated with breast-conserving therapy and sentinel lymph node dissection (SLND) alone without axillary lymph node dissection (ALND) is noninferior to that of women treated with axillary dissection. The ACOSOG Z0011 phase 3 randomized clinical trial enrolled patients from May 1999 to December 2004 at 115 sites (both academic and community medical centers). The last date of follow-up was September 29, 2015, in the ACOSOG Z0011 (Alliance) trial. Eligible patients were women with clinical T1 or T2 invasive breast cancer, no palpable axillary adenopathy, and 1 or 2 sentinel lymph nodes containing metastases. All patients had planned lumpectomy, planned tangential whole-breast irradiation, and adjuvant systemic therapy. Third-field radiation was prohibited. The primary outcome was overall survival with a noninferiority hazard ratio (HR) margin of 1.3. The secondary outcome was disease-free survival. Among 891 women who were randomized (median age, 55 years), 856 (96%) completed the trial (446 in the SLND alone group and 445 in the ALND group). At a median follow-up of 9.3 years (interquartile range, 6.93-10.34 years), the 10-year overall survival was 86.3% in the SLND alone group and 83.6% in the ALND group (HR, 0.85 [1-sided 95% CI, 0-1.16]; noninferiority P = .02). The 10-year disease-free survival was 80.2% in the SLND alone group and 78.2% in the ALND group (HR, 0.85 [95% CI, 0.62-1.17]; P = .32). Between year 5 and year 10, 1 regional recurrence was seen in the SLND alone group vs none in the ALND group. Ten-year regional recurrence did not differ significantly between the 2 groups. Among women with T1 or T2 invasive primary breast cancer, no palpable axillary adenopathy, and 1 or 2 sentinel lymph nodes containing metastases, 10-year overall survival for patients treated with sentinel lymph node dissection alone was noninferior to overall survival for those treated with axillary lymph node dissection. These findings do not support routine use of axillary lymph node dissection in this patient population based on 10-year outcomes. clinicaltrials.gov Identifier: NCT00003855.

Earth Observation-Supported Service Platform for the Development and Provision of Thematic Information on the Built Environment - the Tep-Urban Project

NASA Astrophysics Data System (ADS)

Esch, T.; Asamer, H.; Boettcher, M.; Brito, F.; Hirner, A.; Marconcini, M.; Mathot, E.; Metz, A.; Permana, H.; Soukop, T.; Stanek, F.; Kuchar, S.; Zeidler, J.; Balhar, J.

2016-06-01

The Sentinel fleet will provide a so-far unique coverage with Earth observation data and therewith new opportunities for the implementation of methodologies to generate innovative geo-information products and services. It is here where the TEP Urban project is supposed to initiate a step change by providing an open and participatory platform based on modern ICT technologies and services that enables any interested user to easily exploit Earth observation data pools, in particular those of the Sentinel missions, and derive thematic information on the status and development of the built environment from these data. Key component of TEP Urban project is the implementation of a web-based platform employing distributed high-level computing infrastructures and providing key functionalities for i) high-performance access to satellite imagery and derived thematic data, ii) modular and generic state-of-the art pre-processing, analysis, and visualization techniques, iii) customized development and dissemination of algorithms, products and services, and iv) networking and communication. This contribution introduces the main facts about the TEP Urban project, including a description of the general objectives, the platform systems design and functionalities, and the preliminary portfolio products and services available at the TEP Urban platform.

Potential Surgical and Oncologic Consequences Related to Skin Tattoos in the Treatment of Cervical Cancer.

PubMed

Köhler, Christhardt; Foiato, Tariane; Marnitz, Simone; Schneider, Achim; Le, Xin; Dogan, Nasuh Utku; Pfiffer, Tatiana; Jacob, Anna Elena; Mölgg, Andrea; Hagemann, Ingke; Favero, Giovanni

Skin tattoos on the feet, legs, and lower abdominal wall are progressively gaining popularity. Consequently, the number of tattooed women with cervical cancer has significantly increased in the last decade. However, pigments of tattoo ink can be transported to regional lymph nodes and potentially clog lymphatic pathways that might also be used by sentinel labeling substances. Therefore, here we report whether the presence of tattoo ink affected pelvic lymph nodes in women with early cervical cancer and discuss its potential oncologic and surgical consequences. Prospective observational study. University Hospital in Hamburg, Germany (Canadian Task Force classification II2). Women affected by cervical cancer. Between January 2014 and May 2016, 267 laparoscopic oncologic operations, including at least a pelvic sentinel or complete lymphadenectomy, were performed in the Department of Advanced Surgical and Oncologic Gynecology, Asklepios Hospital, Hamburg, Germany. Among these, 191 patients were affected by cervical cancer. Data of patients in whom dyed lymph nodes without the use of patent blue as a sentinel marker or different from blue-colored pelvic lymph nodes in the case of sentinel procedure were identified and prospectively collected. In 9 patients, skin tattoos localized in the lower extremities caused discoloration of at least 1 pelvic lymph node. This effect was observed in 40% of women (9/23) with tattoos in this area of the body. Mean patient age was 34 years (range, 27-56). All women had cutaneous tattoos on their feet or legs, and in 1 woman an additional tattoo situated on the inferior abdominal wall was observed. The stage of cervical cancer was FIGO IB1 in all cases. One woman was at the 16th week of gestation at the time of cancer diagnosis. On average, 26 pelvic lymph nodes (range, 11-51) were harvested from both pelvic basin sides. None of the removed lymph nodes was tumor involved. Three patients (33%) developed postoperatively infected lymphoceles on the side of the tattooed lymph nodes, and 1 woman had multiple episodes of fever without a clear origin. In women affected by cervical cancer with skin tattoos located in the lower limbs, the pelvic lymph nodes can be partially or totally occupied by the ink. This must be taken into consideration, especially for women scheduled exclusively for sentinel node biopsy. Infectious complications related to nodal dissection, in particular infected lymphoceles, may be more frequent in this population. Copyright © 2016. Published by Elsevier Inc.

The Lunar Transit Telescope (LTT) - An early lunar-based science and engineering mission

NASA Technical Reports Server (NTRS)

Mcgraw, John T.

1992-01-01

The Sentinel, the soft-landed lunar telescope of the LTT project, is described. The Sentinel is a two-meter telescope with virtually no moving parts which accomplishes an imaging survey of the sky over almost five octaves of the electromagnetic spectrum from the ultraviolet into the infrared, with an angular resolution better than 0.1 arsec/pixel. The Sentinel will incorporate innovative techniques of interest for future lunar-based telescopes and will return significant engineering data which can be incorporated into future lunar missions. The discussion covers thermal mapping of the Sentinel, measurement of the cosmic ray flux, lunar dust, micrometeoroid flux, the lunar atmosphere, and lunar regolith stability and seismic activity.

A Comparison of Procedural Variations in Teaching Behavior Chains: Manual Guidance, Trainer Completion, and No Completion of Untrained Steps

ERIC Educational Resources Information Center

Bancroft, Stacie L.; Weiss, Julie S.; Libby, Myrna E.; Ahearn, William H.

2011-01-01

We compared variations for teaching a sequence of responses through forward chaining. Seven children who had been diagnosed with autism participated in a comparison of teacher completion (TC) of steps beyond the training step and manually guiding the student (SC) to complete steps beyond the training step. A no-completion (NC) condition, in which…

Getting ready for the arrival of Sentinel data

NASA Astrophysics Data System (ADS)

Aschbacher, Josef; Milagro Perez, Maria Pilar

2013-04-01

The European Union (EU) and the European Space Agency (ESA) have developed the Global Monitoring for Environment and Security (GMES), being renamed to Copernicus, programme as Europe's answer to the vital need for joined-up data about our climate, environment and security. Through a unique combination of satellite, atmospheric and Earth-based monitoring systems, the initiative will provide new insight into the state of the land, sea and air, providing policymakers, scientists, businesses and the public with accurate and timely information. GMES capabilities include monitoring and forecasting of climatic change, flood risks, soil and coastal erosion, crop and fish resources, air pollution, greenhouse gases, iceberg distribution and snow cover, among others. To accomplish this, GMES has been divided into three main components: Space, In-situ and Services. The Space Component, led by ESA, comprises five types of new dedicated satellites called Sentinels. These missions carry a range of technologies, such as radar and multi-spectral imaging instruments for land, ocean and atmospheric monitoring. While the Sentinel satellites are currently being developed by ESA specifically to meet the needs of GMES, the Contributing Missions, operated by national agencies or commercial entities, are already providing a wealth of data for GMES services, and will continue to deliver complementary data after the Sentinels are in orbit. An integrated Ground Segment ensures access to Sentinels and Contributing Missions data. Access to Sentinel data is governed by the Sentinel data policy, which is part of a wider GMES data and information access policy. The Sentinel data policy envisages free and open access, subject to restrictions only if security or other European interests need to be preserved. As regards the Contributing Missions, the data policy of the mission owners will be respected for the purpose of providing data to GMES service users. The first in the fleet of dedicated satellites to be launched at the end of 2013 is Sentinel-1. This is a radar mission and will be engaged in wide range of land and ocean surveillance tasks, such as oil-spill monitoring and earthquake hazard assessment. It will be followed early next year by Sentinel-2 and Sentinel-3, dedicated mainly to the mapping of the Earth's surface and to the monitoring of ocean temperature and colour. The arrival of the first Sentinel data will provide systematic continuity of data already widely used within the science and application communities. It will also ensure long-term operational commitment and data consistency. The in-situ component, under the coordination of the European Environment Agency (EEA), is composed of atmospheric and Earth based monitoring systems, and based on established networks and programmes at European and international levels. The European Commission is in charge of implementing the services component of GMES and of leading GMES overall. GMES services, fed with data from the Space and In-situ components, will provide essential information in five main domains, atmosphere, ocean and land monitoring as well as emergency response and security. Climate change has been added as a new GMES service and cross-cuts all these domains. This session aims at informing users about the current programme's overall status and its potential for users in the services and scientific fields, in particular, in view of the upcoming launch of the first in the fleet of Sentinel satellites.

Solar Sentinels: Report of the Science and Technology Definition Team

NASA Technical Reports Server (NTRS)

2006-01-01

The goal of NASA s Living With a Star (LWS) program is to develop the scientific understanding necessary to effectively address those aspects of the connected Sun Earth system that directly affect life and society. Along with the other elements of LWS, Solar Sentinels aims to discover, understand, and model the heliospheric initiation, propagation, and solar connection of those energetic phenomena that adversely affect space exploration and life and society here on Earth. The Solar Sentinels mission will address the following questions: (1) How, where, and under what circumstances are solar energetic particles (SEPs) accelerated to high energies and how do they propagate through the heliosphere? And (2) How are solar wind structures associated with these SEPs, like CMEs, shocks, and high-speed streams, initiated, propagate, evolve, and interact in the inner heliosphere? The Sentinels STDT recommends implementing this mission in two portions, one optimized for inner heliospheric in-situ measurements and the other for solar remote observations. Sentinels will greatly enhance the overall LWS science return.

Early Validation of Sentinel-2 L2A Processor and Products

NASA Astrophysics Data System (ADS)

Pflug, Bringfried; Main-Knorn, Magdalena; Bieniarz, Jakub; Debaecker, Vincent; Louis, Jerome

2016-08-01

Sentinel-2 is a constellation of two polar orbiting satellite units each one equipped with an optical imaging sensor MSI (Multi-Spectral Instrument). Sentinel-2A was launched on June 23, 2015 and Sentinel-2B will follow in 2017.The Level-2A (L2A) processor Sen2Cor implemented for Sentinel-2 data provides a scene classification image, aerosol optical thickness (AOT) and water vapour (WV) maps and the Bottom-Of-Atmosphere (BOA) corrected reflectance product. First validation results of Sen2Cor scene classification showed an overall accuracy of 81%. AOT at 550 nm is estimated by Sen2Cor with uncertainty of 0.035 for cloudless images and locations with dense dark vegetation (DDV) pixels present in the image. Aerosol estimation fails if the image contains no DDV-pixels. Mean difference between Sen2Cor WV and ground-truth is 0.29 cm. Uncertainty of up to 0.04 was found for the BOA- reflectance product.

CTC Sentinel. Volume 10, Issue 3

DTIC Science & Technology

2017-03-01

Mining Matthew C . DuPée MARCH 2017 C TC SENTINEL 1 Among the most recent evolutions of jihadi terrorist tactics in the West has been...arrest him. Soofi and Simpson committed the attack with assistance from Adbul Malik Abdul Kareem. Source: court documents. c They are Avin Brown (2014...State’s Virtual Entrepreneurs By Seamus Hughes and Alexander Meleagrou-Hitchens 2 C TC SENTINEL MARCH 2017 jihadi propaganda. Together

Mission Design for NASA's Inner Heliospheric Sentinels and ESA's Solar Orbiter Missions

NASA Technical Reports Server (NTRS)

Downing, John; Folta, David; Marr, Greg; Rodriquez-Canabal, Jose; Conde, Rich; Guo, Yanping; Kelley, Jeff; Kirby, Karen

2007-01-01

This paper will document the mission design and mission analysis performed for NASA's Inner Heliospheric Sentinels (IHS) and ESA's Solar Orbiter (SolO) missions, which were conceived to be launched on separate expendable launch vehicles. This paper will also document recent efforts to analyze the possibility of launching the Inner Heliospheric Sentinels and Solar Orbiter missions using a single expendable launch vehicle, nominally an Atlas V 551.

Portable gamma camera guidance in sentinel lymph node biopsy: prospective observational study of consecutive cases.

PubMed

Peral Rubio, F; de La Riva, P; Moreno-Ramírez, D; Ferrándiz-Pulido, L

2015-06-01

Sentinel lymph node biopsy is the most important tool available for node staging in patients with melanoma. To analyze sentinel lymph node detection and dissection with radio guidance from a portable gamma camera. To assess the number of complications attributable to this biopsy technique. Prospective observational study of a consecutive series of patients undergoing radioguided sentinel lymph node biopsy. We analyzed agreement between nodes detected by presurgical lymphography, those detected by the gamma camera, and those finally dissected. A total of 29 patients (17 women [62.5%] and 12 men [37.5%]) were enrolled. The mean age was 52.6 years (range, 26-82 years). The sentinel node was dissected from all patients; secondary nodes were dissected from some. In 16 cases (55.2%), there was agreement between the number of nodes detected by lymphography, those detected by the gamma camera, and those finally dissected. The only complications observed were seromas (3.64%). No cases of wound dehiscence, infection, hematoma, or hemorrhage were observed. Portable gamma-camera radio guidance may be of use in improving the detection and dissection of sentinel lymph nodes and may also reduce complications. These goals are essential in a procedure whose purpose is melanoma staging. Copyright © 2014 Elsevier España, S.L.U. and AEDV. All rights reserved.

Sentinel lymph node biopsy in periocular merkel cell carcinoma: a case report.

PubMed

Filitis, Dan C; Paragh, Gyorgy; Samie, Faramarz H; Zeitouni, Nathalie C

2017-09-20

The National Comprehensive Cancer Network guidelines for Merkel cell carcinoma recommend performance of the sentinel lymph node biopsy in all patients with clinically negative nodal disease for staging and treatment. Nevertheless, sentinel lymph node biopsy in the periocular region is debated as tumors are typically smaller and lymphatic variability can make performance procedurally problematic. We present a case of a Caucasian patient in their seventies who presented with a 1.0 cm periocular Merkel cell carcinoma, who underwent Mohs surgery with a Tenzel flap repair, that was found to have a positive sentinel lymph node biopsy, but who, despite parotidectomy, selective neck dissection, and radiation, succumbed to the disease. Evidence in both the site-specific and non-specific literature demonstrates: (1) Worsening prognosis with extent of lymph node burden, (2) improvements in our abilities to perform lymphoscintigraphy, (3) locoregional and distant metastatic disease in patients with tumor sizes ≤1 cm, and (4) significant rates of sentinel lymph node positivity in patients with tumor sizes ≤1 cm. Our case supports that sentinel lymph node biopsy should be considered in all clinically nodal negative periocular Merkel cell carcinoma, regardless of size, and despite limited site-specific studies on the subject.

Application of Deep Learning of Multi-Temporal SENTINEL-1 Images for the Classification of Coastal Vegetation Zone of the Danube Delta

NASA Astrophysics Data System (ADS)

Niculescu, S.; Ienco, D.; Hanganu, J.

2018-04-01

Land cover is a fundamental variable for regional planning, as well as for the study and understanding of the environment. This work propose a multi-temporal approach relying on a fusion of radar multi-sensor data and information collected by the latest sensor (Sentinel-1) with a view to obtaining better results than traditional image processing techniques. The Danube Delta is the site for this work. The spatial approach relies on new spatial analysis technologies and methodologies: Deep Learning of multi-temporal Sentinel-1. We propose a deep learning network for image classification which exploits the multi-temporal characteristic of Sentinel-1 data. The model we employ is a Gated Recurrent Unit (GRU) Network, a recurrent neural network that explicitly takes into account the time dimension via a gated mechanism to perform the final prediction. The main quality of the GRU network is its ability to consider only the important part of the information coming from the temporal data discarding the irrelevant information via a forgetting mechanism. We propose to use such network structure to classify a series of images Sentinel-1 (20 Sentinel-1 images acquired between 9.10.2014 and 01.04.2016). The results are compared with results of the classification of Random Forest.

[Ambulatory surgical treatment for breast carcinoma].

PubMed

Barillari, P; Leuzzi, R; Bassiri-Gharb, A; D'Angelo, F; Aurello, P; Naticchioni, E

2001-02-01

The aim of the study is to demonstrate the feasibility and the oncologic effectiveness of quadrantectomy plus sentinel node biopsy performed under local anesthesia, and to demonstrate the economic and psychologic advantages. From October 1996 to March 2000, 71 patients affected with clinical T1 N0 breast cancer, underwent quadrantectomy or tumor resection plus sentinel node biopsy and clinically suspicion axillary nodes biopsy, under local anesthesia at the Casa di Cura "Villa Mafalda" in Rome. Twenty tumors were T1a, 26 T1b e 25 T1c. A mean of 2 sentinel nodes (range 1-4) and a mean of 8 axillary nodes were removed during the procedure. In 2 cases sentinel nodes were not identified. Intraoperative histologic examination showed metastatic sentinel nodes in 11 cases. An axillary node dissection was performed in all cases (>12 nodes) and no other metastatic nodes were found. In all patients clinically suspected nodes were removed. In two cases no evidence of metastasis was found in sentinel nodes, while histologic examination revealed in a patient micrometastasis in one node, and in another patient two metastatic nodes. Fifty-three patients rated the overall surgical, anesthetic and recovery experience as "very satisfactory", 13 "satisfactory" and 5 "unsatisfactory". Patients typically expressed their pleasure at the possibility to return home and stressed the ease of recovery.

Marine mammals as sentinel species for oceans and human health.

PubMed

Bossart, G D

2011-05-01

The long-term consequences of climate change and potential environmental degradation are likely to include aspects of disease emergence in marine plants and animals. In turn, these emerging diseases may have epizootic potential, zoonotic implications, and a complex pathogenesis involving other cofactors such as anthropogenic contaminant burden, genetics, and immunologic dysfunction. The concept of marine sentinel organisms provides one approach to evaluating aquatic ecosystem health. Such sentinels are barometers for current or potential negative impacts on individual- and population-level animal health. In turn, using marine sentinels permits better characterization and management of impacts that ultimately affect animal and human health associated with the oceans. Marine mammals are prime sentinel species because many species have long life spans, are long-term coastal residents, feed at a high trophic level, and have unique fat stores that can serve as depots for anthropogenic toxins. Marine mammals may be exposed to environmental stressors such as chemical pollutants, harmful algal biotoxins, and emerging or resurging pathogens. Since many marine mammal species share the coastal environment with humans and consume the same food, they also may serve as effective sentinels for public health problems. Finally, marine mammals are charismatic megafauna that typically stimulate an exaggerated human behavioral response and are thus more likely to be observed.

SENTINEL-1 and SENTINEL-2 Data Fusion for Wetlands Mapping: Balikdami, Turkey

NASA Astrophysics Data System (ADS)

Kaplan, G.; Avdan, U.

2018-04-01

Wetlands provide a number of environmental and socio-economic benefits such as their ability to store floodwaters and improve water quality, providing habitats for wildlife and supporting biodiversity, as well as aesthetic values. Remote sensing technology has proven to be a useful and frequent application in monitoring and mapping wetlands. Combining optical and microwave satellite data can help with mapping and monitoring the biophysical characteristics of wetlands and wetlands` vegetation. Also, fusing radar and optical remote sensing data can increase the wetland classification accuracy. In this paper, data from the fine spatial resolution optical satellite, Sentinel-2 and the Synthetic Aperture Radar Satellite, Sentinel-1, were fused for mapping wetlands. Both Sentinel-1 and Sentinel-2 images were pre-processed. After the pre-processing, vegetation indices were calculated using the Sentinel-2 bands and the results were included in the fusion data set. For the classification of the fused data, three different classification approaches were used and compared. The results showed significant improvement in the wetland classification using both multispectral and microwave data. Also, the presence of the red edge bands and the vegetation indices used in the data set showed significant improvement in the discrimination between wetlands and other vegetated areas. The statistical results of the fusion of the optical and radar data showed high wetland mapping accuracy, showing an overall classification accuracy of approximately 90 % in the object-based classification method. For future research, we recommend multi-temporal image use, terrain data collection, as well as a comparison of the used method with the traditional image fusion techniques.

Novel Indocyanine Green-Phytate Colloid Technique for Sentinel Node Detection in Head and Neck: Mouse Study.

PubMed

Araki, Koji; Mizokami, Daisuke; Tomifuji, Masayuki; Yamashita, Taku; Ohnuki, Kazunobu; Umeda, Izumi O; Fujii, Hirofumi; Kosuda, Shigeru; Shiotani, Akihiro

2014-08-01

Sentinel node navigation surgery using real-time, near-infrared imaging with indocyanine green is becoming popular by allowing head and neck surgeons to avoid unnecessary neck dissection. The major drawback of this method is its quick migration through the lymphatics, limiting the diagnostic time window and undesirable detection of downstream nodes. We resolved this problem by mixing indocyanine green (ICG) with phytate colloid to retard its migration and demonstrated its feasibility in a nude mouse study. Experimental prospective animal study. Animal laboratory. Indocyanine green at 3 concentrations was tested to determine the optimal concentration for sentinel lymph node detection in a mouse model. Effect of indocyanine green with phytate colloid mixture solutions was also analyzed. Indocyanine green or mixture solution at different mixing ratios were injected into the tongue of nude mice and near-infrared fluorescence images were captured sequentially for up to 48 hours. The brightness of fluorescence in the sentinel lymph node and lymph nodes further downstream were assessed. Indocyanine green concentration >50 μg/mL did not improve sentinel lymph node detection. The addition of phytate colloid to indocyanine green extended the period when sentinel lymph node was detectable. Second echelon lymph nodes were not imaged in mice injected with the mixture, while these were visualized in mice injected with indocyanine green alone. This novel technique of ICG-phytate colloid mixture allows prolonged diagnostic time window, prevention of downstream subsequent nodes detection, and improved accuracy for the detection of true sentinel lymph nodes. © American Academy of Otolaryngology—Head and Neck Surgery Foundation 2014.

A first assessment of Sentinel-3 SAR altimetry over ice sheets

NASA Astrophysics Data System (ADS)

McMillan, M.; Muir, A. S.; Shepherd, A.

2017-12-01

The first Sentinel-3 satellite was launched in 2016 and carries onboard a Ku-band Synthetic Aperture Radar (SAR) altimeter. With coverage up to a latitude of 81.5 degrees and a repeat period of 27 days, it offers the opportunity to measure surface topography and elevation change across much of the Antarctic and Greenland Ice Sheets, therefore continuing the existing 25 year radar altimeter record. The global operation of Sentinel-3 in SAR mode differs from all past Ku-band instruments; for the first time SAR measurements are routinely acquired across the interiors of the ice sheets; however unlike CryoSat-2 it does not carry an interferometer to aid signal retrieval in regions of complex coastal terrain. In view of these differences and the novel characteristics of the Sentinel-3 system, assessments of the performance of the instrument are required, to evaluate the satellite's utility for monitoring Earth's Polar regions. Here, we analyse data acquired during the first year of routine operations, to assess the performance of the Sentinel-3 SAR altimeter to date. We focus both on inland ice sheet regions, where Sentinel-3 provides the first operational SAR altimeter measurements, and also on coastal areas with more complex topography. We investigate SAR waveforms and retrieved elevations in both regions, and through comparison to measurements from earlier missions examine the impact of the different modes of operation. We also conduct a high level evaluation of the data, by comparing it to reference airborne altimetry, to provide an assessment of Sentinel-3 performance to date over ice sheets.

High Resolution Freeze and Thaw States Detection Using Combination of Sentinel 1A SAR and Passive Microwave Measurements

NASA Astrophysics Data System (ADS)

Azarderakhsh, M.; McDonald, K. C.; Norouzi, H.; Rebolledo, M. A.; Prakash, S.

2017-12-01

The freeze and thaw (FT) cycles in high-latitude regions have great impact on many biogeochemical transitions, hydrology and ecosystem especially in wetland areas. Passive and active microwave remote sensing data from satellite observations have been deployed in the past to define the status of the surface in terms of freeze and thaw. While many progresses have been made in this field, the limitations attached to such observations have hindered our ability to fully predict the change of surface state in the scale that is appropriate for the aforementioned applications. The transition between freeze and thaw states may occur frequently (even within a day) especially during shifts from cold to warm seasons and vice versa. Passive microwave sensors have different acquisition times, and data fusion of these sensors may provide a complete diurnal variation estimate of FT states. However, the coarse spatial resolution of these measurements may undermine their applicability. However, active microwave backscatter measurements from sensors such as Sentinel 1A and the Advanced Land Observing Satellite Phased Array L-Band SAR (ALOS PALSAR) can deliver high resolution information about wetlands and FT status. In this project, Synthetic Aperture Radar (SAR) c-band backscatter data from Sentinel 1 from April 2014 to June 2017 are deployed to detect high resolution freeze/thaw states and wetland areas. The contrasts between frozen and thawed seasons are used to define FT states after performing required radiometric corrections and calibrations. A method based on phase changes in polarized images is developed for different land cover types to maximize the accuracy of the detections. The aggregated (up-scaled) estimates from active measurements are compared to passive microwave-based FT product. The results of this method reveal that the estimates are relatively in good agreement with SNOw TELemetry (SNOTEL) ground measurements. Finally, a downscaling method is tried to link passive emissivity-based FT product to high resolution active FT estimates to increase the temporal frequency of the high-resolution Sentinel data. The results of this study contribute to better understanding sources of positive carbon and methane (CH4) feedback to the atmosphere.

Trends from the surveillance of suicidal behaviour by the Belgian Network of Sentinel General Practices over two decades: a retrospective observational study.

PubMed

Boffin, Nicole; Moreels, Sarah; Van Casteren, Viviane

2015-11-27

First, we describe trends in characteristics of suicidal events using new (2011-2012) and previous (1993-1995, 2000-2001 and 2007-2008) data reported by the Belgian Network of Sentinel General Practices (SGP); second, we examine patient age-related trends in on-site attendance of sentinel general practitioners (GPs) as first professional caregivers following suicidal behaviour; third, we investigate the accuracy of suicide incidence estimates derived from the SGP data. Retrospective observational study. General practices from the nationwide representative Belgian Network of SGP. Patient gender and age, suicide methods, whether the patient was new, whether the GP was the first caregiver on-site, and the outcome of the suicidal behaviour (fatal or not) were recorded on standard registration forms. The accuracy of suicide incidence estimates was tested against suicide mortality data. Over the four time periods, 1671 suicidal events were reported: 275 suicides, 1287 suicide attempts and 109 events of suicidal behaviour of unknown outcome. In 2011-2012, sentinel GPs' on-site attendance following the suicidal behaviour of patients <65 years had continued to decrease (from 71% in 1993-1995 to 58% in 2000-2001, 39% in 2007-2008 and 25% in 2011-2012). In 2011-2012, it had also decreased steeply in the population ≥65 years (from 70% in 1993-1995, 76% in 2000-2001 and 79% in 2007-2008 to 35% in 2011-2012). No significant differences were found between the SGP-based suicide incidence estimates for 2011-2012 and the available suicide mortality rates for people <65 and ≥65 years. GPs' on-site attendance as first professional caregivers following suicidal behaviour continues to decline since 2011-2012 also in the population ≥65 years. Unawareness of patients' suicidal behaviour endangers both care for surviving patients and the completeness of SGP surveillance data. Yet, the incidence of suicide for 2011-2012 was estimated accurately by the SGP. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

Histologic pattern of Merkel cell carcinoma sentinel lymph node metastasis improves stratification of Stage III patients

PubMed Central

Ko, Jennifer S; Prieto, Victor G; Elson, Paul; Vilain, Ricardo E; Pulitzer, Melissa; Scolyer, Richard A; Reynolds, Jordan P; Piliang, Melissa; Ernstoff, Marc S; Gastman, Brian; Billings, Steven D

2016-01-01

Sentinel lymph node biopsy is used to stage Merkel cell carcinoma, but its prognostic value has been questioned. Furthermore, predictors of outcome in sentinel lymph node positive Merkel cell carcinoma patients are poorly defined. In breast carcinoma, isolated immunohistochemically positive tumor cells have no impact, but in melanoma they are considered significant. The significance of sentinel lymph node metastasis tumor burden (including isolated tumor cells) and pattern of involvement in Merkel cell carcinoma are unknown. In this study, 64 Merkel cell carcinomas involving sentinel lymph nodes and corresponding immunohistochemical stains were reviewed and clinicopathologic predictors of outcome were sought. Five metastatic patterns were identified: 1, sheet-like (n=38, 59%); 2, non-solid parafollicular (n=4, 6%); 3, sinusoidal, (n=11, 17%); 4, perivascular hilar (n=1, 2%) and 5, rare scattered parenchymal cells (n=10, 16%). At the time of follow-up, 30/63 (48%) patients had died with 21(33%) attributable to Merkel cell carcinoma. Patients with pattern 1 metastases had poorer overall survival compared with patients with patterns 2–5 metastases (p=0.03), with 22/30 (73%) deaths occurring in pattern 1 patients. 3 (10%) deaths occurred in patients showing pattern 5, all of whom were immunosuppressed. 4 (13%) deaths occurred in pattern 3 patients and 1 (3%) death occurred in a pattern 2 patient. In multivariable analysis, the number of positive sentinel lymph node (1 or 2 versus >2, p<.0001), age (<70 versus ≥70, p=.01), sentinel lymph node metastasis pattern (patterns 2–5 versus 1, p=.02), and immune status (immunocompetent versus suppressed, p=.03) were independent predictors of outcome, and could be used to stratify Stage III patients into 3 groups with markedly different outcomes. In Merkel cell carcinoma, the pattern of sentinel lymph node involvement provides important prognostic information and utilizing this data with other clinicopathologic features facilitates risk stratification of Merkel cell carcinoma patients that may have management implications. PMID:26541273

Lymphoscintigraphy and SPECT/CT in multicentric and multifocal breast cancer: does each tumour have a separate drainage pattern? Results of a Dutch multicentre study (MULTISENT).

PubMed

Brouwer, O R; Vermeeren, L; van der Ploeg, I M C; Valdés Olmos, R A; Loo, C E; Pereira-Bouda, L M; Smit, F; Neijenhuis, P; Vrouenraets, B C; Sivro-Prndelj, F; Jap-a-Joe, S M; Borgstein, P J; Rutgers, E J Th; Oldenburg, H S A

2012-07-01

To investigate whether lymphoscintigraphy and SPECT/CT after intralesional injection of radiopharmaceutical into each tumour separately in patients with multiple malignancies in one breast yields additional sentinel nodes compared to intralesional injection of the largest tumour only. Patients were included prospectively at four centres in The Netherlands. Lymphatic flow was studied using planar lymphoscintigraphy and SPECT/CT until 4 h after administration of (99m)Tc-nanocolloid in the largest tumour. Subsequently, the smaller tumour(s) was injected intratumorally followed by the same imaging sequence. Sentinel nodes were intraoperatively localized using a gamma ray detection probe and vital blue dye. Included in the study were 50 patients. Additional lymphatic drainage was depicted after the second and/or third injection in 32 patients (64%). Comparison of planar images and SPECT/CT images after consecutive injections enabled visualization of the number and location of additional sentinel nodes (32 axillary, 11 internal mammary chain, 2 intramammary, and 1 interpectoral. A sentinel node contained metastases in 17 patients (34%). In five patients with a tumour-positive node in the axilla that was visualized after the first injection, an additional involved axillary node was found after the second injection. In two patients, isolated tumour cells were found in sentinel nodes that were only visualized after the second injection, whilst the sentinel nodes identified after the first injection were tumour-negative. Lymphoscintigraphy and SPECT/CT after consecutive intratumoral injections of tracer enable lymphatic mapping of each tumour separately in patients with multiple malignancies within one breast. The high incidence of additional sentinel nodes draining from tumours other than the largest one suggests that separate tumour-related tracer injections may be a more accurate approach to mapping and sampling of sentinel nodes in patients with multicentric or multifocal breast cancer.

Histological pattern of Merkel cell carcinoma sentinel lymph node metastasis improves stratification of Stage III patients.

PubMed

Ko, Jennifer S; Prieto, Victor G; Elson, Paul J; Vilain, Ricardo E; Pulitzer, Melissa P; Scolyer, Richard A; Reynolds, Jordan P; Piliang, Melissa P; Ernstoff, Marc S; Gastman, Brian R; Billings, Steven D

2016-02-01

Sentinel lymph node biopsy is used to stage Merkel cell carcinoma, but its prognostic value has been questioned. Furthermore, predictors of outcome in sentinel lymph node positive Merkel cell carcinoma patients are poorly defined. In breast carcinoma, isolated immunohistochemically positive tumor cells have no impact, but in melanoma they are considered significant. The significance of sentinel lymph node metastasis tumor burden (including isolated tumor cells) and pattern of involvement in Merkel cell carcinoma are unknown. In this study, 64 Merkel cell carcinomas involving sentinel lymph nodes and corresponding immunohistochemical stains were reviewed and clinicopathological predictors of outcome were sought. Five metastatic patterns were identified: (1) sheet-like (n=38, 59%); (2) non-solid parafollicular (n=4, 6%); (3) sinusoidal, (n=11, 17%); (4) perivascular hilar (n=1, 2%); and (5) rare scattered parenchymal cells (n=10, 16%). At the time of follow-up, 30/63 (48%) patients had died with 21 (33%) attributable to Merkel cell carcinoma. Patients with pattern 1 metastases had poorer overall survival compared with patients with patterns 2-5 metastases (P=0.03), with 22/30 (73%) deaths occurring in pattern 1 patients. Three (10%) deaths occurred in patients showing pattern 5, all of whom were immunosuppressed. Four (13%) deaths occurred in pattern 3 patients and 1 (3%) death occurred in a pattern 2 patient. In multivariable analysis, the number of positive sentinel lymph nodes (1 or 2 versus >2, P<0.0001), age (<70 versus ≥70, P=0.01), sentinel lymph node metastasis pattern (patterns 2-5 versus 1, P=0.02), and immune status (immunocompetent versus suppressed, P=0.03) were independent predictors of outcome, and could be used to stratify Stage III patients into three groups with markedly different outcomes. In Merkel cell carcinoma, the pattern of sentinel lymph node involvement provides important prognostic information and utilizing this data with other clinicopathological features facilitates risk stratification of Merkel cell carcinoma patients who may have management implications.

Sentinels for snow science

NASA Astrophysics Data System (ADS)

Gascoin, S.; Grizonnet, M.; Baba, W. M.; Hagolle, O.; Fayad, A.; Mermoz, S.; Kinnard, C.; Fatima, K.; Jarlan, L.; Hanich, L.

2017-12-01

Current spaceborne sensors do not allow retrieving the snow water equivalent in mountain regions, "the most important unsolved problem in snow hydrology" (Dozier, 2016). While the NASA is operating an airborne mission to survey the SWE in the western USA, elsewhere, however, snow scientists and water managers do not have access to routine SWE measurements at the scale of a mountain range. In this presentation we suggest that the advent of the Copernicus Earth Observation programme opens new perspectives to address this issue in mountain regions worldwide. The Sentinel-2 mission will provide global-scale multispectral observations at 20 m resolution every 5-days (cloud permitting). The Sentinel-1 mission is already imaging the global land surface with a C-band radar at 10 m resolution every 6 days. These observations are unprecedented in terms of spatial and temporal resolution. However, the nature of the observation (radiometry, wavelength) is in the continuity of previous and ongoing missions. As a result, it is relatively straightforward to re-use algorithms that were developed by the remote sensing community over the last decades. For instance, Sentinel-2 data can be used to derive maps of the snow cover extent from the normalized difference snow index, which was initially proposed for Landsat. In addition, the 5-days repeat cycle allows the application of gap-filling algorithms, which were developed for MODIS based on the temporal dimension. The Sentinel-1 data can be used to detect the wet snow cover and track melting areas as proposed for ERS in the early 1990's. Eventually, we show an example where Sentinel-2-like data improved the simulation of the SWE in the data-scarce region of the High Atlas in Morocco through assimilation in a distributed snowpack model. We encourage snow scientists to embrace Sentinel-1 and Sentinel-2 data to enhance our knowledge on the snow cover dynamics in mountain regions.

One-jet inclusive cross section at order a(s)-cubed - Gluons only

NASA Technical Reports Server (NTRS)

Ellis, Stephen D.; Kunszt, Zoltan; Soper, Davison E.

1989-01-01

A complete calculation of the hadron jet cross-section at one order beyond the Born approximation is performed for the simplified case in which there are only gluons. The general structure of the differences from the lowest-order cross-section are described. This step allows two important improvements in the understanding of the theoretical hadron jet cross-section: first, the cross section at this order displays explicit dependence on the jet cone size, so that explicit account can be taken of the differences in jet definitions employed by different experiments; second, the magnitude of the uncertainty of the theoretical cross-section due to the arbitrary choice of the factorization scale has been reduced by a factor of two to three.

An Immunized Aircraft Maneuver Selection System

NASA Technical Reports Server (NTRS)

Karr, Charles L.

2003-01-01

The objective of this project, as stated in the original proposal, was to develop an immunized aircraft maneuver selection (IAMS) system. The IAMS system was to be composed of computational and informational building blocks that resemble structures in natural immune systems. The ultimate goal of the project was to develop a software package that could be flight tested on aircraft models. This report describes the work performed in the first year of what was to have been a two year project. This report also describes efforts that would have been made in the final year to have completed the project, had it been continued for the final year. After introductory material is provided in Section 2, the end-of-year-one status of the effort is discussed in Section 3. The remainder of the report provides an accounting of first year efforts. Section 4 provides background information on natural immune systems while Section 5 describes a generic ar&itecture developed for use in the IAMS. Section 6 describes the application of the architecture to a system identification problem. Finally, Section 7 describes steps necessary for completing the project.

Sentinel Network

Cancer.gov

The Sentinel Network is an integrated, electronic, national medical product safety initiative that compiles information about the safe and effective use of medical products accessible to patients and healthcare practitioners.

Sentinel-3a: commissioning phase results of its optical payload

NASA Astrophysics Data System (ADS)

Nieke, J.; Mavrocordatos, C.

2017-09-01

The Sentinel-3 (S3) is a Global Land and Ocean Mission [1] currently in development as part of the European Commission's Copernicus programme (former: Global Monitoring for Environment and Security (GMES) [2]). The multi-instrument Sentinel-3 mission measures sea-surface topography, sea- and land-surface temperature, ocean colour and land colour to support ocean forecasting systems, as well as environmental and climate monitoring with near-real time data.

CTC Sentinel. Volume 1, Issue, July 2008

DTIC Science & Technology

2008-07-01

1 I n recent months, there has been a spate of seemingly good news in the counter- terrorism arena, as former terrorist leaders and clerics have...28 CTC Sentinel Staff & Contacts JULy 2008 . VoL 1 . IssUE 8 About the CTC Sentinel The Combating Terrorism Center is an independent educational... the Center’s global network of scholars and practitioners in order to understand and confront contemporary threats posed by terrorism and other

Global Lakes Sentinel Services: Water Quality Parameters Retrieval in Lakes Using the MERIS and S3-OLCI Band Sets

NASA Astrophysics Data System (ADS)

Peters, Steef; Alikas, Krista; Hommersom, Annelies; Latt, Silver; Reinart, Anu; Giardino, Claudia; Bresciani, Mariano; Philipson, Petra; Ruescas, Ana; Stelzer, Kerstin; Schenk, Karin; Heege, Thomas; Gege, Peter; Koponen, Sampsa; Kallio, Karri; Zhang, Yunlin

2015-12-01

The European collaborative project GLaSS aims to prepare for the use of the data streams from Sentinel 2 and Sentinel 3. Its focus is on inland waters, since these are considered to be sentinels for land-use- and climate change and need to be monitored closely. One of the objectives of the project is to compare existing water quality algorithms and parameterizations on the basis of in-situ spectral observations and Hydrolight simulations. A first achievement of the project is the collection of over 400 Rrs spectra with accompanying data on CHL, TSM, aCDOM and Secchi depth. Especially the dataset on Lake CDOM measurements represents a rather unique reference dataset.

The Impact of Participating in a Peer Assessment Activity on Subsequent Academic Performance

ERIC Educational Resources Information Center

Jhangiani, Rajiv S.

2016-01-01

The present study investigates the impact of participation in a peer assessment activity on subsequent academic performance. Students in two sections of an introductory psychology course completed a practice quiz 1 week prior to each of three course exams. Students in the experimental group participated in a five-step double-blind peer assessment…

Sentinel lymph node detection in early stage cervical cancer: a prospective study comparing preoperative lymphoscintigraphy, intraoperative gamma probe, and blue dye.

PubMed

Kara, P Pelin; Ayhan, Ali; Caner, Biray; Gültekin, Murat; Ugur, Omer; Bozkurt, M Fani; Usubutun, Alp

2008-07-01

The objective of this prospective study was to determine the feasibility of sentinel lymph node (SLN) detection in patients with cervical cancer using lymphoscintigraphy (LS), gamma probe, and blue dye. A total of 32 patients with early stage cervical cancer (FIGO IA2-IIA) who were treated with total abdominal hysterectomy and bilateral pelvic and paraortic lymphadenectomy underwent SLN biopsy. LS was performed on all the patients following the injection of 74 MBq technetium-99m-nanocolloid pericervically. The first appearing persistent focal accumulation on either dynamic or static images of LS was considered to be an SLN. Blue dye was injected just prior to surgical incision in 16 patients (50%) at the same locations as the radioactive isotope injection. During the operation, blue-stained node(s) were excised as SLNs. For gamma probe, a lymph node was accepted as an SLN, if its ex vivo radioactive counts were at least 10-fold above background radioactivity. SLNs, which were negative by routine hematoxylin and eosin (H&E) examination, were histopathologically reevaluated for the presence of micrometastases by step sectioning and immunohistochemical staining with pancytokeratin. At least one SLN was identified for each patient by gamma probe. Intraoperative gamma probe was the most sensitive method with a technical success rate of SLN detection of 100% (32/32), followed by LS 87.5% (28/32) and blue dye 68.8% (11/16), respectively. The average number of SLNs per patient detected by gamma probe was 2.09 (range 1-5). The localizations of the SLNs were external iliac 47.8%, obturatory 32.8%, common iliac 9%, paraaortic 4.4%, and paracervical 6%. Micrometastases, not detected by routine H&E were found by immunohistochemistry in one patient. On the basis of the histopathological analysis, the negative predictive value for predicting metastases was 100%, and there were no false-negative results. Preoperative LS with radiocolloids, intraoperative lymphatic mapping with blue dye and gamma probe are all feasible methods comparable with each other for SLN detection in early stage cervical cancer patients, but gamma probe is the most useful method in terms of technical success.

Factors Associated with PMTCT Cascade Completion in Four African Countries.

PubMed

Dionne-Odom, Jodie; Welty, Thomas K; Westfall, Andrew O; Chi, Benjamin H; Ekouevi, Didier Koumavi; Kasaro, Margaret; Tih, Pius M; Tita, Alan T N

2016-01-01

Background. Many countries are working to reduce or eliminate mother-to-child transmission (MTCT) of HIV. Prevention efforts have been conceptualized as steps in a cascade but cascade completion rates during and after pregnancy are low. Methods. A cross-sectional survey was performed across 26 communities in Cameroon, Cote d'Ivoire, South Africa, and Zambia. Women who reported a pregnancy within two years were enrolled. Participant responses were used to construct the PMTCT cascade with all of the following steps required for completion: at least one antenatal visit, HIV testing performed, HIV testing result received, initiation of maternal prophylaxis, and initiation of infant prophylaxis. Factors associated with cascade completion were identified using multivariable logistic regression modeling. Results. Of 976 HIV-infected women, only 355 (36.4%) completed the PMTCT cascade. Although most women (69.2%) did not know their partner's HIV status; awareness of partner HIV status was associated with cascade completion (aOR 1.4, 95% CI 1.01-2.0). Completion was also associated with receiving an HIV diagnosis prior to pregnancy compared with HIV diagnosis during or after pregnancy (aOR 14.1, 95% CI 5.2-38.6). Conclusions. Pregnant women with HIV infection in Africa who were aware of their partner's HIV status and who were diagnosed with HIV before pregnancy were more likely to complete the PMTCT cascade.

Factors Associated with PMTCT Cascade Completion in Four African Countries

PubMed Central

Welty, Thomas K.; Westfall, Andrew O.; Chi, Benjamin H.; Ekouevi, Didier Koumavi; Tih, Pius M.; Tita, Alan T. N.

2016-01-01

Background. Many countries are working to reduce or eliminate mother-to-child transmission (MTCT) of HIV. Prevention efforts have been conceptualized as steps in a cascade but cascade completion rates during and after pregnancy are low. Methods. A cross-sectional survey was performed across 26 communities in Cameroon, Cote d'Ivoire, South Africa, and Zambia. Women who reported a pregnancy within two years were enrolled. Participant responses were used to construct the PMTCT cascade with all of the following steps required for completion: at least one antenatal visit, HIV testing performed, HIV testing result received, initiation of maternal prophylaxis, and initiation of infant prophylaxis. Factors associated with cascade completion were identified using multivariable logistic regression modeling. Results. Of 976 HIV-infected women, only 355 (36.4%) completed the PMTCT cascade. Although most women (69.2%) did not know their partner's HIV status; awareness of partner HIV status was associated with cascade completion (aOR 1.4, 95% CI 1.01–2.0). Completion was also associated with receiving an HIV diagnosis prior to pregnancy compared with HIV diagnosis during or after pregnancy (aOR 14.1, 95% CI 5.2–38.6). Conclusions. Pregnant women with HIV infection in Africa who were aware of their partner's HIV status and who were diagnosed with HIV before pregnancy were more likely to complete the PMTCT cascade. PMID:27872760

Comparative evaluation of border molding using two different techniques in maxillary edentulous arches: A clinical study

PubMed Central

Qanungo, Anchal; Aras, Meena Ajay; Chitre, Vidya; Coutinho, Ivy; Rajagopal, Praveen; Mysore, Ashwin

2016-01-01

Purpose: The aim of this in vivo study was to compare the single-step border molding technique using injectable heavy viscosity addition silicone with sectional border molding technique using low fusing impression compound by evaluating the retention of heat cure trial denture bases. Materials and Methods: Ten completely edentulous patients in need of prostheses were included in this study. Two border molding techniques, single-step (Group 1) and sectional (Group 2), were compared for retention. Both border molding techniques were performed in each patient. In both techniques, definitive wash impression was made with light viscosity addition silicone. The final results were analyzed using paired t-test to determine whether significant differences existed between the groups. Results: The t-value (3.031) infers that there was a significant difference between Group 1 and Group 2 (P = 0.014). The retention obtained in Group 2 (mean = 9.05 kgf) was significantly higher than that of Group 1 (mean = 8.26 kgf). Conclusion: Sectional border molding technique proved to be more retentive as compared to single-step border molding although clinically the retention appeared comparable. PMID:27746597

29 CFR 1952.232 - Completion of developmental steps and certification.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 29 Labor 9 2010-07-01 2010-07-01 false Completion of developmental steps and certification. 1952... § 1952.232 Completion of developmental steps and certification. (a) In accordance with the requirements... plan received certification, effective February 8, 1980, as having completed all developmental steps...

From CryoSat-2 to Sentinel-3 and Beyond

NASA Astrophysics Data System (ADS)

Francis, R.

2011-12-01

CryoSat-2 carried into Earth orbit the first altimeter using SAR principles, although similar techniques had been used on earlier Venusian missions. Furthermore, it carries a second antenna and receive chain, and has been very carefully calibrated, allowing interferometry between these antennas. The results of the SAR mode and of the interferometer have met all expectations, with handsome margins. Even before the launch of CryoSat-2 the further development of this concept was underway with the radar for the oceanography mission Sentinel-3. While this radar, named SRAL (SAR Radar Altimeter) does not have the interferometer capability of CryoSat-2's SIRAL (SAR Interferometric Radar Altimeter), it does have a second frequency, to enable direct measurement of the delay induced by the ionospheric electron content. Sentinel-3 will have a sun-synchronous orbit, like ERS and EnviSat, and will have a similar latitudinal range: about 82° north and south, compared to CryoSat's 88°. Sentinel-3 will operate its radar altimeter in the high-resolution SAR mode over coastal oceans and inland water, and will revert to the more classical pulse-width limited mode over the open oceans. The SAR mode generates data at a high rate, so the major limiting factor is the amount of on-board storage. The power consumption is also higher, imposing less critical constraints. For sizing purposes the coastal oceans are defined as waters within 300 km of the continental shorelines. Sentinel-3 is expected to be launched in 2013 and be followed 18 months later by a second satellite of the same design. The next step in the development of this family of radar altimeters is Jason-CS, which will provide Continuity of Service to the existing Jason series of operational oceanography missions. Jason-CS has a very strong heritage from CryoSat but will fly the traditional Jason orbit, which covers latitudes up to 66° from a high altitude of 1330 km. The new radar is called Poseidon-4, to emphasise the connection to Jason, but its concept owes more to Sentinel-3's SRAL. It retains SRAL's dual frequencies and its SAR mode, but adds some further refinements. Most notably, an operating mode in which SAR operations and full performance pulse-width limited mode are available simultaneously, is under study. This would enable the benefits of SAR mode to be achieved over all ocean areas if the volume of data generated could be stored and downlinked to the ground. This problem only becomes tractable if an on-board processing system can be introduced to perform the first level of SAR processing, reducing the data volume by several orders of magnitude. This is also under study. The architecture of the radar has a further improvement, in the extension of digital technology further into the domain of analog radio-frequency electronics. While this is essentially invisible to the scientific user, it will yield an instrument with higher quality and markedly superior stability. The Jason-CS missions (at least two satellites are planned) are currently in a study phase with an implementation decision expected at the end of 2012. The planned launch date for the first mission is 2017.

Early Results from TROPOMI on the Copernicus Sentinel 5 Precursor

NASA Astrophysics Data System (ADS)

Veefkind, J. P.; Kleipool, Q.; Ludewig, A.; Stein-Zweers, D.; Aben, I.; De Vries, J.; Loyola, D. G.; Nett, H.; Richter, A.; Van Roozendael, M.; Siddans, R.; Wagner, T.; Dehn, A.; Zehner, C.; Levelt, P.

2017-12-01

The Copernicus Sentinel 5 Precursor (S5P) is the first of the European Sentinels satellites dedicated to monitoring of the atmospheric composition. S5P is planned for launch in the 3rd quarter of 2017. The mission objectives of S5P are to monitor air quality, climate and the ozone layer, in the time period between 2017 and 2023. S5P will fly in a Sun-synchronized polar orbit with a 13:30 hr local equator crossing time. The single payload of the S5P mission is TROPOspheric Monitoring Instrument (TROPOMI), which is developed by The Netherlands in cooperation with the European Space Agency (ESA). TROPOMI is a nadir viewing shortwave spectrometer that measures in the UV-visible wavelength range (267-499 nm), the near infrared (661-775 nm) and the shortwave infrared (2300-2389 nm). With a spatial resolution of better than 7x7 km2 at nadir and almost 20 million measurements per day, TROPOMI will be a major step forward compared to its predecessors OMI (Ozone Monitoring Instrument) and SCIAMACHY (Scanning Imaging Absorption Spectrometer for Atmospheric Chartography). The spatial resolution is combined with a wide swath to allow for daily global coverage. The TROPOMI/S5P geophysical (Level 2) operational data products include nitrogen dioxide, carbon monoxide, ozone (total column, tropospheric column & profile), methane, sulfur dioxide, formaldehyde and aerosol and cloud parameters. The S5P will fly in a so-called loose formation with the U.S. Suomi NPP (National Polar-orbiting Partnership) satellite. The primary objective for this formation flying is to use the cloud clearing capabilities of the VIIRS (Visible Infrared Imager Radiometer Suite). The temporal separation between TROPOMI and VIIRS will be less than 5 minutes. Once this formation has been established, it will enable synergistic data products and scientific research potentials.

Pilot-study on the feasibility of sentinel node navigation surgery in combination with thoracolaparoscopic lymphadenectomy without esophagectomy in early esophageal adenocarcinoma patients.

PubMed

Künzli, H T; van Berge Henegouwen, M I; Gisbertz, S S; van Esser, S; Meijer, S L; Bennink, R J; Wiezer, M J; Seldenrijk, C A; Bergman, J J G H M; Weusten, B L A M

2017-11-01

High-risk submucosal esophageal adenocarcinoma's might be treated curatively by means of radical endoscopic resection, followed by thoracolaparoscopic lymphadenectomy without concomitant esophagectomy. A preclinical study has shown the feasibility and safety of this approach; however, no studies are performed in a clinical setting. In addition, sentinel node navigation surgery could be valuable in tailoring the extent of the lymphadenectomy. This study aimed to evaluate the feasibility and safety of thoracolaparoscopic lymphadenectomy without esophagectomy (phase I) and sentinel node navigation surgery (phase II) in patients with early esophageal adenocarcinoma. Patients with T1N0M0 early esophageal adenocarcinoma scheduled for esophagectomy without neoadjuvant therapy were included. Phase I: Two-field, esophagus preserving, thoracolaparoscopic lymphadenectomy was performed, followed by esophagectomy in the same session. Primary outcome parameters were the number of lymph nodes resected, and number of retained lymph nodes in the esophagectomy specimen. Phase II: A radioactive tracer was injected endoscopically the day before surgery. Static imaging was performed 15 and 120 minutes after injection. The day of surgery, sentinel node navigation surgery followed by esophagectomy was performed. Primary outcome parameters were the percentage of patients with a detectable sentinel node, and the concordance between static imaging and probe-based detection of sentinel node. Phase I: Five patients were included, and a median of 30 (IQR: 25-46) lymph nodes was resected. A median of 6 (IQR: 2-9) retained lymph nodes was found in the esophagectomy specimen. No acute adverse events occurred, but near the end of lymphadenectomy esophageal discoloration was observed, possibly indicating ischemia. Phase II: In all five included patients sentinel nodes could be visualized and resected, at a median of 3 (IQR: 2-5) locations. There was a high concordance between imaging and probe-based detection of sentinel nodes. In conclusion, sentinel node navigation surgery followed by lymphadenectomy without concomitant esophagectomy seems feasible in patients with high-risk submucosal early esophageal adenocarcinoma. More evidence is however needed before applying this technique in clinical practice. © The Authors 2017. Published by Oxford University Press on behalf of International Society for Diseases of the Esophagus. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Immune cell profile of sentinel lymph nodes in patients with malignant melanoma – FOXP3+ cell density in cases with positive sentinel node status is associated with unfavorable clinical outcome

PubMed Central

2013-01-01

Background Besides being a preferential site of early metastasis, the sentinel lymph node (SLN) is also a privileged site of T-cell priming, and may thus be an appropriate target for investigating cell types involved in antitumor immune reactions. Methods In this retrospective study we determined the prevalence of OX40+ activated T lymphocytes, FOXP3+ (forkhead box P3) regulatory T cells, DC-LAMP+ (dendritic cell-lysosomal associated membrane protein) mature dendritic cells (DCs) and CD123+ plasmacytoid DCs by immunohistochemistry in 100 SLNs from 60 melanoma patients. Density values of each cell type in SLNs were compared to those in non-sentinel nodes obtained from block dissections (n = 37), and analyzed with regard to associations with clinicopathological parameters and disease outcome. Results Sentinel nodes showed elevated amount of all cell types studied in comparison to non-sentinel nodes. Metastatic SLNs had higher density of OX40+ lymphocytes compared to tumor-negative nodes, while no significant difference was observed in the case of the other cell types studied. In patients with positive sentinel node status, high amount of FOXP3+ cells in SLNs was associated with shorter progression-free (P = 0.0011) and overall survival (P = 0.0014), while no significant correlation was found in the case of sentinel-negative patients. The density of OX40+, CD123+ or DC-LAMP+ cells did not show significant association with the outcome of the disease. Conclusions Taken together, our results are compatible with the hypothesis of functional competence of sentinel lymph nodes based on the prevalence of the studied immune cells. The density of FOXP3+ lymphocytes showed association with progression and survival in patients with positive SLN status, while the other immune markers studied did not prove of prognostic importance. These results, together with our previous findings on the prognostic value of activated T cells and mature DCs infiltrating primary melanomas, suggest that immune activation-associated markers in the primary tumor may have a higher impact than those in SLNs on the prognosis of the patients. On the other hand, FOXP3+ cell density in SLNs, but not in the primary tumor, was found predictive of disease outcome in melanoma patients. PMID:23418928

Soil moisture retrieval from Sentinel-1 satellite data

NASA Astrophysics Data System (ADS)

Benninga, Harm-Jan; van der Velde, Rogier; Su, Zhongbo

2016-04-01

Reliable up-to-date information on the current water availability and models to evaluate management scenarios are indispensable for skilful water management. The Sentinel-1 radar satellite programme provides an opportunity to monitor water availability (as surface soil moisture) from space on an operational basis at unprecedented fine spatial and temporal resolutions. However, the influences of soil roughness and vegetation cover complicate the retrieval of soil moisture states from radar data. In this contribution, we investigate the sensitivity of Sentinel-1 radar backscatter to soil moisture states and vegetation conditions. The analyses are based on 105 Sentinel-1 images in the period from October 2014 to January 2016 covering the Twente region in the Netherlands. This area is almost flat and has a heterogeneous landscape, including agricultural (mainly grass, cereal and corn), forested and urban land covers. In-situ measurements at 5 cm depth collected from the Twente soil moisture monitoring network are used as reference. This network consists of twenty measurement stations (most of them at agricultural fields) distributed across an area of 50 km × 40 km. The Normalized Difference Vegetation Index (NDVI) derived from optical images is adopted as proxy to represent seasonal variability in vegetation conditions. The results from this sensitivity study provide insight into the potential capability of Sentinel-1 data for the estimation of soil moisture states and they will facilitate the further development of operational retrieval methods. An operationally applicable soil moisture retrieval method requires an algorithm that is usable without the need for area specific model calibration with detailed field information (regarding roughness and vegetation). Because it is not yet clear which method provides the most reliable soil moisture retrievals from Sentinel-1 data, multiple soil moisture retrieval methods will be studied in which the fine spatiotemporal resolution and the dual-polarized information of Sentinel-1 are utilized. Three candidate algorithms are presented at the conference, which are a data-driven algorithm, inversion of a radar scattering model and downscaling of coarser resolution soil moisture products. The research is part of the OWAS1S project (Optimizing Water Availability with Sentinel-1 Satellites), which stands for integration of the freely available global Sentinel-1 data and local knowledge on soil physical processes, to optimize water management of regional water systems and to develop value-added products for agriculture.

The Surveillance and On-demand Sentinel-1 SBAS Services on the Geohazards Exploitation Platforms

NASA Astrophysics Data System (ADS)

Casu, F.; de Luca, C.; Zinno, I.; Manunta, M.; Lanari, R.

2017-12-01

The Geohazards Exploitation Platform (GEP) is an ESA R&D activity of the EO ground segment to demonstrate the benefit of new technologies for large scale processing of EO data. GEP aims at providing on-demand processing services for specific user needs, as well as systematic processing services to address the need of the geohazards community for common information layers and, finally, to integrate newly developed processors for scientists and other expert users. In this context, a crucial role is played by the recently launched Sentinel-1 (S1) constellation that, with its global acquisition policy, has flooded the scientific community with a huge amount of data acquired over large part of the Earth on a regular basis (down to 6-days with both Sentinel-1A and 1B passes). The Sentinel-1 data, as part of the European Copernicus program, are openly and freely accessible, thus fostering their use for the development of automated and systematic tools for Earth surface monitoring. In particular, due to their specific SAR Interferometry (InSAR) design, Sentinel-1 satellites can be exploited to build up operational services for the easy and rapid generation of advanced InSAR products useful for risk management and natural hazard monitoring. In this work we present the activities carried out for the development, integration, and deployment of two SBAS Sentinel-1 services of CNR-IREA within the GEP framework, namely the Surveillance and On-demand services. The Surveillance service consists on the systematic and automatic processing of Sentinel-1 data over selected Areas of Interest (AoI) to generate updated surface displacement time series via the SBAS-InSAR algorithm. We built up a system that is automatically triggered by every new Sentinel-1 acquisition over the AoI, once it is available on the S1 catalogue. Then, the system processes the new acquisitions only, thus saving storage space and computing time. The processing, which relies on the Parallel version of the SBAS (P-SBAS) chain, allows us to effectively perform massive, systematic and automatic analysis of S1 SAR data. It is worth noting that the SBAS Sentinel-1 services on GEP represent the core of the EPOSAR service, which will deliver S1 displacement time series of Earth surface for the European Plate Observing System (EPOS) Research Infrastructure community.

29 CFR 1956.52 - Completed developmental steps and certification.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 29 Labor 9 2010-07-01 2010-07-01 false Completed developmental steps and certification. 1956.52... PLANS New York § 1956.52 Completed developmental steps and certification. (a) In accordance with 29 CFR..., 2006 as having successfully completed all developmental steps specified in the plan as initially...

29 CFR 1956.44 - Completion of developmental steps and certification.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 29 Labor 9 2010-07-01 2010-07-01 false Completion of developmental steps and certification. 1956... PLANS Connecticut § 1956.44 Completion of developmental steps and certification. (a) In accordance with... August 19, 1986 as having completed all developmental steps specified in the plan as approved October 2...

29 CFR 1952.352 - Completion of developmental steps and certification.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 29 Labor 9 2010-07-01 2010-07-01 false Completion of developmental steps and certification. 1952... § 1952.352 Completion of developmental steps and certification. (a) Implementation of the Arizona... certified, effective September 18, 1981 as having completed all developmental steps specified in the plan as...

29 CFR 1952.112 - Completion of developmental steps and certification.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 29 Labor 9 2010-07-01 2010-07-01 false Completion of developmental steps and certification. 1952... § 1952.112 Completion of developmental steps and certification. (a) In accordance with the requirements... of publication on November 19, 1976, as having completed all developmental steps specified in the...

Accurate evaluation of axillary sentinel lymph node metastasis using contrast-enhanced ultrasonography with Sonazoid in breast cancer: a preliminary clinical trial.

PubMed

Matsuzawa, Fumihiko; Omoto, Kiyoka; Einama, Takahiro; Abe, Hironori; Suzuki, Takashi; Hamaguchi, Jun; Kaga, Terumi; Sato, Mami; Oomura, Masako; Takata, Yumiko; Fujibe, Ayako; Takeda, Chie; Tamura, Etsuya; Taketomi, Akinobu; Kyuno, Kenichi

2015-01-01

Breast cancer is the most common type of cancer in women. The 5-year survival rate in patients with breast cancer ranges from 74 to 82 %. Sentinel lymph node biopsy has become an alternative to axillary lymph node dissection for nodal staging. We evaluated the detection of the sentinel lymph node and metastasis of the lymph node using contrast enhanced ultrasonography with Sonazoid. Between December 2013 and May 2014, 32 patients with operable breast cancer were enrolled in this study. We evaluated the detection of axillary sentinel lymph nodes and the evaluation of axillary lymph nodes metastasis using contrast enhanced computed tomography, color Doppler ultrasonography and contrast enhanced ultrasonography with Sonazoid. All the sentinel lymph nodes were identified, and the sentinel lymph nodes detected by contrast enhanced ultrasonography with Sonazoid corresponded with those detected by computed tomography lymphography and indigo carmine method. The detection of metastasis based on contrast enhanced computed tomography were sensitivity 20.0 %, specificity 88.2 %, PPV 60.0 %, NPV 55.6 %, accuracy 56.3 %. Based on color Doppler ultrasonography, the results were sensitivity 36.4 %, specificity 95.2 %, PPV 80.0 %, NPV 74.1 %, accuracy 75.0 %. Based on contrast enhanced ultrasonography with Sonazoid, the results were sensitivity 81.8 %, specificity 95.2 %, PPV 90.0 %, NPV 90.9 %, accuracy 90.6 %. The results suggested that contrast enhanced ultrasonography with Sonazoid was the most accurate among the evaluations of these modalities. In the future, we believe that our method would take the place of conventional sentinel lymph node biopsy for an axillary staging method.

Molecular markers to complement sentinel node status in predicting survival in patients with high-risk locally invasive melanoma.

PubMed

Rowe, Casey J; Tang, Fiona; Hughes, Maria Celia B; Rodero, Mathieu P; Malt, Maryrose; Lambie, Duncan; Barbour, Andrew; Hayward, Nicholas K; Smithers, B Mark; Green, Adele C; Khosrotehrani, Kiarash

2016-08-01

Sentinel lymph node status is a major prognostic marker in locally invasive cutaneous melanoma. However, this procedure is not always feasible, requires advanced logistics and carries rare but significant morbidity. Previous studies have linked markers of tumour biology to patient survival. In this study, we aimed to combine the predictive value of established biomarkers in addition to clinical parameters as indicators of survival in addition to or instead of sentinel node biopsy in a cohort of high-risk melanoma patients. Patients with locally invasive melanomas undergoing sentinel lymph node biopsy were ascertained and prospectively followed. Information on mortality was validated through the National Death Index. Immunohistochemistry was used to analyse proteins previously reported to be associated with melanoma survival, namely Ki67, p16 and CD163. Evaluation and multivariate analyses according to REMARK criteria were used to generate models to predict disease-free and melanoma-specific survival. A total of 189 patients with available archival material of their primary tumour were analysed. Our study sample was representative of the entire cohort (N = 559). Average Breslow thickness was 2.5 mm. Thirty-two (17%) patients in the study sample died from melanoma during the follow-up period. A prognostic score was developed and was strongly predictive of survival, independent of sentinel node status. The score allowed classification of risk of melanoma death in sentinel node-negative patients. Combining clinicopathological factors and established biomarkers allows prediction of outcome in locally invasive melanoma and might be implemented in addition to or in cases when sentinel node biopsy cannot be performed. © 2016 UICC.

Multi-Feature Classification of Multi-Sensor Satellite Imagery Based on Dual-Polarimetric Sentinel-1A, Landsat-8 OLI, and Hyperion Images for Urban Land-Cover Classification.

PubMed

Zhou, Tao; Li, Zhaofu; Pan, Jianjun

2018-01-27

This paper focuses on evaluating the ability and contribution of using backscatter intensity, texture, coherence, and color features extracted from Sentinel-1A data for urban land cover classification and comparing different multi-sensor land cover mapping methods to improve classification accuracy. Both Landsat-8 OLI and Hyperion images were also acquired, in combination with Sentinel-1A data, to explore the potential of different multi-sensor urban land cover mapping methods to improve classification accuracy. The classification was performed using a random forest (RF) method. The results showed that the optimal window size of the combination of all texture features was 9 × 9, and the optimal window size was different for each individual texture feature. For the four different feature types, the texture features contributed the most to the classification, followed by the coherence and backscatter intensity features; and the color features had the least impact on the urban land cover classification. Satisfactory classification results can be obtained using only the combination of texture and coherence features, with an overall accuracy up to 91.55% and a kappa coefficient up to 0.8935, respectively. Among all combinations of Sentinel-1A-derived features, the combination of the four features had the best classification result. Multi-sensor urban land cover mapping obtained higher classification accuracy. The combination of Sentinel-1A and Hyperion data achieved higher classification accuracy compared to the combination of Sentinel-1A and Landsat-8 OLI images, with an overall accuracy of up to 99.12% and a kappa coefficient up to 0.9889. When Sentinel-1A data was added to Hyperion images, the overall accuracy and kappa coefficient were increased by 4.01% and 0.0519, respectively.

Prognostic relevance of an epigenetic biomarker panel in sentinel lymph nodes from colon cancer patients.

PubMed

Lind, Guro E; Guriby, Marianne; Ahlquist, Terje; Hussain, Israr; Jeanmougin, Marine; Søreide, Kjetil; Kørner, Hartwig; Lothe, Ragnhild A; Nordgård, Oddmund

2017-01-01

Patients with early colorectal cancer (stages I-II) generally have a good prognosis, but a subgroup of 15-20% experiences relapse and eventually die of disease. Occult metastases have been suggested as a marker for increased risk of recurrence in patients with node-negative disease. Using a previously identified, highly accurate epigenetic biomarker panel for early detection of colorectal tumors, we aimed at evaluating the prognostic value of occult metastases in sentinel lymph nodes of colon cancer patients. The biomarker panel was analyzed by quantitative methylation-specific PCR in primary tumors and 783 sentinel lymph nodes from 201 patients. The panel status in sentinel lymph nodes showed a strong association with lymph node stage ( P  = 8.2E-17). Compared with routine lymph node diagnostics, the biomarker panel had a sensitivity of 79% (31/39). Interestingly, among 162 patients with negative lymph nodes from routine diagnostics, 13 (8%) were positive for the biomarker panel. Colon cancer patients with high sentinel lymph node methylation had an inferior prognosis (5-year overall survival P  = 3.0E-4; time to recurrence P  = 3.1E-4), although not significant. The same trend was observed in multivariate analyses ( P  = 1.4E-1 and P  = 6.7E-2, respectively). Occult sentinel lymph node metastases were not detected in early stage (I-II) colon cancer patients who experienced relapse. Colon cancer patients with high sentinel lymph node methylation of the analyzed epigenetic biomarker panel had an inferior prognosis, although not significant in multivariate analyses. Occult metastases in TNM stage II patients that experienced relapse were not detected.

Fear-based niche shifts in neotropical birds.

PubMed

Martínez, Ari E; Parra, Eliseo; Muellerklein, Oliver; Vredenburg, Vance T

2018-06-01

Predation is a strong ecological force that shapes animal communities through natural selection. Recent studies have shown the cascading effects of predation risk on ecosystems through changes in prey behavior. Minimizing predation risk may explain why multiple prey species associate together in space and time. For example, mixed-species flocks that have been widely documented from forest systems, often include birds that eavesdrop on sentinel species (alarm calling heterospecifics). Sentinel species may be pivotal in (1) allowing flocking species to forage in open areas within forests that otherwise incur high predation risk, and (2) influencing flock occurrence (the amount of time species spend with a flock). To test this, we conducted a short-term removal experiment in an Amazonian lowland rainforest to test whether flock habitat use and flock occurrence was influenced by sentinel presence. Antshrikes (genus Thamnomanes) act as sentinels in Amazonian mixed-species flocks by providing alarm calls widely used by other flock members. The alarm calls provide threat information about ambush predators such as hawks and falcons which attack in flight. We quantified home range behavior, the forest vegetation profile used by flocks, and the proportion occurrence of other flocking species, both before and after removal of antshrikes from flocks. We found that when sentinel species were removed, (1) flock members shifted habitat use to lower risk habitats with greater vegetation cover, and (2) species flock occurrence decreased. We conclude that eavesdropping on sentinel species may allow other species to expand their realized niche by allowing them to safely forage in high-risk habitats within the forest. In allowing species to use extended parts of the forest, sentinel species may influence overall biodiversity across a diverse landscape. © 2018 by the Ecological Society of America.

The predictive value of single-photon emission computed tomography/computed tomography for sentinel lymph node localization in head and neck cutaneous malignancy.

PubMed

Remenschneider, Aaron K; Dilger, Amanda E; Wang, Yingbing; Palmer, Edwin L; Scott, James A; Emerick, Kevin S

2015-04-01

Preoperative localization of sentinel lymph nodes in head and neck cutaneous malignancies can be aided by single-photon emission computed tomography/computed tomography (SPECT/CT); however, its true predictive value for identifying lymph nodes intraoperatively remains unquantified. This study aims to understand the sensitivity, specificity, and positive and negative predictive values of SPECT/CT in sentinel lymph node biopsy for cutaneous malignancies of the head and neck. Blinded retrospective imaging review with comparison to intraoperative gamma probe confirmed sentinel lymph nodes. A consecutive series of patients with a head and neck cutaneous malignancy underwent preoperative SPECT/CT followed by sentinel lymph node biopsy with a gamma probe. Two nuclear medicine physicians, blinded to clinical data, independently reviewed each SPECT/CT. Activity within radiographically defined nodal basins was recorded and compared to intraoperative gamma probe findings. Sensitivity, specificity, and negative and positive predictive values were calculated with subgroup stratification by primary tumor site. Ninety-two imaging reads were performed on 47 patients with cutaneous malignancy who underwent SPECT/CT followed by sentinel lymph node biopsy. Overall sensitivity was 73%, specificity 92%, positive predictive value 54%, and negative predictive value 96%. The predictive ability of SPECT/CT to identify the basin or an adjacent basin containing the single hottest node was 92%. SPECT/CT overestimated uptake by an average of one nodal basin. In the head and neck, SPECT/CT has higher reliability for primary lesions of the eyelid, scalp, and cheek. SPECT/CT has high sensitivity, specificity, and negative predictive value, but may overestimate relevant nodal basins in sentinel lymph node biopsy. © 2014 The American Laryngological, Rhinological and Otological Society, Inc.

Availability of sentinel lymph node biopsy for cutaneous squamous cell carcinoma.

PubMed

Maruyama, Hiroshi; Tanaka, Ryota; Fujisawa, Yasuhiro; Nakamura, Yasuhiro; Ito, Shusaku; Fujimoto, Manabu

2017-04-01

Cutaneous squamous cell carcinoma is the second common cutaneous cancer, especially in the elderly. Sentinel lymph node biopsy is generally performed in breast cancers and cutaneous melanomas to detect occult nodal metastases. The benefit of sentinel lymph node biopsy in improving cutaneous squamous cell carcinoma prognosis is doubtful. One hundred and sixty-nine patients who underwent treatment for cutaneous squamous cell carcinoma between 2004 and 2015, and who were followed up for at least 6 months or developed metastases within the follow-up period were included. Forty-nine patients underwent sentinel lymph node biopsy, whereas 120 patients did not, including 13 who exhibited clinical lymph node metastases before treatment. Of these 49 patients, nine (18.4%) presented with sentinel lymph node metastasis, which occurred after treatment in three (6.1%) of them (false-negative). Among the 107 patients who did not undergo lymph node biopsy, 12 (11.2%) developed post-treatment metastases. The metastasis-free and disease-specific survival rates were not significantly different in those who did or did not undergo sentinel lymph node biopsy. Patients with clinical lymph node metastases had a higher risk compared with those without. Patients with T2-T4 tumors had a higher risk compared with those with T1 tumors. When selecting for those with T2 tumors or greater, the same lack of relationship was observed. In conclusion, in this small retrospective cohort, in patients with cutaneous squamous cell carcinoma, there were no significant differences in metastasis-free and disease-specific survival rates between those who did or did not undergo sentinel lymph node biopsy, regardless of T staging. © 2016 Japanese Dermatological Association.

Readiness of the Belgian network of sentinel general practitioners to deliver electronic health record data for surveillance purposes: results of survey study.

PubMed

Boffin, Nicole; Bossuyt, Nathalie; Vanthomme, Katrien; Van Casteren, Viviane

2010-06-25

In order to proceed from a paper based registration to a surveillance system that is based on extraction of electronic health records (EHR), knowledge is needed on the number and representativeness of sentinel GPs using a government-certified EHR system and the quality of EHR data for research, expressed in the compliance rate with three criteria: recording of home visits, use of prescription module and diagnostic subject headings. Data were collected by annual postal surveys between 2005 and 2009 among all sentinel GPs. We tested relations between four key GP characteristics (age, gender, language community, practice organisation) and use of a certified EHR system by multivariable logistic regression. The relation between EHR software package, GP characteristics and compliance with three quality criteria was equally measured by multivariable logistic regression. A response rate of 99% was obtained. Of 221 sentinel GPs, 55% participated in the surveillance without interruption from 2005 onwards, i.e. all five years, and 78% were participants in 2009. Sixteen certified EHR systems were used among 91% of the Dutch and 63% of the French speaking sentinel GPs. The EHR software package was strongly related to the community and only one EHR system was used by a comparable number of sentinel GPs in both communities. Overall, the prescription module was always used and home visits were usually recorded. Uniform subject headings were only sometimes used and the compliance with this quality criterion was almost exclusively related to the EHR software package in use. The challenge is to progress towards a sentinel network of GPs delivering care-based data that are (partly) extracted from well performing EHR systems and still representative for Belgian general practice.

Surveying the Inner Solar System with an Infrared Space Telescope

NASA Astrophysics Data System (ADS)

Buie, Marc W.; Reitsema, Harold J.; Linfield, Roger P.

2016-11-01

We present an analysis of surveying the inner solar system for objects that may pose some threat to Earth. Most of the analysis is based on understanding the capability provided by Sentinel, a concept for an infrared space-based telescope placed in a heliocentric orbit near the distance of Venus. From this analysis, we show that (1) the size range being targeted can affect the survey design, (2) the orbit distribution of the target sample can affect the survey design, (3) minimum observational arc length during the survey is an important metric of survey performance, and (4) surveys must consider objects as small as D=15{--}30 m to meet the goal of identifying objects that have the potential to cause damage on Earth in the next 100 yr. Sentinel will be able to find 50% of all impactors larger than 40 m in a 6.5 yr survey. The Sentinel mission concept is shown to be as effective as any survey in finding objects bigger than D = 140 m but is more effective when applied to finding smaller objects on Earth-impacting orbits. Sentinel is also more effective at finding objects of interest for human exploration that benefit from lower propulsion requirements. To explore the interaction between space and ground search programs, we also study a case where Sentinel is combined with the Large Synoptic Survey Telescope (LSST) and show the benefit of placing a space-based observatory in an orbit that reduces the overlap in search regions with a ground-based telescope. In this case, Sentinel+LSST can find more than 70% of the impactors larger than 40 m assuming a 6.5 yr lifetime for Sentinel and 10 yr for LSST.

Sentinel lymph node biopsy in cutaneous melanoma of the head and neck using the indocyanine green SPY Elite system.

PubMed

Vahabzadeh-Hagh, Andrew M; Blackwell, Keith E; Abemayor, Elliot; St John, Maie A

2018-05-17

Lymph node status is the single most important prognostic factor for patients with early-stage cutaneous melanoma. Sentinel lymph node biopsy (SLNB) has become the standard of care for intermediate depth melanomas. Modern SLNB implementation includes technetium-99 lymphoscintigraphy combined with local administration of a vital blue dye. However, sentinel lymph nodes may fail to localize in some cases and false-negative rates range from 0 to 34%. Here we demonstrate the feasibility of a new sentinel lymph node biopsy technique using indocyanine green (ICG) and the SPY Elite near-infrared imaging system. Cases of primary cutaneous melanoma of the head and neck without locoregional metastasis, underwent SLNB at a single quaternary care institution between May 2016 and June 2017. Intraoperatively, 0.25 mL of ICG was injected intradermal in 4 quadrants around the primary lesion. 10-15 minute circulation time was permitted. SPY Elite identified the sentinel lymph node within the nodal basin marked by lymphoscintigraphy. Target first echelon lymph nodes were confirmed with a gamma probe and ICG fluorescence. 14 patients were included with T1a to T4b cutaneous melanomas. Success rates for sentinel lymph node identification using lymphoscintigraphy and the SPY Elite system were both 86%. Zero false negatives occurred. Median length of follow-up was 323 days. In this pilot study, Indocyanine green near-infrared fluorescence demonstrates a safe, and facile method of sentinel lymph node biopsy for cutaneous melanoma of the head and neck compared with lymphoscintigraphy and vital blue dyes. Copyright © 2018 Elsevier Inc. All rights reserved.

The impact of previous para-areolar incision in the upper outer quadrant of the breast on the localization of the sentinel lymph node in a canine model

PubMed Central

Vasques, Paulo Henrique Diógenes; Pinheiro, Luiz Gonzaga Porto; de Meneses e Silva, João Marcos; de Moura Torres-de-Melo, José Ricardo; Pinheiro, Karine Bessa Porto; Rocha, João Ivo Xavier

2011-01-01

OBJECTIVES: This paper discusses the influence of a para-areolar incision in the upper outer quadrant of the breast on the location of the sentinel lymph node in a canine model. METHODS: The sentinel lymph node was marked with technetium-99, which was injected into the subareolar skin of the cranial breast. After the marker had migrated to the axilla, an arcuate para-areolar incision was performed 2 cm from the nipple in the upper outer quadrant. Patent blue dye was then injected above the upper border of the incision. At the marked site, an axillary incision was made, and the sentinel lymph node was identified by gamma probe and/or by direct visualization of the dye. The agreement between the two injection sites and the two sentinel lymph node identification methods was determined. Our sample group consisted of 40 cranial breasts of 23 adult females of the species Canis familiaris. The data were analyzed by using the McNemar test and by determining the kappa agreement coefficient. RESULT: Our findings showed that in 95% of the breasts, the sentinel lymph node was identified by the injection of technetium-99 m into the subareolar region, and in 82% of the cases, the sentinel lymph node was identified by the injection of patent blue dye above the upper border of the incision. The methods agreed 82% of the time. CONCLUSIONS: Previous para-areolar incisions in the upper outer quadrant did not interfere significantly with the biopsy when the dye was injected above the upper border of the incision. PMID:21915493

Design considerations, architecture, and use of the Mini-Sentinel distributed data system.

PubMed

Curtis, Lesley H; Weiner, Mark G; Boudreau, Denise M; Cooper, William O; Daniel, Gregory W; Nair, Vinit P; Raebel, Marsha A; Beaulieu, Nicolas U; Rosofsky, Robert; Woodworth, Tiffany S; Brown, Jeffrey S

2012-01-01

We describe the design, implementation, and use of a large, multiorganizational distributed database developed to support the Mini-Sentinel Pilot Program of the US Food and Drug Administration (FDA). As envisioned by the US FDA, this implementation will inform and facilitate the development of an active surveillance system for monitoring the safety of medical products (drugs, biologics, and devices) in the USA. A common data model was designed to address the priorities of the Mini-Sentinel Pilot and to leverage the experience and data of participating organizations and data partners. A review of existing common data models informed the process. Each participating organization designed a process to extract, transform, and load its source data, applying the common data model to create the Mini-Sentinel Distributed Database. Transformed data were characterized and evaluated using a series of programs developed centrally and executed locally by participating organizations. A secure communications portal was designed to facilitate queries of the Mini-Sentinel Distributed Database and transfer of confidential data, analytic tools were developed to facilitate rapid response to common questions, and distributed querying software was implemented to facilitate rapid querying of summary data. As of July 2011, information on 99,260,976 health plan members was included in the Mini-Sentinel Distributed Database. The database includes 316,009,067 person-years of observation time, with members contributing, on average, 27.0 months of observation time. All data partners have successfully executed distributed code and returned findings to the Mini-Sentinel Operations Center. This work demonstrates the feasibility of building a large, multiorganizational distributed data system in which organizations retain possession of their data that are used in an active surveillance system. Copyright © 2012 John Wiley & Sons, Ltd.

Selective sentinel node biopsy after intratumour administration of radiotracer in breast cancer patients treated with neoadjuvant chemotherapy in relation to the level of tumour response.

PubMed

Díaz-Expósito, R; Martí-Bonmatí, L; Burgués, O; Casáns-Tormo, I; Bermejo-de Las Heras, B; Julve-Parreño, A; Caballero-Garate, A

Our objective was to analyse the accuracy of the sentinel node biopsy, taking into consideration the scintigraphy detection rate after the intratumoural administration of the radiopharmaceutical in patients with breast cancer who received neoadjuvant chemotherapy. The study included 60 patients with a diagnosis of invasive breast carcinoma, stage T1-T3, who received treatment with neoadjuvant chemotherapy, and were subsequently subjected to breast surgery and sentinel node biopsy after intra-tumour administration of the radiopharmaceutical. Scintigraphic detection of some sentinel node was achieved in 55/60 patients (91.6%). When those cases that received a second injection of the radiopharmaceutical, performed peri-areolarly due to a lack of tracer migration, were excluded, the detection rate dropped to 70% (42/60). When the detection of sentinel node, or its absence, was compared in those 42 patients, no differences were found with age, laterality-location of the lesion, size pre- and post-neoadjuvant chemotherapy, histological grade, or immunohistochemical profile. There were significant differences when comparing the groups according to the degree of pathological tumour response, both with the Miller-Payne system (non-detection 44.4%-detection 16.7%, p = 0.003) as well as the residual cancer burden (72.2%-28.6%, p<0.01). The scintigraphic detection of the sentinel node after intratumoural administration of the radiopharmaceutical in patients with breast cancer who received neoadjuvant chemotherapy was below the optimal value, and sometimes a further, peri-areolar, injection was necessary, probably in relation to an alteration in the lymphatic drainage pathways. There was a significant inverse relationship between the detection of the sentinel node and level of pathological tumour response. Copyright © 2016 Elsevier España, S.L.U. y SEMNIM. All rights reserved.

Acute Perinatal Sentinel Events, Neonatal Brain Injury Pattern and Outcome of Infants Undergoing a Trial of Hypothermia for Neonatal Hypoxic-Ischemic Encephalopathy

PubMed Central

Shankaran, Seetha; Laptook, Abbot R.; McDonald, Scott A.; Hintz, Susan R; Barnes, Patrick D.; Das, Abhik; Higgins, Rosemary D.

2016-01-01

Infants with perinatal sentinel events in the Eunice Kennedy Shriver National Institute of Child Health and Human Development Neonatal Research Network Hypothermia for Encephalopathy Trial had more basal ganglia and thalamus lesions on brain magnetic resonance imaging but similar neurodevelopmental outcomes at 18 months of age than infants without perinatal sentinel events. Outcomes correlated with the neonatal magnetic resonance imaging findings. PMID:27776752

Evaluating the capabilities of vegetation spectral indices on chlorophyll content estimation at Sentinel-2 spectral resolutions

NASA Astrophysics Data System (ADS)

Sun, Qi; Jiao, Quanjun; Dai, Huayang

2018-03-01

Chlorophyll is an important pigment in green plants for photosynthesis and obtaining the energy for growth and development. The rapid, nondestructive and accurate estimation of chlorophyll content is significant for understanding the crops growth, monitoring the disease and insect, and assessing the yield of crops. Sentinel-2 equipped with the Multi-Spectral Instrument (MSI), which will provide images with high spatial, spectral and temporal resolution. It covers the VNIR/SWIR spectral region in 13 bands and incorporates two new spectral bands in the red-edge region and a spatial resolution of 20nm, which can be used to derive vegetation indices using red-edge bands. In this paper, we will focus on assessing the potential of vegetation spectral indices for retrieving chlorophyll content from Sentinel-2 at different angles. Subsequently, we used in-situ spectral data and Sentinel-2 data to test the relationship between VIs and chlorophyll content. The REP, MTCI, CIred-edge, CIgreen, Macc01, TCARI/OSAVI [705,750], NDRE1 and NDRE2 were calculated. NDRE2 index displays a strongly similar result for hyperspectral and simulated Sentinel-2 spectral bands (R2 =0.53, R2 =0.51, for hyperspectral and Sentinel-2, respectively). At different observation angles, NDRE2 has the smallest difference in performance (R2 = 0.51, R2 =0.64, at 0° and 15° , respectively).

Effect of time to sentinel-node biopsy on the prognosis of cutaneous melanoma.

PubMed

Tejera-Vaquerizo, Antonio; Nagore, Eduardo; Puig, Susana; Robert, Caroline; Saiag, Philippe; Martín-Cuevas, Paula; Gallego, Elena; Herrera-Acosta, Enrique; Aguilera, José; Malvehy, Josep; Carrera, Cristina; Cavalcanti, Andrea; Rull, Ramón; Vilalta-Solsona, Antonio; Lannoy, Emilie; Boutros, Celine; Benannoune, Naima; Tomasic, Gorana; Aegerte, Philippe; Vidal-Sicart, Sergi; Palou, Josep; Alos, L Lúcia; Requena, Celia; Traves, Víctor; Pla, Ángel; Bolumar, Isidro; Soriano, Virtudes; Guillén, Carlos; Herrera-Ceballos, Enrique

2015-09-01

In patients with primary cutaneous melanoma, there is generally a delay between excisional biopsy of the primary tumour and sentinel-node biopsy. The objective of this study is to analyse the prognostic implications of this delay. This was an observational, retrospective, cohort study in four tertiary referral hospitals. A total of 1963 patients were included. The factor of interest was the interval between the date of the excisional biopsy of the primary melanoma and the date of the sentinel-node biopsy (delay time) in the prognosis. The primary outcome was melanoma-specific survival and disease-free survival. A delay time of 40 days or less (hazard ratio (HR), 1.7; confidence interval (CI), 1.2-2.5) increased Breslow thickness (Breslow ⩾ 2 mm, HR, > 3.7; CI, 1.4-10.7), ulceration (HR, 1.6; CI, 1.1-2.3), sentinel-node metastasis (HR, 2.9; CI, 1.9-4.2), and primary melanoma localised in the head or neck were independently associated with worse melanoma-specific survival (all P < 0.03). The stratified analysis showed that the effect of delay time was at the expense of the patients with a negative sentinel-node biopsy and without regression. Early sentinel-node biopsy is associated with worse survival in patients with cutaneous melanoma. Copyright © 2015 Elsevier Ltd. All rights reserved.

Factors affecting sentinel lymph node metastasis in Turkish breast cancer patients: Predictive value of Ki-67 and the size of lymph node.

PubMed

Ozemir, I A; Orhun, K; Eren, T; Baysal, H; Sagiroglu, J; Leblebici, M; Ceyran, A B; Alimoglu, O

We aimed to analyze the factors that affect the axillary lymph node involvement in Turkish breast cancer patients with clinically non-palpable axillary lymph node. Sentinel lymph node biopsy is the gold standard technique to evaluate the axillary lymph node status that directly influences the prognosis and the treatment options in breast cancer. Breast cancer patients without axillary lymph node involvement in clinic examination were enrolled the study. Patients were categorized into the two groups according to existence of axillary lymph node metastasis or not. Demographic, histopathological and clinical data of patients were revealed retrospectively. One-hundred and eighty-seven patients were analyzed and 101 of patients fulfilled the criteria and were included the study. Metastatic lymph node was detected in 38 (37.6 %) patients (Group 1), and was negative in 63 (62.4 %) patients (Group 2). Sentinel lymph node metastasis were statistically significant higher in patients with Ki-67 ≥ 14 % than patients with Ki-67 < 14 % (51.9 % vs 22.4 %; p < 0.01). Likewise, the mean size of the sentinel lymph node was statistically significant higher in Group 1 compared to Group 2 (p < 0.01). Ki-67 proliferation index and sentinel lymph node size may provide a higher prediction about the sentinel lymph node involvement in patients with clinically negative axillary lymph nodes (Tab. 3, Fig. 1, Ref. 31).

Potential of the Sentinel-2 Red Edge Spectral Bands for Estimation of Eco-Physiological Plant Parameters

NASA Astrophysics Data System (ADS)

Malenovsky, Zbynek; Homolova, Lucie; Janoutova, Ruzena; Landier, Lucas; Gastellu-Etchegorry, Jean-Philippe; Berthelot, Beatrice; Huck, Alexis

2016-08-01

In this study we investigated importance of the space- borne instrument Sentinel-2 red edge spectral bands and reconstructed red edge position (REP) for retrieval of the three eco-physiological plant parameters, leaf and canopy chlorophyll content and leaf area index (LAI), in case of maize agricultural fields and beech and spruce forest stands. Sentinel-2 spectral bands and REP of the investigated vegetation canopies were simulated in the Discrete Anisotropic Radiative Transfer (DART) model. Their potential for estimation of the plant parameters was assessed through training support vector regressions (SVR) and examining their P-vector matrices indicating significance of each input. The trained SVR were then applied on Sentinel-2 simulated images and the acquired estimates were cross-compared with results from high spatial resolution airborne retrievals. Results showed that contribution of REP was significant for canopy chlorophyll content, but less significant for leaf chlorophyll content and insignificant for leaf area index estimations. However, the red edge spectral bands contributed strongly to the retrievals of all parameters, especially canopy and leaf chlorophyll content. Application of SVR on Sentinel-2 simulated images demonstrated, in general, an overestimation of leaf chlorophyll content and an underestimation of LAI when compared to the reciprocal airborne estimates. In the follow-up investigation, we will apply the trained SVR algorithms on real Sentinel-2 multispectral images acquired during vegetation seasons 2015 and 2016.

Hydrothermal Alteration Mineral Mapping Using Sentinel-2A MSI and ASTER Data in the Duolong Ore Concentrating Area,Tibetau Plateau,China

NASA Astrophysics Data System (ADS)

Hu, B.; Wan, B.

2017-12-01

The porphyry copper deposits are characterized by alteration zones. Hydrothermal alteration minerals have diagnostic spectral absorption properties in the visible and near-infrared (VNIR) through the shortwave infrared (SWIR) regions. In order to identify the alteration zones in the study area, the Sentinel-2A Multi-Spectral Instrument(MSI) * Advanced Spaceborne Thermal Emission and Reflection Radiometer (ASTER) data and field inspection were combined. The Sentinel-2A MSI has ten bands in the visible and near-infrared (VNIR) regions, which has advantages of detecting ferric iron alteration minerals. Six ASTER bands in the shortwave infrared(SWIR) regions have been demonstrated to be effective in the mapping of Al-OH * Mg-OH group minerals. Integrating ASTER and Sentinel-2A MSI (AM) for mineral mapping can compensate each other's defect. The methods of minimum noise fraction(MNF) * band combination * matched filtering were applied to get Al-OH and Mg-OH group minerals information from AM data. The anomaly-overlaying selection method was used to process three temporal Sentinel-2A MSI data for extracting iron oxides minerals. The ground inspection has confirmed the validity of AM and Sentinel-2A MSI data in mineral mapping. The methodology proved effective in an arid area of Duolong ore concentrating area,Tibet and hereby suggested for application in similar geological settings.

Evaluating Sentinel-2 for Lakeshore Habitat Mapping Based on Airborne Hyperspectral Data.

PubMed

Stratoulias, Dimitris; Balzter, Heiko; Sykioti, Olga; Zlinszky, András; Tóth, Viktor R

2015-09-11

Monitoring of lakeshore ecosystems requires fine-scale information to account for the high biodiversity typically encountered in the land-water ecotone. Sentinel-2 is a satellite with high spatial and spectral resolution and improved revisiting frequency and is expected to have significant potential for habitat mapping and classification of complex lakeshore ecosystems. In this context, investigations of the capabilities of Sentinel-2 in regard to the spatial and spectral dimensions are needed to assess its potential and the quality of the expected output. This study presents the first simulation of the high spatial resolution (i.e., 10 m and 20 m) bands of Sentinel-2 for lakeshore mapping, based on the satellite's Spectral Response Function and hyperspectral airborne data collected over Lake Balaton, Hungary in August 2010. A comparison of supervised classifications of the simulated products is presented and the information loss from spectral aggregation and spatial upscaling in the context of lakeshore vegetation classification is discussed. We conclude that Sentinel-2 imagery has a strong potential for monitoring fine-scale habitats, such as reed beds.

Forest Area Derivation from SENTINEL-1 Data

NASA Astrophysics Data System (ADS)

Dostálová, Alena; Hollaus, Markus; Milenković, Milutin; Wagner, Wolfgang

2016-06-01

The recently launched Sentinel-1A provides the high resolution Synthetic Aperture Radar (SAR) data with very high temporal coverage over large parts of European continent. Short revisit time and dual polarization availability supports its usability for forestry applications. The following study presents an analysis of the potential of the multi-temporal dual-polarization Sentinel-1A data for the forest area derivation using the standard methods based on Otsu thresholding and K-means clustering. Sentinel-1 data collected in winter season 2014-2015 over a test area in eastern Austria were used to derive forest area mask with spatial resolution of 10m and minimum mapping unit of 500 m2. The validation with reference forest mask derived from airborne full-waveform laser scanning data revealed overall accuracy of 92 % and kappa statistics of 0.81. Even better results can be achieved when using external mask for urban areas, which might be misclassified as forests when using the introduced approach based on SAR data only. The Sentinel-1 data and the described methods are well suited for forest change detection between consecutive years.

The organizational structure and governing principles of the Food and Drug Administration's Mini-Sentinel pilot program.

PubMed

Forrow, Susan; Campion, Daniel M; Herrinton, Lisa J; Nair, Vinit P; Robb, Melissa A; Wilson, Marcus; Platt, Richard

2012-01-01

The US Food and Drug Administration's Mini-Sentinel pilot program is developing an organizational structure as well as principles and policies to govern its operations. These will inform the structure and function of the eventual Sentinel System. Mini-Sentinel is a collaboration that includes 25 participating institutions. We describe the program's current organizational structure and its major principles and policies. The organization includes a coordinating center with program leadership provided by a principal investigator; a planning board and subcommittees; an operations center; and data, methods, and protocol cores. Ad hoc workgroups are created as needed. A privacy panel advises about protection of individual health information. Principles and policies are intended to ensure that Mini-Sentinel conforms to the principles of fair information practices, protects the privacy of individual health information, maintains the security and integrity of data, assures the confidentiality of proprietary information, provides accurate and timely communications, prevents or manages conflicts of interest, and preserves respect for intellectual property rights. Copyright © 2012 John Wiley & Sons, Ltd.

Sentinel-5 instrument: status of design, performance, and development

NASA Astrophysics Data System (ADS)

Gühne, T.; Keim, C.; Bartsch, P.; Weiß, S.; Melf, M.; Seefelder, W.

2017-09-01

The Sentinel-5 instrument is currently under development by a consortium led by Airbus Defence and Space in the frame of the European Union Copernicus program. It is a customer furnished item to the MetOp Second Generation satellite platform, which will provide operational meteorological data for the coming decades. Mission objective of the Sentinel-5 is to monitor the composition of the Earth atmosphere for Copernicus Atmosphere Services by taking measurements of trace gases and aerosols impacting air quality and climate with high resolution and daily global coverage. Therefore the Sentinel-5 provides five dispersive spectrometers covering the UV-VIS (270…500 nm), NIR (685 …773 nm) and SWIR (1590…1675 and 2305…2385 nm) spectral bands with resolutions <=1nm. Spatially the Sentinel-5 provides a 108° field of view with a ground sampling of 7.5 x 7 km2 at Nadir. The development program is post PDR and the build-up of the industrial team is finalised. We report on the instrument architecture and design derived from the driving requirements, the predicted instrument performance, and the general status of the program.

[The validity of the sentinel node concept in gastrointestinal cancers].

PubMed

Kitagawa, Y; Fujii, H; Mukai, M; Ando, N; Kubota, T; Ikeda, T; Ohgami, M; Watanabe, M; Otani, Y; Ozawa, S; Hasegawa, H; Furukawa, T; Nakahara, T; Kubo, A; Kumai, K; Kitajima, M

2000-03-01

Although the sentinel node concept has been validated and clinically applied to breast cancer and malignant melanoma, its clinical significance in other solid tumors has not been thoroughly investigated. With regard to gastrointestinal (GI) cancers in particular, our surgeons have been cautious because of the high frequency of skip metastasis and the complicated lymphatic system in the GI tract. We would like to emphasize that so-called skip metastasis has been defined according to anatomic classification of regional lymph nodes and that the lymphatic drainage route must be patient or lesion specific. To test the validity and feasibility of this concept in GI cancers, we have established a radio-guided intraoperative sentinel node navigation system using preoperative endoscopic submucosal injection of radioactive tracer followed by intra-operative gamma-probing. In 131 patients with GI cancers (esophagus: 22, stomach: 71, colorectum: 38), the detection rate of sentinel nades was 91% and overall diagnostic accuracy of lymph node metastasis by sentinel node status was 97%. Initial results suggest further investigation of this procedure as an accurate staging and a minimally invasive approach to early GI cancers.

Evaluation of registration accuracy between Sentinel-2 and Landsat 8

NASA Astrophysics Data System (ADS)

Barazzetti, Luigi; Cuca, Branka; Previtali, Mattia

2016-08-01

Starting from June 2015, Sentinel-2A is delivering high resolution optical images (ground resolution up to 10 meters) to provide a global coverage of the Earth's land surface every 10 days. The planned launch of Sentinel-2B along with the integration of Landsat images will provide time series with an unprecedented revisit time indispensable for numerous monitoring applications, in which high resolution multi-temporal information is required. They include agriculture, water bodies, natural hazards to name a few. However, the combined use of multi-temporal images requires an accurate geometric registration, i.e. pixel-to-pixel correspondence for terrain-corrected products. This paper presents an analysis of spatial co-registration accuracy for several datasets of Sentinel-2 and Landsat 8 images distributed all around the world. Images were compared with digital correlation techniques for image matching, obtaining an evaluation of registration accuracy with an affine transformation as geometrical model. Results demonstrate that sub-pixel accuracy was achieved between 10 m resolution Sentinel-2 bands (band 3) and 15 m resolution panchromatic Landsat images (band 8).

Validating MODIS and Sentinel-2 NDVI Products at a Temperate Deciduous Forest Site Using Two Independent Ground-Based Sensors.

PubMed

Lange, Maximilian; Dechant, Benjamin; Rebmann, Corinna; Vohland, Michael; Cuntz, Matthias; Doktor, Daniel

2017-08-11

Quantifying the accuracy of remote sensing products is a timely endeavor given the rapid increase in Earth observation missions. A validation site for Sentinel-2 products was hence established in central Germany. Automatic multispectral and hyperspectral sensor systems were installed in parallel with an existing eddy covariance flux tower, providing spectral information of the vegetation present at high temporal resolution. Normalized Difference Vegetation Index (NDVI) values from ground-based hyperspectral and multispectral sensors were compared with NDVI products derived from Sentinel-2A and Moderate-resolution Imaging Spectroradiometer (MODIS). The influence of different spatial and temporal resolutions was assessed. High correlations and similar phenological patterns between in situ and satellite-based NDVI time series demonstrated the reliability of satellite-based phenological metrics. Sentinel-2-derived metrics showed better agreement with in situ measurements than MODIS-derived metrics. Dynamic filtering with the best index slope extraction algorithm was nevertheless beneficial for Sentinel-2 NDVI time series despite the availability of quality information from the atmospheric correction procedure.

Validating MODIS and Sentinel-2 NDVI Products at a Temperate Deciduous Forest Site Using Two Independent Ground-Based Sensors

PubMed Central

Lange, Maximilian; Rebmann, Corinna; Cuntz, Matthias; Doktor, Daniel

2017-01-01

Quantifying the accuracy of remote sensing products is a timely endeavor given the rapid increase in Earth observation missions. A validation site for Sentinel-2 products was hence established in central Germany. Automatic multispectral and hyperspectral sensor systems were installed in parallel with an existing eddy covariance flux tower, providing spectral information of the vegetation present at high temporal resolution. Normalized Difference Vegetation Index (NDVI) values from ground-based hyperspectral and multispectral sensors were compared with NDVI products derived from Sentinel-2A and Moderate-resolution Imaging Spectroradiometer (MODIS). The influence of different spatial and temporal resolutions was assessed. High correlations and similar phenological patterns between in situ and satellite-based NDVI time series demonstrated the reliability of satellite-based phenological metrics. Sentinel-2-derived metrics showed better agreement with in situ measurements than MODIS-derived metrics. Dynamic filtering with the best index slope extraction algorithm was nevertheless beneficial for Sentinel-2 NDVI time series despite the availability of quality information from the atmospheric correction procedure. PMID:28800065

Comparing the Potential of the Sentinel-2 MSI and the Future EnMAP HSI for the Retrieval of Winter Wheat Crop Parameters in Southern Germany

NASA Astrophysics Data System (ADS)

Danner, Martin; Hank, Tobias; Mauser, Wolfram

2016-08-01

This study tests the effect of improved spectral resolution on different approaches for the estimation of crop biophysical variables of winter wheat in Southern Germany by comparing the existing Sentinel-2 MSI with the future EnMAP HSI. The experiment is based on simulated sensor data of both Sentinel-2 and EnMAP, with their individual spectral configurations and radiometric properties taken into account. An advanced multispectral setup, such as provided by Sentinel-2, proved to enable reasonable estimation of biophysical variables by applying machine learning algorithms. The augmented information content inherent in hyperspectral signatures, however, marks an advantage for the creation of novel narrow-band indices (RMSE improvement of 10.0%) and for the inversion of canopy reflectance models like PROSAIL independent from in-situ data (RMSE improvement of 18.7%). With the notable advantages of Sentinel-2 - higher revisit rates and better spectral resolution - new synergies are expected to arise, once both instruments will be operating in parallel configuration.

Evaluating Sentinel-2 for Lakeshore Habitat Mapping Based on Airborne Hyperspectral Data

PubMed Central

Stratoulias, Dimitris; Balzter, Heiko; Sykioti, Olga; Zlinszky, András; Tóth, Viktor R.

2015-01-01

Monitoring of lakeshore ecosystems requires fine-scale information to account for the high biodiversity typically encountered in the land-water ecotone. Sentinel-2 is a satellite with high spatial and spectral resolution and improved revisiting frequency and is expected to have significant potential for habitat mapping and classification of complex lakeshore ecosystems. In this context, investigations of the capabilities of Sentinel-2 in regard to the spatial and spectral dimensions are needed to assess its potential and the quality of the expected output. This study presents the first simulation of the high spatial resolution (i.e., 10 m and 20 m) bands of Sentinel-2 for lakeshore mapping, based on the satellite’s Spectral Response Function and hyperspectral airborne data collected over Lake Balaton, Hungary in August 2010. A comparison of supervised classifications of the simulated products is presented and the information loss from spectral aggregation and spatial upscaling in the context of lakeshore vegetation classification is discussed. We conclude that Sentinel-2 imagery has a strong potential for monitoring fine-scale habitats, such as reed beds. PMID:26378538

Sentinel Lymph Node Biopsy in Endometrial Cancer: a New Standard of Care?

PubMed

Sullivan, Stephanie A; Rossi, Emma C

2017-09-18

Lymph node status is one of the most important factors in determining prognosis and the need for adjuvant treatment in endometrial cancer (EMCA). Unfortunately, full lymphadenectomy bears significant surgical and postoperative risks. The majority of patients with clinical stage I disease will not have metastatic disease; thus, a full lymphadenectomy only increases morbidity in this population of patients. The use of the sentinel lymph node (SLN) biopsy has emerged as an alternative to complete lymphadenectomy in EMCA. By removing the highest yield lymph nodes, the SLN biopsy has the same diagnostic ability as lymphadenectomy while minimizing morbidity. The sensitivity of sentinel lymph node identification with robotic fluorescence imaging for detecting metastatic endometrial and cervical cancer (FIRES) trial published this year is the largest prospective, multi-institution trial investigating the accuracy of the SLN biopsy for endometrial and cervical cancer. Results of this trial found an excellent sensitivity (97.2%) and false negative rate (3%) with the technique. The conclusions from the FIRES trial and those of a recent meta-analysis are that SLN biopsy has an acceptable diagnostic accuracy in detecting lymphatic metastases, and can replace lymphadenectomy for this diagnostic purpose. There remains controversy surrounding the SLN biopsy in high-risk disease and the use of adjuvant therapy in the setting of low volume disease detected with ultrastaging. Current data suggests that the technique is accurate in high-risk disease and that the increased detection of metastasis helps guide adjuvant therapy such that oncologic outcomes are likely not affected by forgoing a full lymphadenectomy. Further prospective study is needed to investigate the impact of low volume metastatic disease on oncologic outcomes and the need for adjuvant therapy in these patients.

Patient-Reported Outcomes in Sentinel Node–Negative Adjuvant Breast Cancer Patients Receiving Sentinel-Node Biopsy or Axillary Dissection: National Surgical Adjuvant Breast and Bowel Project Phase III Protocol B-32

PubMed Central

Land, Stephanie R.; Kopec, Jacek A.; Julian, Thomas B.; Brown, Ann M.; Anderson, Stewart J.; Krag, David N.; Christian, Nicholas J.; Costantino, Joseph P.; Wolmark, Norman; Ganz, Patricia A.

2010-01-01

Purpose Sentinel lymph node resection (SNR) may reduce morbidity while providing the same clinical utility as conventional axillary dissection (AD). National Surgical Adjuvant Breast and Bowel Project (NSABP) B-32 is a randomized phase III trial comparing SNR immediately followed by AD (SNAD) to SNR and subsequent AD if SN is positive. We report the definitive patient-reported outcomes (PRO) comparisons. Patients and Methods Eligible patients had clinically node-negative, operable invasive breast cancer. The PRO substudy included all SN-negative participants enrolled May 2001 to February 2004 at community institutions in the United States (n = 749; 78% age ≥ 50; 87% clinical tumor size ≤ 2.0 cm; 84% lumpectomy; 87% white). They completed questionnaires presurgery, 1 and 2 to 3 weeks postoperatively, and every 6 months through year 3. Arm symptoms, arm use avoidance, activity limitations, and quality of life (QOL) were compared with intent-to-treat two-sample t-tests and repeated measures analyses. Results Arm symptoms were significantly more bothersome for SNAD compared with SNR patients at 6 months (mean, 4.8 v 3.0; P < .001) and at 12 months (3.6 v 2.5; P = .006). Longitudinally, SNAD patients were more likely to experience ipsilateral arm and breast symptoms, restricted work and social activity, and impaired QOL (P ≤ .002 all items). From 12 to 36 months, fewer than 15% of either SNAD or SNR patients reported moderate or greater severity of any given symptom or activity limitation. Conclusion Arm morbidity was greater with SNAD than with SNR. Despite considerable fears about complications from AD for breast cancer, this study demonstrates that initial problems with either surgery resolve over time. PMID:20679600

Factors predictive of pelvic lymph node involvement and outcomes in melanoma patients with metastatic sentinel lymph node of the groin: A multicentre study.

PubMed

Mozzillo, N; Pasquali, S; Santinami, M; Testori, A; Di Marzo, M; Crispo, A; Patuzzo, R; Verrecchia, F; Botti, G; Montella, M; Rossi, C R; Caracò, C

2015-07-01

The optimal extent of the groin lymph node (LN) dissection for melanoma patients with positive sentinel LN biopsy is still debated and no agreement exist on dissection of pelvic LN. This study aimed at investigating predictors of pelvic LN metastasis and prognostic significance of having metastasis in the pelvic LNs. Clinicopathologic data of 740 patients with positive groin sentinel LN who underwent ilioinguinal completion LN dissection at four Italian centre were analysed. Multivariable logistic and Cox regression analysis was used to identify independent predictors of pelvic LN metastasis and to adjust prognostic significance of pelvic LN metastasis. More than a quarter (26%) of patients had positive non-SLNs after inguinal and pelvic lymphadenectomy, which were located in their pelvis in the 12% of cases. Older patients [(OR) 1.69; 95% confidence interval (CI) 1.02-2.78] having thick primary (OR 1.6; 95% CI, 1.01-2.53) and ≥ 2 positive SLNs (OR 2.5; 95% CI, 1.4-4.47) were more likely to harbour pelvic LN metastasis. Interestingly, 4% of all patients (34% of patients with positive pelvic LNs) had pelvic LN metastasis with negative inguinal LNs. Pelvic LN metastasis was independently associated with higher risk of recurrence and lower survival. 5-year disease free and overall survival was 30% and 50%, respectively, for patients with pelvic LN metastasis. Pelvic LNs are frequently positive after ilioinguinal lymphadenectomy and it should be considered for all patients, especially those who are older, have thick primary and ≥ 2 positive SLN. Patients with pelvic LN metastasis have worse prognosis. Copyright © 2015 Elsevier Ltd. All rights reserved.

Monitoring Forest Degradation for a Case Study in Cambodia: Comparison of Landsat 8 and Sentinel-2 Imagery

NASA Astrophysics Data System (ADS)

Langner, Andreas; Miettinen, Jukka; Stibig, Hans-Jurgen

2016-08-01

We use a Normalized Burned Ratio (NBR) differential approach for detecting forest canopy disturbance caused by selective logging in evergreen tropical moist forests of central Cambodia. The general disturbance pattern obtained from Landsat 8 (30 m) imagery is largely compatible to Sentinel-2 (10 m), showing good conformity to high resolution RapidEye reference data. However, the 10 m spatial resolution of Sentinel-2 provides notably higher spatial detail and purer pixel values, increasing the potential for detecting fine and subtle forest canopy changes as indicators for potential forest degradation. We can expect further improvement for detecting short-lived disturbance signals in tropical forest canopies due to an increased revisit frequency (5 days) after the Sentinel-2B launch.

Sentinel-1 data massive processing for large scale DInSAR analyses within Cloud Computing environments through the P-SBAS approach

NASA Astrophysics Data System (ADS)

Lanari, Riccardo; Bonano, Manuela; Buonanno, Sabatino; Casu, Francesco; De Luca, Claudio; Fusco, Adele; Manunta, Michele; Manzo, Mariarosaria; Pepe, Antonio; Zinno, Ivana

2017-04-01

The SENTINEL-1 (S1) mission is designed to provide operational capability for continuous mapping of the Earth thanks to its two polar-orbiting satellites (SENTINEL-1A and B) performing C-band synthetic aperture radar (SAR) imaging. It is, indeed, characterized by enhanced revisit frequency, coverage and reliability for operational services and applications requiring long SAR data time series. Moreover, SENTINEL-1 is specifically oriented to interferometry applications with stringent requirements based on attitude and orbit accuracy and it is intrinsically characterized by small spatial and temporal baselines. Consequently, SENTINEL-1 data are particularly suitable to be exploited through advanced interferometric techniques such as the well-known DInSAR algorithm referred to as Small BAseline Subset (SBAS), which allows the generation of deformation time series and displacement velocity maps. In this work we present an advanced interferometric processing chain, based on the Parallel SBAS (P-SBAS) approach, for the massive processing of S1 Interferometric Wide Swath (IWS) data aimed at generating deformation time series in efficient, automatic and systematic way. Such a DInSAR chain is designed to exploit distributed computing infrastructures, and more specifically Cloud Computing environments, to properly deal with the storage and the processing of huge S1 datasets. In particular, since S1 IWS data are acquired with the innovative Terrain Observation with Progressive Scans (TOPS) mode, we could benefit from the structure of S1 data, which are composed by bursts that can be considered as separate acquisitions. Indeed, the processing is intrinsically parallelizable with respect to such independent input data and therefore we basically exploited this coarse granularity parallelization strategy in the majority of the steps of the SBAS processing chain. Moreover, we also implemented more sophisticated parallelization approaches, exploiting both multi-node and multi-core programming techniques. Currently, Cloud Computing environments make available large collections of computing resources and storage that can be effectively exploited through the presented S1 P-SBAS processing chain to carry out interferometric analyses at a very large scale, in reduced time. This allows us to deal also with the problems connected to the use of S1 P-SBAS chain in operational contexts, related to hazard monitoring and risk prevention and mitigation, where handling large amounts of data represents a challenging task. As a significant experimental result we performed a large spatial scale SBAS analysis relevant to the Central and Southern Italy by exploiting the Amazon Web Services Cloud Computing platform. In particular, we processed in parallel 300 S1 acquisitions covering the Italian peninsula from Lazio to Sicily through the presented S1 P-SBAS processing chain, generating 710 interferograms, thus finally obtaining the displacement time series of the whole processed area. This work has been partially supported by the CNR-DPC agreement, the H2020 EPOS-IP project (GA 676564) and the ESA GEP project.

29 CFR 1952.312 - Completion of developmental steps and certification.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 29 Labor 9 2010-07-01 2010-07-01 false Completion of developmental steps and certification. 1952... § 1952.312 Completion of developmental steps and certification. (a) In accordance with § 1952.313(i... 26, 1978 as having completed all developmental steps specified in the plan as approved on December 28...

29 CFR 1952.262 - Completion of developmental steps and certification.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 29 Labor 9 2010-07-01 2010-07-01 false Completion of developmental steps and certification. 1952... § 1952.262 Completion of developmental steps and certification. (a) In accordance with § 1952.263(a), the... effective January 13, 1981 as having completed all developmental steps specified in the plan as approved on...

29 CFR 1952.162 - Completion of developmental steps and certification.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 29 Labor 9 2010-07-01 2010-07-01 false Completion of developmental steps and certification. 1952... § 1952.162 Completion of developmental steps and certification. (a) In accordance with the requirements... certified on September 14, 1976 as having completed all developmental steps in its plan with regard to those...

29 CFR 1952.92 - Completion of developmental steps and certification.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 29 Labor 9 2010-07-01 2010-07-01 false Completion of developmental steps and certification. 1952... Carolina § 1952.92 Completion of developmental steps and certification. (a) In accordance with § 1952.91(a... having completed all developmental steps specified in the plan as approved on November 30, 1972, on or...

29 CFR 1952.212 - Completion of developmental steps and certification.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 29 Labor 9 2010-07-01 2010-07-01 false Completion of developmental steps and certification. 1952... § 1952.212 Completion of developmental steps and certification. (a) In accordance with part 1953 of this..., 1980, as having completed all developmental steps specified in the plan as approved on July 5, 1973, on...

Determination of Winter Wheat Phenology in Bavaria- A Contribution to Regional Crop Health Monitoring from Space

NASA Astrophysics Data System (ADS)

Bruggemann, Lena; Bach, Heike; Ruf, Tobias; Appel, Florian; Migdall, Silke; Hank, Tobias; Mauser, Wolfram; Eiblmeier, Peter

2016-08-01

The central topic of this study is the monitoring of winter wheat phenology and the detection of anthesis (flowering) using remotely sensed data as well as crop growth modeling. It is not possible to directly observe the flowering of wheat with optical satellite sensors. Thus, an approach that combines crop growth modeling with remote sensing data covering optical and microwave spectral ranges was developed. This was done in three steps: The hydro-agroecological land surface model PROMET was first run in a stand-alone version for selected sites distributed throughout Bavaria using only static input parameters (e.g. soil map) and current meteorological data as driving factors. Thus, multitemporal information from optical remote sensing data was assimilated into the model runs in a second step to improve the accuracy of the results. Finally, the use of radar data for anthesis detection in winter wheat was tested using Sentinel-1 data of 2015 in dual polarization mode (VV+VH).

Sentinel 4: a geostationary imaging UVN spectrometer for air quality monitoring: status of design, performance and development

NASA Astrophysics Data System (ADS)

Gulde, S. T.; Kolm, M. G.; Smith, D. J.; Maurer, R.; Bazalgette Courrèges-Lacoste, G.; Sallusti, M.; Bagnasco, G.

2017-11-01

SENTINEL 4 is an imaging UVN (UV-VIS-NIR) spectrometer, developed by Airbus Defence and Space under ESA contract in the frame of the joint European Union (EU)/ESA COPERNICUS program. The mission objective is the operational monitoring of trace gas concentrations for atmospheric chemistry and climate applications. To this end SENTINEL 4 will provide accurate measurements of key atmospheric constituents such as ozone, nitrogen dioxide, sulfur dioxide, formaldehyde, as well as aerosol and cloud properties.

CTC Sentinel. Volume 9, Issue 8

DTIC Science & Technology

2016-08-01

607 Cullum Road, Lincoln Hall West Point, NY 10996 Phone: (845) 938-8495 Email: sentinel@usma.edu Web : www.ctc.usma.edu/sentinel/ SUBSMISSIONS...Hallberg Tønnes- sen, “The Islamic Emirate of Fallujah,” paper presented at ISA conference, Montreal, March 16-19, 2011. See also Ben Hubbard, “Iraq...It’s difficult, therefore, to dry up the financing to a point where the money isn’t there to sponsor it. What we do set as our goal is to weaken the

A critical assessment on the role of sentinel node mapping in endometrial cancer.

PubMed

Bogani, Giorgio; Ditto, Antonino; Martinelli, Fabio; Signorelli, Mauro; Perotto, Stefania; Lorusso, Domenica; Raspagliesi, Francesco

2015-10-01

Endometrial cancer is the most common gynecologic malignancy in the developed countries. Although the high incidence of this occurrence no consensus, about the role of retroperitoneal staging, still exists. Growing evidence support the safety and efficacy of sentinel lymph node mapping. This technique is emerging as a new standard for endometrial cancer staging procedures. In the present paper, we discuss the role of sentinel lymph node mapping in endometrial cancer, highlighting the most controversies features.

An Ultralow-Dose 1-Day Protocol With Activities Lower Than 20 MBq for the Detection of Sentinel Lymph Nodes in Breast Cancer-Experiences After 150 Cases.

PubMed

Kolberg, Hans-Christian; Afsah, Shabnam; Kuehn, Thorsten; Winzer, Ute; Akpolat-Basci, Leyla; Stephanou, Miltiades; Wetzig, Sarah; Hoffmann, Oliver; Liedtke, Cornelia

2017-01-01

Common protocols for the detection of sentinel lymph nodes in early breast cancer often include the injection of the tracer 1 day before surgery. In order to detect enough activity on the day of surgery, the applied activity in many protocols is as high as several hundred MBq. So far, very few protocols with an activity below 20 MBq have been reported. We developed an ultralow-dose 1-day protocol with a mean activity lower than 20 MBq in order to reduce radiation exposure for patients and staff. Here, we are presenting our experiences in 150 consecutive cases. A total of 150 patients with clinically and sonographically negative axilla and no multicentricity underwent a sentinel lymph node biopsy using an ultralow-dose protocol performed on the day of surgery. No patient received systemic therapy prior to sentinel node biopsy. After peritumoral injection of the tracer Technetium-99m, a lymphoscintigraphy was performed in all cases. Seven minutes before the first cut, we injected 5 mL of blue dye in the region of the areola. In 148 (98.7%) of 150 patients, at least 1 sentinel lymph node could be identified by lymphoscintigraphy; the detection rate during surgery with combined tracers Technetium-99m and blue dye was 100%. The mean applied activity was 17.8 MBq (9-20). A mean number of 1.3 (0-5) sentinel lymph nodes were identified by lymphoscintigraphy and a mean number of 1.8 (1-5) sentinel lymph nodes were removed during sentinel lymph node biopsy. Ultralow-dose 1-day protocols with an activity lower than 20 MBq are a safe alternative to 1-day or 2-day protocols with significantly higher radiation doses in primary surgery for early breast cancer. Using Technetium-99m and blue dye in a dual tracer approach, detection rates of 100% are possible in clinical routine in order to reduce radiation exposure for patients and staff.

Feasibility and optimal dosage of indocyanine green fluorescence for sentinel lymph node detection using robotic single-site instrumentation: preclinical study.

PubMed

Levinson, Kimberly L; Mahdi, Haider; Escobar, Pedro F

2013-01-01

The present study was performed to determine the optimal dosage of indocyanine green (ICG) to accurately differentiate the sentinel node from surrounding tissue and then to test this dosage using novel single-port robotic instrumentation. The study was performed in healthy female pigs. After induction of anesthesia, all pigs underwent exploratory laparotomy, dissection of the bladder, and colpotomy to reveal the cervical os. With use of a 21-gauge needle, 0.5 mL normal saline solution was injected at the 3- and 9-o'clock positions as control. Four concentrations of ICG were constituted for doses of 1000, 500, 250, and 175 μg per 0.5 mL. ICG was then injected at the 3- and 9-o'clock positions on the cervix. The SPY camera was used to track ICG into the sentinel nodes and to quantify the intensity of light emitted. SPY technology uses an intensity scale of 1 to 256; this scale was used to determine the difference in intensity between the sentinel node and surrounding tissues. The optimal dosage was tested using single-port robotic instrumentation with the same injection techniques. A sentinel node was identified at all doses except 175 μg, at which ICG stayed in the cervix and vasculature only. For both the 500- and 250-μg doses, the sentinel node was identified before reaching maximum intensity. At maximum intensity, the difference between the surrounding tissue and the node was 207 (251 vs 44) for the 500-μg dose and 159 (251 vs 92) for the 250-μg dose. Sentinel lymph node (SLN) biopsy was successfully performed using single-port robotic technology with both the 250- and 500-μg doses. For SLN detection, the dose of ICG is related to the ability to differentiate the sentinel node from the surrounding tissue. An ICG dose of 250 to 500 μg enables identification of a SLN with more distinction from the surrounding tissues, and this procedure is feasible using single-port robotics instrumentation. Copyright © 2013 AAGL. Published by Elsevier Inc. All rights reserved.

Co- and post-seismic deformation for the 2014 Napa Valley Earthquake from Sentinel-1A interferometry

NASA Astrophysics Data System (ADS)

Elliott, J. R.; Wright, T. J.; Elliott, A. J.; González, P. J.; Hooper, A. J.; Larsen, Y.; Marinkovic, P.; Plain, M.; Walters, R. J.

2014-12-01

Here we present analysis of co- and post-seismic deformation for the 24 August 2014 Napa Valley Earthquake derived from Sentinel-1A interferometry. We use these to derive the co-seismic slip distribution and map the evolution of post-seismic afterslip. The 24 August 2014 Napa Valley earthquake was the first earthquake for which surface deformation was measured by Sentinel-1A, a new radar satellite launched by the European Space Agency on 3 April 2014, and operated by the European Commission's Copernicus program. Sentinel-1A reached its final operational orbit on 7 August, and fortuitously acquired a pre-earthquake image of the San Francisco Bay area on that day in StripMap mode. By comparing it with an image acquired on 31 August, we formed a co-seismic interferogram, which reveals the surface deformation that occurred during the earthquake and the first 7 days of the post-seismic period. We use this to constrain a simple elastic model of the co-seismic slip distribution; preliminary inversion results show that the slip at depth reached a peak of >1.5 m at a depth of ~4 km. Following the earthquake, Sentinel-1A has acquired further acquisitions in both StripMap and Interferometric Wide Swath modes. The first 12-day post-seismic StripMap interferogram shows a sharp discontinuity along the entire fault rupture, consistent with field observations of rapid afterslip. We will use the full time series from August to December to measure the spatio-temporal behaviour of the afterslip, and discuss the implications for the frictional properties of the fault. The results from Napa point to an exciting and impactful future for the Sentinel-1 radar constellation. By mid-2014, Sentinel-1A will be acquiring data systematically over all the seismic belts, and the launch of Sentinel-1B in 2016 will increase the temporal frequency of acquisitions. The data will be available free of charge and will transform our ability to conduct tectonic geodesy, particularly in remote areas of the planet or developing countries unable to afford dense ground-based GNSS networks.

A Harmonized Landsat-Sentinel-2 Surface Reflectance product: a resource for Agricultural Monitoring

NASA Astrophysics Data System (ADS)

Masek, J. G.; Claverie, M.; Ju, J.; Vermote, E.; Justice, C. O.

2015-12-01

The combination of Landsat and Sentinel-2 data offers a unique opportunity to observe globally the land every 2-3 days at medium (<30m) spatial resolution. The Harmonized Landsat-Sentinel-2 (HLS) project is a NASA initiative aiming to produce surface reflectance data from Landsat and Sentinel-2 missions and to deliver them to the community in a combined, seamless form. The HLS will be beneficial for global agricultural monitoring applications that require medium spatial resolution and weekly or more frequent observations. In particular, the provided opportunity to track crop phenology at the scale of individual fields will support detailed mapping of crop type and type-specific vegetation conditions. To create a compatible set of radiometric measurements, the HLS product relies on rigorous pre- and post-launch cross-calibration (Landsat-8 OLI and Sentinel-2 MSI) activities. The processing chain includes the following components: atmospheric correction, cloud/shadow masking, nadir BRDF-adjustment, spectral-adjustment, regridding, and temporal composite. The atmospheric correction and cloud masking is based on the OLI atmospheric correction developed at NASA-GSFC and has been adapted to the MSI data. The BRDF-adjustment is based on a disaggregation technique using MODIS-based BRDF coefficients. The technique has been evaluated using the multi-angular acquisition from the SPOT 4 and 5 (Take5) experiments. The spectral-adjustment relies on a linear regression that has been calibrated and evaluated using synthetic data and surface reflectance processed from a large number of hyperspectral EO-1 Hyperion scenes. Finally, significant effort is placed on product validation and evaluation. The delivered data set will include surface reflectance products at different levels: Using the native gridding, i.e. UTM, 30m for Landsat-8, and UTM, 10-20m for Sentinel-2 Using a common global gridding (Sinusoidal, 30m) Temporal composite (Sinusoidal, 30m, 5-day) During the first year of operation of Sentinel-2A, the HLS will be prototyped over a selection of 30 sites that includes some of the JECAM sites, Aeronet sites and Cal/Val sites. Then, the HLS spatial coverage will be increased as more Sentinel-2A data become available.

Tracking surface and subsurface lakes on the Greenland Ice Sheet using Sentinel-1 SAR and Landsat-8 OLI imagery

NASA Astrophysics Data System (ADS)

Miles, Katie; Willis, Ian; Benedek, Corinne; Williamson, Andrew; Tedesco, Marco

2017-04-01

Supraglacial lakes (SGLs) on the Greenland Ice Sheet (GrIS) are an important component of the ice sheet's mass balance and hydrology, with their drainage affecting ice dynamics. This study uses imagery from the recently launched Sentinel-1A Synthetic Aperture Radar (SAR) to investigate SGLs in West Greenland. SAR can image through cloud and in darkness, overcoming some of the limitations of commonly used optical sensors. A semi automated algorithm is developed to detect surface lakes from Sentinel images during the 2015 summer. It generally detects water in all locations where a Landsat-8 NDWI classification (with a relatively high threshold value) detects water. A combined set of images from Landsat-8 and Sentinel-1 is used to track lake behaviour at a comparable temporal resolution to that which is possible with MODIS, but at a higher spatial resolution. A fully automated lake drainage detection algorithm is used to investigate both rapid and slow drainages for both small and large lakes through the summer. Our combined Landsat-Sentinel dataset, with a temporal resolution of three days, could track smaller lakes (mean 0.089 km2) than are resolvable in MODIS (minimum 0.125 km2). Small lake drainage events (lakes smaller than can be detected using MODIS) were found to occur at lower elevations ( 200 m) and slightly earlier in the melt season than larger events, as were slow lake drainage events compared to rapid events. The Sentinel imagery allows the analysis to be extended manually into the early winter to calculate the dates and elevations of lake freeze-through more precisely than is possible with optical imagery (mean 30 August, 1270 m mean elevation). Finally, the Sentinel imagery allows subsurface lakes (which are invisible to optical sensors) to be detected, and, for the first time, their dates of appearance and freeze-through to be calculated (mean 9 August and 7 October, respectively). These subsurface lakes occur at higher elevations than the surface lakes detected in this study (1593 m mean elevation). Sentinel imagery therefore provides great potential for tracking melting, water movement and freezing within the firn zone of the GrIS.

THE SELECTION OF A NATIONAL RANDOM SAMPLE OF TEACHERS FOR EXPERIMENTAL CURRICULUM EVALUATION.

ERIC Educational Resources Information Center

WELCH, WAYNE W.; AND OTHERS

MEMBERS OF THE EVALUATION SECTION OF HARVARD PROJECT PHYSICS, DESCRIBING WHAT IS SAID TO BE THE FIRST ATTEMPT TO SELECT A NATIONAL RANDOM SAMPLE OF (HIGH SCHOOL PHYSICS) TEACHERS, LIST THE STEPS AS (1) PURCHASE OF A LIST OF PHYSICS TEACHERS FROM THE NATIONAL SCIENCE TEACHERS ASSOCIATION (MOST COMPLETE AVAILABLE), (2) SELECTION OF 136 NAMES BY A…

To Be the Best That We Can Be: A Self-Study Guide for Early Childhood Special Education Programs and Staff.

ERIC Educational Resources Information Center

Gaetz, Joan; And Others

This self-study guide facilitates evaluation of early childhood special education programs by providing a tool for identifying both strengths and areas for improvement. Steps are outlined for completing a program self-study. Then forms are offered for assessing the quality of specific program areas. A section on necessary relationships examines…

29 CFR 1952.342 - Completion of developmental steps and certification.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 29 Labor 9 2010-07-01 2010-07-01 false Completion of developmental steps and certification. 1952... § 1952.342 Completion of developmental steps and certification. (a) In accordance with § 1952.343(a) the... completed all developmental steps specified in the plan as approved on April 25, 1974, on or before April 25...

40 CFR 60.1060 - What steps must I complete for my materials separation plan?

Code of Federal Regulations, 2010 CFR

2010-07-01

... 40 Protection of Environment 6 2010-07-01 2010-07-01 false What steps must I complete for my... Requirements: Materials Separation Plan § 60.1060 What steps must I complete for my materials separation plan? (a) For your materials separation plan, you must complete nine steps: (1) Prepare a draft materials...

Impact of sentinel lymph node biopsy on immediate breast reconstruction after mastectomy.

PubMed

Wood, Benjamin C; David, Lisa R; Defranzo, Anthony J; Stewart, John H; Shen, Perry; Geisinger, Kim R; Marks, Malcolm W; Levine, Edward A

2009-07-01

Traditionally, sentinel lymph node biopsy (SLNB) is performed at the time of mastectomy and reconstruction. However, several groups have advocated SLNB as a separate outpatient procedure before mastectomy, when immediate reconstruction is planned, to allow for complete pathologic evaluation. The purpose of this study was to determine the impact of intraoperative analysis of SLNB on the reconstructive plan when performed at the same time as definitive surgery. A retrospective review was conducted of all mastectomy cases performed at a single institution between September 1998 and November 2007. Of the 747 mastectomy cases reviewed, SLNB was conducted in 344 cases, and there was immediate breast reconstruction in 193 of those cases. There were 27 (7.8%) false negative and three (0.9%) false positive intraoperative analysis of SLNB. Touch preparation analysis from the SLNB changed the reconstructive plan in four (2.1%) cases. In our experience, SLNB can be performed at the time of mastectomy with minimal impact on the reconstructive plan. A staged approach incurs significant additional expense, increases the delay in initiation of systemic therapy and the propensity of procedure-related morbidity; therefore, SLNB should not be performed as a separate procedure before definitive surgery with immediate breast reconstruction.

Assessment of the efficacy of tilmicosin phosphate to eliminate Actinobacillus pleuropneumoniae from carrier pigs

PubMed Central

2005-01-01

Abstract The aim of this study was to evaluate the efficacy of in-feed medication with tilmicosin phosphate in order to eliminate or reduce the carriage of Actinobacillus pleuropneumoniae in the tonsils of carrier pigs. Two groups of 6 carrier animals received either a non-medicated feed (control group) or feed medicated with 400 ppm of tilmicosin phosphate (treated group) for 30 d. Three sentinel pigs were then introduced in each group and left for 29 d. The presence of A. pleuropneumoniae in tonsils was monitored using several techniques, including polymerase chain reaction (PCR). At the end of the treatment all of the control animals, but only 1 treated pig, were positive by PCR from tonsillar surface material. However, at necropsy, all control and most treated animals, as well as 1 sentinel animal, in both groups were positive by PCR from whole tonsils. In conclusion, under the experimental conditions, in-feed treatment with 400 ppm of tilmicosin phosphate significantly reduced the presence of A. pleuropneumoniae on the surface of tonsils but was unable to completely eliminate the organism from deeper tonsillar tissues and to prevent bacterial shedding by carrier animals. PMID:15971680

Assessment of the efficacy of tilmicosin phosphate to eliminate Actinobacillus pleuropneumoniae from carrier pigs.

PubMed

Fittipaldi, N; Klopfenstein, C; Gottschalk, M; Broes, A; Paradis, M A; Dick, C P

2005-04-01

The aim of this study was to evaluate the efficacy of in-feed medication with tilmicosin phosphate in order to eliminate or reduce the carriage of Actinobacillus pleuropneumoniae in the tonsils of carrier pigs. Two groups of 6 carrier animals received either a non-medicated feed (control group) or feed medicated with 400 ppm of tilmicosin phosphate (treated group) for 30 d. Three sentinel pigs were then introduced in each group and left for 29 d. The presence of A. pleuropneumoniae in tonsils was monitored using several techniques, including polymerase chain reaction (PCR). At the end of the treatment all of the control animals, but only 1 treated pig, were positive by PCR from tonsillar surface material. However, at necropsy, all control and most treated animals, as well as 1 sentinel animal, in both groups were positive by PCR from whole tonsils. In conclusion, under the experimental conditions, in-feed treatment with 400 ppm of tilmicosin phosphate significantly reduced the presence of A. pleuropneumoniae on the surface of tonsils but was unable to completely eliminate the organism from deeper tonsillar tissues and to prevent bacterial shedding by carrier animals.

Biological Ablation of Sentinel Lymph Node Metastasis in Submucosally Invaded Early Gastrointestinal Cancer

PubMed Central

Kikuchi, Satoru; Kishimoto, Hiroyuki; Tazawa, Hiroshi; Hashimoto, Yuuri; Kuroda, Shinji; Nishizaki, Masahiko; Nagasaka, Takeshi; Shirakawa, Yasuhiro; Kagawa, Shunsuke; Urata, Yasuo; Hoffman, Robert M; Fujiwara, Toshiyoshi

2015-01-01

Currently, early gastrointestinal cancers are treated endoscopically, as long as there are no lymph node metastases. However, once a gastrointestinal cancer invades the submucosal layer, the lymph node metastatic rate rises to higher than 10%. Therefore, surgery is still the gold standard to remove regional lymph nodes containing possible metastases. Here, to avoid prophylactic surgery, we propose a less-invasive biological ablation of lymph node metastasis in submucosally invaded gastrointestinal cancer patients. We have established an orthotopic early rectal cancer xenograft model with spontaneous lymph node metastasis by implantation of green fluorescent protein (GFP)-labeled human colon cancer cells into the submucosal layer of the murine rectum. A solution containing telomerase-specific oncolytic adenovirus was injected into the peritumoral submucosal space, followed by excision of the primary rectal tumors mimicking the endoscopic submucosal dissection (ESD) technique. Seven days after treatment, GFP signals had completely disappeared indicating that sentinel lymph node metastasis was selectively eradicated. Moreover, biologically treated mice were confirmed to be relapse-free even 4 weeks after treatment. These results indicate that virus-mediated biological ablation selectively targets lymph node metastasis and provides a potential alternative to surgery for submucosal invasive gastrointestinal cancer patients. PMID:25523761

Comparison of Positron Emission Tomography Scanning and Sentinel Node Biopsy in the Detection of Inguinal Node Metastases in Patients With Anal Cancer

DOE Office of Scientific and Technical Information (OSTI.GOV)

Mistrangelo, Massimiliano, E-mail: mistrangelo@katamail.co; Centre of Minimally Invasive Surgery, University of Turin; Pelosi, Ettore

2010-05-01

Background: Inguinal lymph node metastases in patients with anal cancer are an independent prognostic factor for local failure and overall mortality. Inguinal lymph node status can be adequately assessed with sentinel node biopsy, and the radiotherapy strategy can subsequently be changed. We compared this technique vs. dedicated 18F-fluorodeoxyglucose positron emission tomography (PET) to determine which was the better tool for staging inguinal lymph nodes. Methods and Materials: In our department, 27 patients (9 men and 18 women) underwent both inguinal sentinel node biopsy and PET-CT. PET-CT was performed before treatment and then at 1 and 3 months after treatment. Results:more » PET-CT scans detected no inguinal metastases in 20 of 27 patients and metastases in the remaining 7. Histologic analysis of the sentinel lymph node detected metastases in only three patients (four PET-CT false positives). HIV status was not found to influence the results. None of the patients negative at sentinel node biopsy developed metastases during the follow-up period. PET-CT had a sensitivity of 100%, with a negative predictive value of 100%. Owing to the high number of false positives, PET-CT specificity was 83%, and positive predictive value was 43%. Conclusions: In this series of patients with anal cancer, inguinal sentinel node biopsy was superior to PET-CT for staging inguinal lymph nodes.« less

Impact of a structured surgical curriculum on ophthalmic resident cataract surgery complication rates.

PubMed

Rogers, Gina M; Oetting, Thomas A; Lee, Andrew G; Grignon, Connie; Greenlee, Emily; Johnson, A Tim; Beaver, Hilary A; Carter, Keith

2009-11-01

To determine whether institution of a structured surgical curriculum for ophthalmology residents decreased the rate of sentinel surgical complications. Veterans Affairs Medical Center, Des Moines, Iowa, USA. A retrospective review was performed of third-year ophthalmic resident quality-assurance surgical outcomes data at a single residency-training site from 1998 to 2008. The primary outcome measure was defined as a sentinel event; that is, a posterior capsule tear (with or without vitreous loss) or vitreous loss (from any cause) occurring during a resident-performed case. The study population was divided into 2 groups. Group 1 comprised surgical cases of residents trained before the surgical curriculum change (academic years 1998 to 2003) and Group 2, surgical cases of residents trained with the enhanced curriculum (academic years 2004 to 2008). Data from 1 year (academic year 2003 to 2004) were excluded because the transition to the enhanced curriculum occurred during that period. The data were analyzed and adjusted for surgical experience. In Group 1 (before institution of surgical curriculum), there were 823 cases with 59 sentinel complications. In Group 2 (after institution of surgical curriculum), there were 1009 cases with 38 sentinel complications. There was a statistically significant reduction in the sentinel complication rate, from 7.17% before the curriculum changes to 3.77% with the enhanced curriculum (P = .001, unpaired 2-tailed t test). Implementation of a structured surgical curriculum resulted in a statistically significant reduction in sentinel event complications, even after adjusting for surgical experience.

Atmospheric, Non-Tidal Oceanic and Hydrological Loading Effects Observed with GPS Measurements

NASA Astrophysics Data System (ADS)

Boy, J. P.; Memin, A.; Watson, C.; Tregoning, P.

2014-12-01

The Copernicus Programme, being Europe's Earth Observation and Monitoring Programme led by the European Union, aims to provide, on a sustainable basis, reliable and timely services related to environmental and security issues. The Sentinel-3 mission forms part of the Copernicus Space Component. Its main objectives, building on the heritage and experience of the European Space Agency's (ESA) ERS and ENVISAT missions, are to measure sea-surface topography, sea- and land-surface temperature and ocean- and land-surface colour in support of ocean forecasting systems, and for environmental and climate monitoring. The series of Sentinel-3 satellites will ensure global, frequent and near-real time ocean, ice and land monitoring, with the provision of observation data in routine, long term (up to 20 years of operations) and continuous fashion, with a consistent quality and a high level of reliability and availability. The Sentinel-3 missions will be jointly operated by ESA and EUMETSAT. ESA will be responsible for the operations, maintenance and evolution of the Sentinel-3 ground segment on land related products and EUMETSAT for the marine products. The Sentinel-3 ground segment systematically acquires, processes and distributes a set of pre-defined core data products. Sentinel-3A is foreseen to be launched at the beginning of November 2015. The paper will give an overview on the mission, its instruments and objectives, the data products provided, the mechanisms to access the mission's data, and if available first results.

A collaborative approach to lean laboratory workstation design reduces wasted technologist travel.

PubMed

Yerian, Lisa M; Seestadt, Joseph A; Gomez, Erron R; Marchant, Kandice K

2012-08-01

Lean methodologies have been applied in many industries to reduce waste. We applied Lean techniques to redesign laboratory workstations with the aim of reducing the number of times employees must leave their workstations to complete their tasks. At baseline in 68 workflows (aggregates or sequence of process steps) studied, 251 (38%) of 664 tasks required workers to walk away from their workstations. After analysis and redesign, only 59 (9%) of the 664 tasks required technologists to leave their workstations to complete these tasks. On average, 3.4 travel events were removed for each workstation. Time studies in a single laboratory section demonstrated that workers spend 8 to 70 seconds in travel each time they step away from the workstation. The redesigned workstations will allow employees to spend less time travelling around the laboratory. Additional benefits include employee training in waste identification, improved overall laboratory layout, and identification of other process improvement opportunities in our laboratory.

A novel framework for change detection in bi-temporal polarimetric SAR images

NASA Astrophysics Data System (ADS)

Pirrone, Davide; Bovolo, Francesca; Bruzzone, Lorenzo

2016-10-01

Last years have seen relevant increase of polarimetric Synthetic Aperture Radar (SAR) data availability, thanks to satellite sensors like Sentinel-1 or ALOS-2 PALSAR-2. The augmented information lying in the additional polarimetric channels represents a possibility for better discriminate different classes of changes in change detection (CD) applications. This work aims at proposing a framework for CD in multi-temporal multi-polarization SAR data. The framework includes both a tool for an effective visual representation of the change information and a method for extracting the multiple-change information. Both components are designed to effectively handle the multi-dimensionality of polarimetric data. In the novel representation, multi-temporal intensity SAR data are employed to compute a polarimetric log-ratio. The multitemporal information of the polarimetric log-ratio image is represented in a multi-dimensional features space, where changes are highlighted in terms of magnitude and direction. This representation is employed to design a novel unsupervised multi-class CD approach. This approach considers a sequential two-step analysis of the magnitude and the direction information for separating non-changed and changed samples. The proposed approach has been validated on a pair of Sentinel-1 data acquired before and after the flood in Tamil-Nadu in 2015. Preliminary results demonstrate that the representation tool is effective and that the use of polarimetric SAR data is promising in multi-class change detection applications.

The Urban Exploitation Platform - An instrument for the global provision of indicators related to sustainable cities and communities

NASA Astrophysics Data System (ADS)

Esch, Thomas; Asamer, Hubert; Hirner, Andreas; Marconcini, Mattia; Metz, Annekatrin; Uereyen, Soner; Zeidler, Julian; Boettcher, Martin; Permana, Hans; Boissier, Enguerran; Mathot, Emmanuel; Soukop, Tomas; Balhar, Jakub; Svaton, Vaclav; Kuchar, Stepan

2017-04-01

The Sentinel fleet will provide a so-far unique coverage with Earth Observation (EO) data and therewith new opportunities for the implementation of methodologies to generate innovative geo-information products and services supporting the SDG targets. It is here where the TEP Urban project is supposed to initiate a step change by providing an open and participatory platform that allows any interested user to easily exploit large-volume EO data pools, in particular those of the European Sentinel and the US Landsat missions, and derive thematic geo-information, metrics and indicators related to the status and development of the built environment. Key component of TEP Urban initiative is the implementation of a web-based platform (https://urban-tep.eo.esa.int) employing distributed high-level computing infrastructures and providing key functionalities for i) high-performance access to satellite imagery and other data sources such as statistics or topographic data, ii) state-of-the-art pre-processing, analysis, and visualization techniques, iii) customized development and dissemination of algorithms, products and services, and iv) networking and communication. This contribution introduces the main facts about the TEP Urban platform, including a description of the general objectives, the platform systems design and functionalities, and the available portfolio of products and services that can directly serve the global provision of indicators for SDG targets, in particular related to SDG 11.

Expanding severe acute respiratory infection (SARI) surveillance beyond influenza: The process and data from 1 year of implementation in Vietnam.

PubMed

Alroy, Karen A; Do, Trang Thuy; Tran, Phu Dac; Dang, Tan Quang; Vu, Long Ngoc; Le, Nga Thi Hang; Dang, Anh Duc; Ngu, Nghia Duy; Ngo, Tu Huy; Hoang, Phuong Vu Mai; Phan, Lan Trong; Nguyen, Thuong Vu; Nguyen, Long Thanh; Nguyen, Thinh Viet; Vien, Mai Quang; Le, Huy Xuan; Dao, Anh The; Nguyen, Trieu Bao; Pham, Duoc Tho; Nguyen, Van Thi Tuyet; Pham, Thanh Ngoc; Phan, Binh Hai; Whitaker, Brett; Do, Thuy Thi Thu; Dao, Phuong Anh; Balajee, S Arunmozhi; Mounts, Anthony W

2018-05-13

In 2016, as a component of the Global Health Security Agenda, the Vietnam Ministry of Health expanded its existing influenza sentinel surveillance for severe acute respiratory infections (SARI) to include testing for 7 additional viral respiratory pathogens. This article describes the steps taken to implement expanded SARI surveillance in Vietnam and reports data from 1 year of expanded surveillance. The process of expanding the suite of pathogens for routine testing by real-time reverse transcriptase-polymerase chain reaction (rRT-PCR) included laboratory trainings, procurement/distribution of reagents, and strengthening and aligning SARI surveillance epidemiology practices at sentinel sites and regional institutes (RI). Surveillance data showed that of 4003 specimens tested by the RI laboratories, 20.2% (n = 810) were positive for influenza virus. Of the 3193 influenza-negative specimens, 41.8% (n = 1337) were positive for at least 1 non-influenza respiratory virus, of which 16.2% (n = 518), 13.4% (n = 428), and 9.6% (n = 308) tested positive for respiratory syncytial virus, rhinovirus, and adenovirus, respectively. The Government of Vietnam has demonstrated that expanding respiratory viral surveillance by strengthening and building upon an influenza platform is feasible, efficient, and practical. © 2018 The Authors. Influenza and Other Respiratory Viruses Published by John Wiley & Sons Ltd.

A Step Towards the Characterization of SAR Mode Altimetry to Inform Hydrodynamic Models

NASA Astrophysics Data System (ADS)

Fabry, Pierre; Bercher, Nicolas; Ambrozio, Americo; Restano, Marco; Benveniste, Jerome

2016-08-01

Inland water scenes are highly variable, both in space and time, which leads to a much broader range of radar signatures than ocean surfaces. This applies to both LRM and "SAR" mode (SARM) altimetry. Nevertheless the enhanced along-track resolution of SARM altimeters should help improve the accuracy and precision of inland water height measurements from satellite. The SHAPE project - Sentinel-3 Hydrologic Altimetry Processor prototypE - which is funded by ESA through the Scientific Exploitation of Operational Missions Programme Element (contract number 4000115205/15/I-BG) aims at preparing for the exploitation of Sentinel-3 data over the inland water domain. In order to define refine the L1B processor and the retrackers for alti-hydrology applications, we need to characterise the SARM Individual Echoes, Multi- Look Stacks as well as 20Hz waveforms over the inland water domain.This paper deals with the continuation of works presented in 2015 [Fabry et Bercher, Venice 2015b] [Fabry et Bercher, Frascati 2015a/c] where we introduced an automated technique to assess the water fraction within the Beam-Doppler limited footprint through its intersection area with a water mask. We hereby refine the utilisation of these water classes and run the classification on a wider dataset so as to improve the readout of the Range Integrated Power1 (RIP) parameters and the waveforms versus the Water Fraction.

40 CFR 60.1120 - What steps must I complete for my siting analysis?

Code of Federal Regulations, 2010 CFR

2010-07-01

... 40 Protection of Environment 6 2010-07-01 2010-07-01 false What steps must I complete for my... Requirements: Siting Analysis § 60.1120 What steps must I complete for my siting analysis? (a) For your siting analysis, you must complete five steps: (1) Prepare an analysis. (2) Make your analysis available to the...

Influenza activity in Europe during eight seasons (1999–2007): an evaluation of the indicators used to measure activity and an assessment of the timing, length and course of peak activity (spread) across Europe

PubMed Central

Paget, John; Marquet, Richard; Meijer, Adam; van der Velden, Koos

2007-01-01

Background The European Influenza Surveillance Scheme (EISS) has collected clinical and virological data on influenza since 1996 in an increasing number of countries. The EISS dataset was used to characterise important epidemiological features of influenza activity in Europe during eight winters (1999–2007). The following questions were addressed: 1) are the sentinel clinical reports a good measure of influenza activity? 2) how long is a typical influenza season in Europe? 3) is there a west-east and/or south-north course of peak activity ('spread') of influenza in Europe? Methods Influenza activity was measured by collecting data from sentinel general practitioners (GPs) and reports by national reference laboratories. The sentinel reports were first evaluated by comparing them to the laboratory reports and were then used to assess the timing and spread of influenza activity across Europe during eight seasons. Results We found a good match between the clinical sentinel data and laboratory reports of influenza collected by sentinel physicians (overall match of 72% for +/- 1 week difference). We also found a moderate to good match between the clinical sentinel data and laboratory reports of influenza from non-sentinel sources (overall match of 60% for +/- 1 week). There were no statistically significant differences between countries using ILI (influenza-like illness) or ARI (acute respiratory disease) as case definition. When looking at the peak-weeks of clinical activity, the average length of an influenza season in Europe was 15.6 weeks (median 15 weeks; range 12–19 weeks). Plotting the peak weeks of clinical influenza activity reported by sentinel GPs against the longitude or latitude of each country indicated that there was a west-east spread of peak activity (spread) of influenza across Europe in four winters (2001–2002, 2002–2003, 2003–2004 and 2004–2005) and a south-north spread in three winters (2001–2002, 2004–2005 and 2006–2007). Conclusion We found that: 1) the clinical data reported by sentinel physicians is a valid indicator of influenza activity; 2) the length of influenza activity across the whole of Europe was surprisingly long, ranging from 12–19 weeks; 3) in 4 out of the 8 seasons, there was a west-east spread of influenza, in 3 seasons a south-north spread; not associated with type of dominant virus in those seasons. PMID:18047685

Synergistically combining Optical and Thermal radiative transfer modelswithin the EO-LDAS data assimilation framework to estimate land surfaceand component temperatures from MODIS and Sentinel-3

NASA Astrophysics Data System (ADS)

Timmermans, J.; Gomez-Dans, J. L.; Verhoef, W.; Tol, C. V. D.; Lewis, P.

2017-12-01

Evapotranspiration (ET) cannot be directly measured from space. Instead it relies on modelling approaches that use several land surface parameters (LSP), LAI and LST, in conjunction with meteorological parameters. Such a modelling approach presents two caveats: the validity of the model, and the consistency between the different input parameters. Often this second step is not considered, ignoring that without good inputs no decent output can provided. When LSP- dynamics contradict each other, the output of the model cannot be representative of reality. At present however, the LSPs used in large scale ET estimations originate from different single-sensor retrieval-approaches and even from different satellite sensors. In response, the Earth Observation Land Data Assimilation System (EOLDAS) was developed. EOLDAS uses a multi-sensor approach to couple different satellite observations/types to radiative transfer models (RTM), consistently. It is therefore capable of synergistically estimating a variety of LSPs. Considering that ET is most sensitive to the temperatures of the land surface (components), the goal of this research is to expand EOLDAS to the thermal domain. This research not only focuses on estimating LST, but also on retrieving (soil/vegetation, Sunlit/shaded) component temperatures, to facilitate dual/quad-source ET models. To achieve this, The Soil Canopy Observations of Photosynthesis and Energy (SCOPE) model was integrated into EOLDAS. SCOPE couples key-parameters to key-processes, such as photosynthesis, ET and optical/thermal RT. In this research SCOPE was also coupled to MODTRAN RTM, in order to estimate BOA component temperatures directly from TOA observations. This paper presents the main modelling steps of integrating these complex models into an operational platform. In addition it highlights the actual retrieval using different satellite observations, such as MODIS and Sentinel-3, and meteorological variables from the ERA-Interim.

Excision margins and sentinel lymph node status as prognostic factors in thick melanoma of the head and neck: A retrospective analysis.

PubMed

Ruskin, Olivia; Sanelli, Alexandra; Herschtal, Alan; Webb, Angela; Dixon, Ben; Pohl, Miklos; Donahoe, Simon; Spillane, John; Henderson, Michael A; Gyorki, David E

2016-09-01

Recommended margins for thick cutaneous melanoma (Breslow thickness >4 mm; T4) have decreased over recent decades. Optimal margins and the role of sentinel node biopsy (SNB) in thick head and neck melanoma remain controversial. A single-center review was conducted of patients treated between 2002 and 2012 assessing the impact of excision margins and sentinel lymph node status on locoregional recurrence and melanoma-specific survival (MSS). One hundred eight patients were identified. Median age was 71.1 years and median Breslow thickness was 6.0 mm. Median follow-up was 40 months. Locoregional recurrence occurred in 27% and there was no significant reduction in recurrence with margins ≥2 cm (p = .17). Increasing margins did not improve survival (p = .58). Fifty-nine patients (55%) underwent SNB, of which 27% were positive. There was a trend toward longer survival for patients who were sentinel lymph node-negative (p = .097). Wider margins do not significantly improve locoregional recurrence or MSS. Sentinel lymph node involvement reflects a poor prognosis. © 2016 Wiley Periodicals, Inc. Head Neck 38: 1373-1379, 2016. © 2016 Wiley Periodicals, Inc.

Sentinel lymph node biopsy does not change melanoma-specific survival among patients with Breslow thickness greater than four millimeters.

PubMed

Caracò, Corrado; Celentano, Egidio; Lastoria, Secondo; Botti, Gerardo; Ascierto, Paolo Antonio; Mozzillo, Nicola

2004-03-01

Management of patients with cutaneous melanoma in the absence of lymph node metastases is still controversial. The experience at the National Cancer Institute in Naples was analyzed to evaluate 3-year disease-free survival and overall survival for all patients who underwent sentinel lymph node biopsy (SLB) with Breslow thickness greater than 4 mm. Data from 359 sentinel biopsies performed in the past 5 years were reviewed to determine the effect of the treatment on disease-free survival and overall survival after stratifying patients for node status, tumor ulceration, and Breslow thickness. Statistical analysis showed a better 3-year survival for sentinel node-negative patients than for sentinel node-positive cases (88.4% and 72.9%, respectively; P <.05). Tumor ulceration retained its prognostic significance despite lymph node status, indicating a higher risk for development of distant metastases. Survival curves associated with thicker melanomas did not show significant differences between negative- and positive-SLB patients. SLB provides accurate staging of nodal status in melanoma patients who have no clinical evidence of metastases. Longer follow-up and final results from ongoing trials are necessary to definitively clarify the role of this procedure.

[Role of sentinel lymph nodes and lymphatic mapping of colorectal cancer].

PubMed

Ivanov, K; Kolev, N; Ignatov, V; Temelkov, T; Madzhov, R

2005-01-01

The accuracy of staging of colorectal cancer is dependable of number of lymph nodes, colected and investegated from the pathologist. Moreover 50% of newfounded cases with colorectal cancer are diagnosed as I or II stage of the desease. Between 15% and 20% of these patients develop regional or distant metastases around 5 years after the examination, despite of the radical surgery. This may be due to pathological "understaging" (decrease of the stage), becouse of missed micrometastases, which size often is smaller than 5 mm. High accurate and specific pathologoanatomical methods for "ultrastaging" are cost-expensive, therefore their selective application to labeled sentinel lymph nodes has a economical benefit and saves a time. Moreover it is decreasing the understaging effect, assosiated with convectional pathologoanatomical investigaton. In the future, the technical progress will develop the intensive competiton between the sentinel lymph node mapping and the improved imaging diagnostic techniques as flurodeoxyglucose (18FDG), positron emision tomography (PET), or the other molecular imaging techniques. Unfortunately, the limited spatial resolution of these techniques, do not allow to be used for tumor staging as sentinel lymph node techniques. Therefore the sentinel lymphnode mapping become the choice of the lymphnode staging technique.

Landsat and Sentinel-2A Surface Albedo Estimation and Evaluation Against In Situ Measurements Across the US SURFRAD Network

NASA Astrophysics Data System (ADS)

Franch, B.; Skakun, S.; Vermote, E.; Roger, J. C.

2017-12-01

Surface albedo is an essential parameter not only for developing climate models, but also for most energy balance studies. While climate models are usually applied at coarse resolution, the energy balance studies, which are mainly focused on agricultural applications, require a high spatial resolution. The albedo, estimated through the angular integration of the BRDF, requires an appropriate angular sampling of the surface. However, Sentinel-2A sampling characteristics, with nearly constant observation geometry and low illumination variation, prevent from deriving a surface albedo product. In this work, we apply an algorithm developed to derive a Landsat surface albedo to Sentinel-2A. It is based on the BRDF parameters estimated from the MODerate Resolution Imaging Spectroradiometer (MODIS) CMG surface reflectance product (M{O,Y}D09) using the VJB method (Vermote et al., 2009). Sentinel-2A unsupervised classification images are used to disaggregate the BRDF parameters to the Sentinel-2 spatial resolution. We test the results over five different sites of the US SURFRAD network and plot the results versus albedo field measurements. Additionally, we also test this methodology using Landsat-8 images.

SENTINEL-1/2 Data for Ship Traffic Monitoring on the Danube River

NASA Astrophysics Data System (ADS)

Negula, I. Dana; Poenaru, V. D.; Olteanu, V. G.; Badea, A.

2016-06-01

After a long period of drought, the water level of the Danube River has significantly dropped especially on the Romanian sector, in July-August 2015. Danube reached the lowest water level recorded in the last 12 years, causing the blockage of the ships in the sector located close to Zimnicea Harbour. The rising sand banks in the navigable channel congested the commercial traffic for a few days with more than 100 ships involved. The monitoring of the decreasing water level and the traffic jam was performed based on Sentinel-1 and Sentinel-2 free data provided by the European Space Agency and the European Commission within the Copernicus Programme. Specific processing methods (calibration, speckle filtering, geocoding, change detection, image classification, principal component analysis, etc.) were applied in order to generate useful products that the responsible authorities could benefit from. The Sentinel data yielded good results for water mask extraction and ships detection. The analysis continued after the closure of the crisis situation when the water reached the nominal level again. The results indicate that Sentinel data can be successfully used for ship traffic monitoring, building the foundation of future endeavours for a durable monitoring of the Danube River.

77 FR 4048 - Disease, Disability, and Injury Prevention and Control Special Emphasis Panel (SEP): Initial Review

Federal Register 2010, 2011, 2012, 2013, 2014

2012-01-26

... announced below concerns Evaluation of Dengue Epidemiology, Outcomes, and Prevention in Sentinel... applications received in response to ``Evaluation of Dengue Epidemiology, Outcomes and Prevention in Sentinel...

Analysis, design, fabrication, and performance of three-dimensional braided composites

NASA Astrophysics Data System (ADS)

Kostar, Timothy D.

1998-11-01

Cartesian 3-D (track and column) braiding as a method of composite preforming has been investigated. A complete analysis of the process was conducted to understand the limitations and potentials of the process. Knowledge of the process was enhanced through development of a computer simulation, and it was discovered that individual control of each track and column and multiple-step braid cycles greatly increases possible braid architectures. Derived geometric constraints coupled with the fundamental principles of Cartesian braiding resulted in an algorithm to optimize preform geometry in relation to processing parameters. The design of complex and unusual 3-D braids was investigated in three parts: grouping of yarns to form hybrid composites via an iterative simulation; design of composite cross-sectional shape through implementation of the Universal Method; and a computer algorithm developed to determine the braid plan based on specified cross-sectional shape. Several 3-D braids, which are the result of variations or extensions to Cartesian braiding, are presented. An automated four-step braiding machine with axial yarn insertion has been constructed and used to fabricate two-step, double two-step, four-step, and four-step with axial and transverse yarn insertion braids. A working prototype of a multi-step braiding machine was used to fabricate four-step braids with surrogate material insertion, unique hybrid structures from multiple track and column displacement and multi-step cycles, and complex-shaped structures with constant or varying cross-sections. Braid materials include colored polyester yarn to study the yarn grouping phenomena, Kevlar, glass, and graphite for structural reinforcement, and polystyrene, silicone rubber, and fasteners for surrogate material insertion. A verification study for predicted yarn orientation and volume fraction was conducted, and a topological model of 3-D braids was developed. The solid model utilizes architectural parameters, generated from the process simulation, to determine the composite elastic properties. Methods of preform consolidation are investigated and the results documented. The extent of yarn deformation (packing) resulting from preform consolidation was investigated through cross-sectional micrographs. The fiber volume fraction of select hybrid composites was measured and representative unit cells are suggested. Finally, a comparison study of the elastic performance of Kevlar/epoxy and carbon/Kevlar hybrid composites was conducted.

DOE Office of Scientific and Technical Information (OSTI.GOV)

Chernyshova, A. L.; Lyapunov, A. Yu., E-mail: Lyapunov1720.90@mail.ru; Kolomiets, L. A.

The study included 26 patients with FIGO stage Ia1–Ib1 cervical cancer who underwent fertility-sparing surgery (transabdominaltrachelectomy). To visualize sentinel lymph nodes, lymphoscintigraphy with injection of 99mTc-labelled nanocolloid was performed the day before surgery. Intraoperative identification of sentinel lymph nodes using hand-held gamma probe was carried out to determine the radioactive counts over the draining lymph node basin. The sentinel lymph node detection in cervical cancer patients contributes to the accurate clinical assessment of the pelvic lymph node status, precise staging of the disease and tailoring of surgical treatment to individual patient.

Brief behavioural surveys in routine HIV sentinel surveillance: a new tool for monitoring the HIV epidemic in Viet Nam

PubMed Central

Hien, Nguyen Tran; Tuan, Nguyen Anh; Ha, Hoang Thi Thanh; Thang, Pham Hong; Ha, Nguyen Thi Thanh; Tuan, Le Anh; Quang, Tran Dai; Tram, Tran Hong; Le Hai, Nguyen; Huong, Phan Thi Thu; Son, Vo Hai; Duc, Bui Hoang; Nga, Nguyen Thien; Jacka, David; Sabin, Keith

2015-01-01

In this report we describe a new approach in HIV sentinel surveillance that was piloted in Viet Nam in 2009 and is currently being rolled out in all provinces. It comprises a brief behavioural questionnaire added to the HIV sentinel surveillance surveys conducted routinely among people who inject drugs, female sex workers and men who have sex with men. Timely reporting of data from this system has resulted in improvements to HIV prevention efforts for most at-risk populations. PMID:25960922

Brief behavioural surveys in routine HIV sentinel surveillance: a new tool for monitoring the HIV epidemic in Viet Nam.

PubMed

Thanh, Duong Cong; Hien, Nguyen Tran; Tuan, Nguyen Anh; Ha, Hoang Thi Thanh; Thang, Pham Hong; Ha, Nguyen Thi Thanh; Tuan, Le Anh; Quang, Tran Dai; Tram, Tran Hong; Le Hai, Nguyen; Huong, Phan Thi Thu; Son, Vo Hai; Duc, Bui Hoang; Nga, Nguyen Thien; Jacka, David; Sabin, Keith

2015-01-01

In this report we describe a new approach in HIV sentinel surveillance that was piloted in Viet Nam in 2009 and is currently being rolled out in all provinces. It comprises a brief behavioural questionnaire added to the HIV sentinel surveillance surveys conducted routinely among people who inject drugs, female sex workers and men who have sex with men. Timely reporting of data from this system has resulted in improvements to HIV prevention efforts for most at-risk populations.

Intraoperative evaluation of sentinel lymph nodes for metastatic melanoma by imprint cytology.

PubMed

Soo, Victoria; Shen, Perry; Pichardo, Rita; Azzazy, Hossam; Stewart, John H; Geisinger, Kim R; Levine, Edward A

2007-05-01

Sentinel lymph node biopsy (SLN) has revolutionized nodal staging. Accurate intraoperative evaluation of SLN permits a single procedure, with lymphadenectomy being performed during the initial operative procedure when the SLN is positive. There is a paucity of literature on intraoperative imprint cytology (IIC) evaluation of the SLN in melanoma. The purpose of this article is to present an update to our experience with IIC for SLN in melanoma. Melanoma patients had SLNs examined by IIC. SLNs were bisected, and imprints were made from each half. Imprints were stained with hematoxylin and eosin and with Diff-Quik. Paraffin-embedded sections were examined with multiple hematoxylin and eosin-stained sections from the SLNs in conjunction with immunohistochemical staining for S-100, Melan-A, and HMB-45 proteins. Metastases were identified in 40 (17%) of 229 patients. Of these, 13 patients were detected by IIC (sensitivity, 33%). The negative predictive value was 88%. No false-positive results were identified (specificity, 100%). The positive predictive value was 100%. The accuracy of IIC was 78%. The sensitivity for detecting macrometastases (>2 mm) was better than that for detecting micrometastases (< or =2 mm): 62% vs. 16% (P < .01). Patients with positive SLNs by IIC had lymphadenectomy under the same anesthetic. A total of 533 nonsentinel lymph nodes were identified in 42 patients. Only two patients (8%) had positive nonsentinel lymph nodes after a negative IIC. IIC is a viable alternative to frozen sectioning when intraoperative evaluation is desired. IIC is significantly more sensitive for macrometastases. IIC evaluation of SLNs in melanoma makes a single operative procedure possible for a significant proportion of patients with regional nodal metastases.

Distribution of Prostate Sentinel Nodes: A SPECT-Derived Anatomic Atlas

DOE Office of Scientific and Technical Information (OSTI.GOV)

Ganswindt, Ute, E-mail: ute.ganswindt@med.uni-muenchen.d; Schilling, David; Mueller, Arndt-Christian

2011-04-01

Purpose: The randomized Radiation Therapy Oncology Group 94-13 trial revealed that coverage of the pelvic lymph nodes in high-risk prostate cancer confers an advantage (progression-free survival and biochemical failure) in patients with {>=}15% risk of lymph node involvement. To facilitate an improved definition of the adjuvant target volume, precise knowledge regarding the location of the relevant lymph nodes is necessary. Therefore, we generated a three-dimensional sentinel lymph node atlas. Methods and Materials: In 61 patients with high-risk prostate cancer, a three-dimensional visualization of sentinel lymph nodes was performed using a single photon emission computed tomography system after transrectal intraprostatic injectionmore » of 150 to 362 (median 295) mega becquerel (MBq) {sup 99m}Technetium-nanocolloid (1.5-3h after injection) followed by an anatomic functional image fusion. Results: In all, 324 sentinel nodes in 59 of 61 patients (96.7%) were detected, with 0 to 13 nodes per patient (median 5, mean 5.3). The anatomic distribution of the sentinel nodes was as follows: external iliac 34.3%, internal iliac 17.9%, common iliac 12.7%, sacral 8.6%, perirectal 6.2%, left paraaortic 5.3%, right paraaortic 5.3%, seminal vesicle lymphatic plexus 3.1%, deep inguinal 1.5%, superior rectal 1.2%, internal pudendal 1.2%, perivesical 0.9%, inferior rectal 0.9%, retroaortic 0.3%, superficial inguinal 0.3%, and periprostatic 0.3%. Conclusions: The distribution of sentinel nodes as detected by single photon emission computed tomography imaging correlates well with the distribution determined by intraoperative gamma probe detection. A lower detection rate of sentinels in close proximity to the bladder and seminal vesicles is probably caused by the radionuclide accumulation in the bladder. In regard to intensity-modulated radiotherapy techniques, the presented anatomic atlas may allow optimized target volume definitions.« less

Clinically node negative breast cancer patients undergoing breast conserving therapy, sentinel lymph node procedure versus follow-up: a Dutch randomized controlled multicentre trial (BOOG 2013-08).

PubMed

van Roozendaal, L M; Vane, M L G; van Dalen, T; van der Hage, J A; Strobbe, L J A; Boersma, L J; Linn, S C; Lobbes, M B I; Poortmans, P M P; Tjan-Heijnen, V C G; Van de Vijver, K K B T; de Vries, J; Westenberg, A H; Kessels, A G H; de Wilt, J H W; Smidt, M L

2017-07-01

Studies showed that axillary lymph node dissection can be safely omitted in presence of positive sentinel lymph node(s) in breast cancer patients treated with breast conserving therapy. Since the outcome of the sentinel lymph node biopsy has no clinical consequence, the value of the procedure itself is being questioned. The aim of the BOOG 2013-08 trial is to investigate whether the sentinel lymph node biopsy can be safely omitted in clinically node negative breast cancer patients treated with breast conserving therapy. The BOOG 2013-08 is a Dutch prospective non-inferiority randomized multicentre trial. Women with pathologically confirmed clinically node negative T1-2 invasive breast cancer undergoing breast conserving therapy will be randomized for sentinel lymph node biopsy versus no sentinel lymph node biopsy. Endpoints include regional recurrence after 5 (primary endpoint) and 10 years of follow-up, distant-disease free and overall survival, quality of life, morbidity and cost-effectiveness. Previous data indicate a 5-year regional recurrence free survival rate of 99% for the control arm and 96% for the study arm. In combination with a non-inferiority limit of 5% and probability of 0.8, this result in a sample size of 1.644 patients including a lost to follow-up rate of 10%. Primary and secondary endpoints will be reported after 5 and 10 years of follow-up. If the sentinel lymph node biopsy can be safely omitted in clinically node negative breast cancer patients undergoing breast conserving therapy, this study will cost-effectively lead to a decreased axillary morbidity rate and thereby improved quality of life with non-inferior regional control, distant-disease free survival and overall survival. The BOOG 2013-08 study is registered in ClinicalTrials.gov since October 20, 2014, Identifier: NCT02271828. https://clinicaltrials.gov/ct2/show/NCT02271828.

Evaluation of forest fires in Portugal Mainland during 2016 summer considering different satellite datasets

NASA Astrophysics Data System (ADS)

Teodoro, A. C.; Amaral, A.

2017-10-01

Portugal is one of the most affected countries in Europe by forest fires. Every year in the summer, hundreds of hectares burn, destroying goods and forests at an alarming rate. The objective of this work was to analyze the forest areas burned in Portugal in 2016 (summer) using different satellite data with different spatial resolution (Sentinel-2A MSI and Landsat 8 OLI) in two affected areas. Data from spring from 2016 and 2017 were chosen (pre-fire event and post-fire event) in order to maximize the Normalized Difference Vegetation Index (NDVI) values. The QGIS software's plugin - Semi- Automatic Classification Plugin- which allowed to obtain NDVI values for the Landsat 8 OLI and Sentinel- 2A was used. The results showed that the NDVI decreased considerably in Arouca and Vila Nova de Cerveira after de fire event, meaning a marked drop in vegetation level. In Sintra municipality this change was not verified because non forest fire was registered in this area during the study period. The results from the Sentinel-2A and Landsat 8 OLI data analysis are in agreement, however the Sentinel-2A satellite gives results more accurate than Landsat-8 OLI since it has best spatial resolution. This study could help the experts to understand both the causes and consequences of spatial variability of post-fire effects. Other vegetation spectral indices related with fire and burnt areas could also be calculated in order to discriminate burnt areas. Added to the best spatial resolution of Sentinel-2A (10 m), the temporal resolution of Sentinel- 2A (10 days) was increased with the launch of the twin Sentinel-2B (very recently) and therefore the frequency of the combined constellation revisit will be 5 days. However, for historical studies, the Landsat program remains the best option.