P1-06-07: TIMP-1 in Combination with HER2 and TOP2A for Prediction of Benefit from Adjuvant Anthracyclines in High Risk Breast Cancer Patients

Purpose: HER2 amplification, TOP2A aberrations and absence of TIMP-1 (Tissue Inhibitor of Metalloproteinase-1) expression in breast carcinomas have been associated with incremental benefit from anthracycline-containing adjuvant chemotherapy in several reports. In the DBCG 89D trial, we demonstrated that the predictive value of these markers improved when they were combined in a profile and the present study was undertaken to validate these findings in NCIC CTG MA.5, a similar but independent clinical trial.

Design: TIMP-1 was examined by immunohistochemistry in archival tumor tissue from 403 of 716 premenopausal high-risk patients with known HER2 and TOP2A status who were randomized to CEF or CMF in the MA.5 trial. Patients were classified according to 2 predefined marker profiles — the HT profile (HER2, TIMP-1) and the 2T profile (TOP2A, TIMP-1) and the statistical analyses were performed as closely as possible to the analytical approach used previously in the MA.5 trial and when analysing the biomarker profiles in the DBCG 89D trial.

Results: 98 (24%) patients had no TIMP-1 staining of tumor cells, 27% were HER2 amplified, and 18% were TOP2A aberrant. 44% of patients were classified as HT responsive (HER2-positive and/or TIMP-1 negative) and 37% as 2T responsive (TOP2A aberrant and/or TIMP-1 negative). There was no heterogeneity in treatment effect of CEF versus CMF according to TIMP-1. In HT responsive patients, CEF was superior to CMF with improved RFS (adjusted HR, 0.64; 95% CI, 0.42 to 0.98) and a borderline-significant improvement in OS (adjusted HR, 0.66; 95% CI, 0.42 to 1.04). A significant HT profile versus treatment interaction was detected for OS (P=0.03). In 2T responsive patients, CEF was superior to CMF with borderline significant improvement in RFS (adjusted HR, 0.67; 95% CI, 0.43 to 1.03), and with improvement in OS (adjusted HR, 0.58; 95% CI, 0.36 to 0.93). A significant 2T profile versus treatment interaction was detected for OS (P=0.01).

Conclusion: In the MA.5 trial, we have validated the HT and 2T profiles as predictors of incremental benefit from anthracycline-containing chemotherapy. The proportion of patients categorized as anthracycline responsive increases from 18–27% using individual markers to 37–44% when combining TIMP-1 with either HER2 or TOP2A. Patients with responsive profiles had a 34–42% relative reduction in mortality when treated with CEF. In contrast, patients with non-responsive profiles (56-63% of patients) had no incremental benefit from CEF compared with CMF. All 3 biomarkers are easily applied in the pathology lab and as such could be used in daily clinical practice to select patients for anthracycline or non-anthracycline containing adjuvant chemotherapy.

Citation Information: Cancer Res 2011;71(24 Suppl):Abstract nr P1-06-07.

P1-06-03: Predictive Value of HER2, Topoisomerase-II (Topo-II) and Tissue Inhibitor of Metalloproteinases (TIMP-1) for Efficacy of Taxane-Based Chemotherapy in Intermediate Risk Breast Cancer – Results from the EC-Doc Trial

Background: Despite extensive research, there is still no consensus on optimal predictors for use of taxane-based chemotherapy (cht) in early breast cancer. Some studies have revealed HER2 as a significant predictive marker for efficacy of taxanes and anthracyclines. TIMP-1 and Topo-II are reported to be predictive for anthracycline efficacy. In our previous reports, both Ki-67≥20% and central G3 status emerged as significant predictors for taxane benefit. We have now compared HER2 and Topo-II (as protein expression and gene amplification) and TIMP-1 immunoreactivity as well as factor combinations (HT (HER2/TIMP-1) and 2T (Topo-II/TIMP-1) regarding their predictive value for benefit from taxane-based cht.

Methods: The EC-Doc trial randomized 1950 patients with 1–3 positive LN to 6x CEF/CMF vs. 4xEC-4xDoc. Significantly better DFS and OS favoring EC-Doc have been previously reported (Nitz et al., SABCS 2008). Protein expression and gene amplification data as well central histology/grade were available for 772 patients. Survival analysis was performed using Cox proportional hazards and Kaplan-Meier statistics. Analysis of HER2 survival impact status was prospectively planned.

Results: The entire and the investigated study populations did not differ regarding baseline characteristics. After median follow up of 64 months, both DFS (5y 90% vs. 80%, p=0.006) and OS (5y 95% vs. 92%, p=0.022) rates significantly favored EC-Doc vs. CEF in this cohort as well. HER2 over-expression (3+ and/or FISH≥2.0) was reported in 158 tumors (20%), Topo-II aberration (deletion or amplification) was reported in 78 (49.4%) HER2+ and in 83 (13.6%) HER2−negative tumors; 496 tumors were classified as TIMP-1 immunoreactive (65.2%). None of these factors were significantly prognostic for EFS in this collective. Regarding DFS, EC-Doc was strongly superior to FEC in HER2+ tumors (HR=0.29, 95%CI: 0.12−0.7, p=0.006) but not in HER2− tumors (p=0.18). In Topo-II aberrated tumors, the benefit of EC-Doc was remarkably strong (HR=0.28, 95% CI: 0.11−0.69, p=0.006), whereas the benefit was not significant in Topo-II normal tumors (p=0.16), which comprise more than ¾ of the total. In contrast, Topo-II protein overexpression (>10%) was not associated with a stronger benefit in either subgroup. The superiority of EC-Doc to FEC was significant in the larger group of TIMP-1 immunoreactive tumors (HR=0.57, p=0.025) but not in TIMP-1 negative tumors (p=0.14), similar behavior was seen in “HT” and “2T” subgroups (significance with HR about 0.5 in the “+” subgroups). In a multivariate model for DFS including age, tumor size, Ki-67, central grade, HR, HER2, TOPO_II aberration, TIMP-1 status, therapy and interactions of all these factors with therapy arm, the only significant therapy interaction was that of (high) Ki-67 (HR=0.76, 95% CI: 0.59−0.98, p=0.03); significant main effects in this model were age, central grade, and Ki-67.

Conclusions: These data suggest predictive significance for Topo-II aberration, TIMP immunoreactivity and HER2 over-expression as well as a multivariate predictive significance of high Ki-67 for enhanced benefit of taxane-based cht.

Citation Information: Cancer Res 2011;71(24 Suppl):Abstract nr P1-06-03.

A novel test to determine the significance of neural selectivity to single and multiple potentially correlated stimulus features

Mutual information is a principled non-linear measure of dependence between stochastic variables, which is widely used to study the selectivity of neural responses to external stimuli. Here we define and develop a set of novel statistical independence tests based on mutual information, which quantify the significance of neural selectivity to either single features or to multiple, potentially correlated stimulus features like those often present in naturalistic stimuli. If the values of different features are correlated during stimulus presentation, it is difficult to establish if one feature is genuinely encoded by the response, or if it instead appears to be encoded only as a side effect of its correlation with another genuinely represented feature. Our tests provide a way to disambiguate between these two possibilities. We use realistic simulations of neural responses tuned to one or more correlated stimulus features to investigate how limited sampling bias correction procedures affect the statistical power of such independence tests, and we characterize the regimes in which the distribution of information values under the null hypothesis can be approximated by simple distributions (Chi-square or Gaussian). Finally, we apply these tests to experimental data to determine the significance of tuning of the band limited power (BLP) of the gamma [30-100 Hz] frequency range of the primary visual cortical local field potential to multiple correlated features during presentation of naturalistic movies. We show that gamma BLP carries significant, genuine information about orientation, space contrast and time contrast, despite the strong correlations between these features.

Rivalry between afterimages and real images: the influence of the percept and the eye

In binocular rivalry, the conscious percept alternates stochastically between two images shown to the two eyes. Both suppressed and dominant images form afterimages (AIs) whose strength depends on the perceptual state during induction. Counterintuitively, when these two AIs rival, the AI of the previously suppressed percept gains initial dominance, even when it is weaker. Here, we examined rivalry between afterimages, between real images, and between both to examine eye-based and binocular contributions to this effect. In all experiments, we found that for both AIs and real images, the suppressed percept consistently gained initial dominance following a long suppression period. Dominance reversals failed to occur following short suppression periods and depended on an abrupt change (removal) of the stimulus. With real images, results were replicated also when eye channels were exchanged during the abrupt change. The initial dominance of the weaker, previously suppressed percept is thus not due to its weaker contrast, to it being an afterimage, or to monocular adaptation effects as previously suggested. Instead, it is due to binocular, higher level effects that favor a perceptual switch after prolonged dominance. We discuss a plausible neural account for these findings in terms of neural interactions between binocular and eye-related stages.

Visual motion responses in the posterior cingulate sulcus: a comparison to V5/MT and MST

Motion processing regions apart from V5+/MT+ are still relatively poorly understood. Here, we used functional magnetic resonance imaging to perform a detailed functional analysis of the recently described cingulate sulcus visual area (CSv) in the dorsal posterior cingulate cortex. We used distinct types of visual motion stimuli to compare CSv with V5/MT and MST, including a visual pursuit paradigm. Both V5/MT and MST preferred 3D flow over 2D planar motion, responded less yet substantially to random motion, had a strong preference for contralateral versus ipsilateral stimulation, and responded nearly equally to contralateral and to full-field stimuli. In contrast, CSv had a pronounced preference to 2D planar motion over 3D flow, did not respond to random motion, had a weak and nonsignificant lateralization that was significantly smaller than that of MST, and strongly preferred full-field over contralateral stimuli. In addition, CSv had a better capability to integrate eye movements with retinal motion compared with V5/MT and MST. CSv thus differs from V5+/MT+ by its unique preference to full-field, coherent, and planar motion cues. These results place CSv in a good position to process visual cues related to self-induced motion, in particular those associated to eye or lateral head movements.

Realignment strategies for awake-monkey fMRI data

Functional magnetic resonance imaging (fMRI) experiments with awake nonhuman primates (NHPs) have recently seen a surge of applications. However, the standard fMRI analysis tools designed for human experiments are not optimal for NHP data collected at high fields. One major difference is the experimental setup. Although real head movement is impossible for NHPs, MRI image series often contain visible motion artifacts. Animal body movement results in image position changes and geometric distortions. Since conventional realignment methods are not appropriate to address such differences, algorithms tailored specifically for animal scanning become essential. We have implemented a series of high-field NHP specific methods in a software toolbox, fMRI Sandbox (http://kyb.tuebingen.mpg.de/~stoewer/), which allows us to use different realignment strategies. Here we demonstrate the effect of different realignment strategies on the analysis of awake-monkey fMRI data acquired at high field (7 T). We show that the advantage of using a nonstandard realignment algorithm depends on the amount of distortion in the dataset. While the benefits for less distorted datasets are minor, the improvement of statistical maps for heavily distorted datasets is significant.

Creep Behavior and Microstructural Stability of Ti-46Al-9Nb with Different Microstructures

In this paper the creep behavior and the microstructural stability of Ti-46Al-9Nb (in at.%) sheet material were investigated in the temperature range of 700°C to 815°C. The study involves three different types of microstructure, namely fully lamellar with narrow lamellar spacing, duplex and massively transformed. Short-term creep experiments conducted at 700°C and 225 MPa confirmed that the lamellar microstructure with narrow lamellar spacing exhibits a much higher creep resistance when compared to the massively transformed and duplex ones. During longterm creep tests up to 1500 hours stress exponents (in the range of 4.4 to 5.8) and apparent activation energies (of about 4 eV) have been estimated by means of load and temperature changes, respectively. Both, stress exponents and activation energies suggest that under the applied conditions diffusion-assisted climb of dislocations is the dominant creep mechanism. The thermal stability of the different microstructures under various creep conditions has been analyzed by electron microscopy and X-ray diffraction. Our investigations revealed considerable stress and temperature induced microstructural changes which are reflected in the dissolution of the α2 phase accompanied by precipitation of a Ti/Nb - rich phase situated at grain boundaries. This phase was identified as a ω-related phase with B82-type structure. It was shown, that in particular the duplex microstructure is prone to such microstructural instabilities.

Subharmonic resonant optical excitation of confined acoustic modes in a free-standing semiconductor membrane at GHz frequencies with a high-repetition-rate femtosecond laser

We propose subharmonic resonant optical excitation with femtosecond lasers as a new method for the characterization of phononic and nanomechanical systems in the gigahertz to terahertz frequency range. This method is applied for the investigation of confined acoustic modes in a free-standing semiconductor membrane. By tuning the repetition rate of a femtosecond laser through a subharmonic of a mechanical resonance we amplify the mechanical amplitude, directly measure the linewidth with megahertz resolution, infer the lifetime of the coherently excited vibrational states, accurately determine the system's quality factor, and determine the amplitude of the mechanical motion with femtometer resolution.

Mechanical Anisotropy in Sheets of γ-TiAl Alloys

At room temperature sheets of γ-TiAl exhibit a higher yield stress in the rolling direction than in the transverse direction. Around 700°C the opposite behavior is observed. The texture mainly consists of a modified cube component. The tetragonal c-axis (001) is aligned in the sheet plane transversely to the rolling direction. Taken into account this special texture and the single crystal yield surface of γ-TiAl we conclude that around 700°C the CRSS of super-dislocations is higher than the CRSS of ordinary dislocations. At RT the relation changes to the opposite.

Creep Properties of a High Niobium Containing γ-TiAl Alloy Sheet Material

In this study Ti-46Al-9Nb (at%) sheet material processed by a powder metallurgical route was examined. Subsequent to hot rolling the sheets were subjected to a stress-relief treatment at 1273K for 3 hours. During this heat treatment a fine-grained near gamma microstructure has been formed. 100 hours tensile creep tests under constant load were carried out at 700°C in rolling direction, transverse direction as well as 45° direction. Using the method of load changes a stress exponent of 4.1 was determined. Furthermore, the apparent activation energy was determined in the temperature range of 715 – 775°C. Both stress exponent and activation energy suggest that diffusion assisted dislocation climb is the dominant creep mode. A comparison of these results with those of so-called conventional or so-called “2nd generation” γ-TiAl based alloys, e.g. Ti-46.5Al-4(Cr,Nb,Ta,B) (at%) and Ti-47Al-4(Cr,Mn,Nb,Si,B) (at%), indicates a significantly better creep resistance and a higher activation energy of the high Nb containing alloy. Additionally, internal friction experiments were conducted in order to analyze the deformation behavior under very small strains at elevated temperatures.

Disrupting parietal function prolongs dominance durations in binocular rivalry

Human brain imaging studies of bistable perceptual phenomena revealed that frontal and parietal areas are activated during perceptual switches between the two conflicting percepts. However, these studies do not provide information about causality, i.e., whether activity reports a consequence or a cause of the perceptual change. Here we used functional magnetic resonance imaging to individually localize four parietal regions involved in perceptual switches during binocular rivalry in 15 subjects and subsequently disturbed their neural processing and that of a control site using 2 Hz repetitive transcranial magnetic stimulation (TMS) during binocular rivalry. We found that TMS over one of the sites, the right intraparietal sulcus (IPS), prolonged the periods of stable percepts. Additionally, the more lateralized the blood oxygen level-dependent signal was in IPS, the more lateralized the TMS effects were. Lateralization varied considerably across subjects, with a right-hemispheric bias. Control replay experiments rule out nonspecific effects of TMS on task performance, reaction times, or eye blinks. Our results thus demonstrate a causal, destabilizing, and individually lateralized effect of normal IPS function on perceptual continuity in rivalry. This is in accord with a role of IPS in perceptual selection, relating its role in rivalrous perception to that in attention.

Binocular rivalry: a time dependence of eye and stimulus contributions

In binocular rivalry, the visual percept alternates stochastically between two dichoptically presented stimuli. It is established that both processes related to the eye of origin and binocular, stimulus-related processes account for these fluctuations in conscious perception. Here we studied how their relative contributions vary over time. We applied brief disruptions to rivalry displays, concurrent with an optional eye swap, at varying time intervals after one stimulus became visible (dominant). We found that early in a dominance phase the dominant eye determined the percept by stabilizing its own contribution (regardless of the stimulus), with an additional yet weaker stabilizing contribution of the stimulus (regardless of the eye). Their stabilizing contributions declined in parallel with time so that late in a dominance phase the stimulus (and in some cases also the eye-based) contribution turned negative, favoring a perceptual (or ocular) switch. Our findings show that depending on the time, first processes related to the eye of origin and then those related to the stimulus can have a greater net influence on the stability of the conscious percept. Their co-varying change may be due to feedback from image- to eye-of-origin representations.

Audiovisual interactions in binocular rivalry

When the two eyes are presented with dissimilar images, human observers report alternating percepts-a phenomenon coined binocular rivalry. These perceptual fluctuations reflect competition between the two visual inputs both at monocular and binocular processing stages. Here we investigated the influence of auditory stimulation on the temporal dynamics of binocular rivalry. In three psychophysics experiments, we investigated whether sounds that provide directionally congruent, incongruent, or non-motion information modulate the dominance periods of rivaling visual motion percepts. Visual stimuli were dichoptically presented random-dot kinematograms (RDKs) at different levels of motion coherence. The results show that directional motion sounds rather than auditory input per se influenced the temporal dynamics of binocular rivalry. In all experiments, motion sounds prolonged the dominance periods of the directionally congruent visual motion percept. In contrast, motion sounds abbreviated the suppression periods of the directionally congruent visual motion percepts only when they competed with directionally incongruent percepts. Therefore, analogous to visual contextual effects, auditory motion interacted primarily with consciously perceived visual input rather than visual input suppressed from awareness. Our findings suggest that auditory modulation of perceptual dominance times might be established in a top-down fashion by means of feedback mechanisms.

Integration of EEG source imaging and fMRI during continuous viewing of natural movies

Electroencephalography (EEG) and functional magnetic resonance imaging (fMRI) are noninvasive neuroimaging tools which can be used to measure brain activity with excellent temporal and spatial resolution, respectively. By combining the neural and hemodynamic recordings from these modalities, we can gain better insight into how and where the brain processes complex stimuli, which may be especially useful in patients with different neural diseases. However, due to their vastly different spatial and temporal resolutions, the integration of EEG and fMRI recordings is not always straightforward. One fundamental obstacle has been that paradigms used for EEG experiments usually rely on event-related paradigms, while fMRI is not limited in this regard. Therefore, here we ask whether one can reliably localize stimulus-driven EEG activity using the continuously varying feature intensities occurring in natural movie stimuli presented over relatively long periods of time. Specifically, we asked whether stimulus-driven aspects in the EEG signal would be co-localized with the corresponding stimulus-driven BOLD signal during free viewing of a movie. Secondly, we wanted to integrate the EEG signal directly with the BOLD signal, by estimating the underlying impulse response function (IRF) that relates the BOLD signal to the underlying current density in the primary visual area (V1). We made sequential fMRI and 64-channel EEG recordings in seven subjects who passively watched 2-min-long segments of a James Bond movie. To analyze EEG data in this natural setting, we developed a method based on independent component analysis (ICA) to reject EEG artifacts due to blinks, subject movement, etc., in a way unbiased by human judgment. We then calculated the EEG source strength of this artifact-free data at each time point of the movie within the entire brain volume using low-resolution electromagnetic tomography (LORETA). This provided for every voxel in the brain (i.e., in 3D space) an estimate of the current density at every time point. We then carried out a correlation between the time series of visual contrast changes in the movie with that of EEG voxels. We found the most significant correlations in visual area V1, just as seen in previous fMRI studies (Bartels A, Zeki, S, Logothetis NK. Natural vision reveals regional specialization to local motion and to contrast-invariant, global flow in the human brain. Cereb Cortex 2008;18(3):705-717), but on the time scale of milliseconds rather than of seconds. To obtain an estimate of how the EEG signal relates to the BOLD signal, we calculated the IRF between the BOLD signal and the estimated current density in area V1. We found that this IRF was very similar to that observed using combined intracortical recordings and fMRI experiments in nonhuman primates. Taken together, these findings open a new approach to noninvasive mapping of the brain. It allows, firstly, the localization of feature-selective brain areas during natural viewing conditions with the temporal resolution of EEG. Secondly, it provides a tool to assess EEG/BOLD transfer functions during processing of more natural stimuli. This is especially useful in combined EEG/fMRI experiments, where one can now potentially study neural-hemodynamic relationships across the whole brain volume in a noninvasive manner.

High-speed asynchronous optical sampling with sub-50fs time resolution

We report an ultrafast time-domain spectroscopy system based on high-speed asynchronous optical sampling operating without mechanical scanner. The system uses two 1 GHz femtosecond oscillators that are offset-stabilized using high-bandwidth feedback electronics operating at the tenth repetition rate harmonics. Definition of the offset frequency, i.e. the time-delay scan rate, in the range of a few kilohertz is accomplished using direct-digital-synthesis electronics for the first time. The time-resolution of the system over the full available 1 ns time-delay window is determined by the laser pulse duration and is 45 fs. This represents a three-fold improvement compared to previous approaches where timing jitter was the limiting factor. Two showcase experiments are presented to verify the high time-resolution and sensitivity of the system.

Terahertz emission from lateral photo-Dember currents

The photo-Dember effect is a source of impulsive THz emission following femtosecond pulsed optical excitation. This emission results from the ultrafast spatial separation of electron-hole pairs in strong carrier gradients due to their different diffusion coefficients. The associated time dependent polarization is oriented perpendicular to the excited surface which is inaptly for efficient out coupling of THz radiation. We propose a scheme for generating strong carrier gradients parallel to the excited surface. The resulting photo-Dember currents are oriented in the same direction and emit THz radiation into the favorable direction perpendicular to the surface. This effect is demonstrated for GaAs and In(0.53)Ga(0.47)As. Surprisingly the photo-Dember THz emitters provide higher bandwidth than photoconductive emitters. Multiplexing of phase coherent photo-Dember currents by periodically tailoring the photoexcited spatial carrier distribution gives rise to a strongly enhanced THz emission, which reaches electric field amplitudes comparable to a high-efficiency externally biased photoconductive emitter.

Coding and binding of color and form in visual cortex

The processing of color and form is largely segregated within the visual brain. But there is also evidence to suggest that these features are coded in combination early in visual processing. Here, we combined high-resolution functional magnetic resonance imaging (fMRI) together with multivariate pattern classification to examine where in the visual cortex specific color form "conjunctions" are represented. Human subjects viewed visual displays containing colored spiral patterns. The spiral patterns could be red or green, and oriented either clockwise or counterclockwise, leading to 4 possible stimulus configurations. Two additional displays combined 2 of the above single color-form pairings, leading to double conjunctions. We applied linear classifiers to voxel activation patterns obtained while subjects viewed such displays. Our findings not only show that color and form information is coded across retinotopically defined visual areas, but also that the 2 double-conjunction stimuli can be distinguished. The voxels most informative about conjunctions were distinct from those most informative about color or form alone. Our results indicate that conjunctions of form and color may be coded by separate functional units as early as primary visual cortex. The results of this study have implications for theories concerning the segregation and binding of color and form information.

TIMP-1 Status Measured by Immunohistochemistry in 268 ER Positive Postmenopausal High-Risk Breast Cancer Patients Treated with Adjuvant Tamoxifen: Association to Recurrence Free Survival

Background: A proportion of ER positive breast cancer patients do not benefit from adjuvant tamoxifen treatment. Tamoxifen has been shown to induce apoptosis in human breast cancer cells in vitro and Tissue Inhibitor of Metalloproteinases-1 (TIMP-1) protects cancer cells against apoptosis. We therefore raised the hypothesis that ER positive breast cancer cells with high TIMP-1 immunoreactivity would show reduced benefit to tamoxifen treatment.Material and methods: Tumor tissue from 268 high-risk postmenopausal ER positive breast cancer patients was used for this study. All patients underwent surgery for primary invasive breast cancer. The majority of the patients were lymph node positive: 92% (246/268). Patients were allocated to 1, 2 or 5 years of adjuvant tamoxifen as mono-therapy. Recurrent disease was diagnosed in 33% (89/268) of the patients. Median time to recurrence was 3.1 years and the median time of follow-up was 12.4 years. Archival formalin-fixed and paraffin-embedded primary tumor tissue was used to generate tissue microarrays comprising two, 2 mm cores from each tumor. TIMP-1 immunoreactivity was evaluated using the mouse monoclonal antibody (clone VT7) raised against recombinant human TIMP-1. This antibody exclusively reacts with TIMP-1. A central assessment of TIMP-1 status was performed. Tumors were analysed by bright field microscopy and scored semi-quantitatively as 0 - 3 with regard to the number of stained tumour cells and intensity of the staining. An index combining the number of positive tumor cells and staining intensity was created: low (0-2), median (3-4) and high expression (5-6).Results: IHC was successfully performed in 266 cases. TIMP-1 IHC negative cases were observed in 39% (105/266) of the tumors and 61% (161/266) were TIMP-1 IHC positive. The index combining the number of positive tumor cells and staining intensity showed low expression in 59% (157/266), median expression in 24% (65/266) and high expression in 17% (44/266) of the tumors. TIMP-1 negativity and low TIMP-1 index showed no significant association with tumor grade, tumor size or lymph node status. When performing Kaplan-Meier plots, TIMP-1 expression was not significantly associated with recurrence free survival in univariate analyses (p = 0.1).Conclusion: This study did not confirm our hypothesis that TIMP-1 immunoreactivity in ER positive breast cancer cells are associated with reduced benefit from adjuvant tamoxifen treatment. This is partly in contrast with prior studies on endocrine therapy of metastatic breast cancer (Lipton et al 2008) where high serum TIMP-1 was associated with reduced response to endocrine therapy.

Citation Information: Cancer Res 2009;69(24 Suppl):Abstract nr 2025.

Rapid-scanning terahertz precision spectrometer with more than 6 THz spectral coverage

We report a terahertz time-domain spectrometer with more than 6 THz spectral coverage and 1 GHz resolution based on high-speed asynchronous optical sampling. It operates at 2 kHz scan rate without mechanical delay stage. The frequency error of the system at 60 s acquisition time is determined by comparing a measured water vapor absorption spectrum to data reported in the HITRAN database. The mean error of 87 evaluated absorption lines is 142 MHz.

Visual perception: converging mechanisms of attention, binding, and segmentation?

Visual scenes are cluttered. Recent evidence suggests that areas as early as V1 and V2 help making sense of the scene by segmenting them into distinct objects, separating foreground and background, and binding features.

Lack of TIMP-1 tumor cell immunoreactivity predicts effect of adjuvant anthracycline based chemotherapy in patients (n=647) with primary breast cancer

Abstract #6042

Background: Randomized trials have in general demonstrated that anthracycline-based chemotherapy prolongs disease-free and overall survival as compared to CMF-based regimens. In the Danish Breast Cancer Cooperative Group (DBCG) 89D randomised trial a 21% improvement in overall survival was observed from substitution of methotrexate in the CMF combination with epirubicin. This suggests that the additional effect of anthracyclines is confined to a subset of the patients. We have previously shown that in vitro grown cancer cells devoid of Tissue Inhibitor of Metalloproteinases-1 (TIMP-1) are more sensitive towards chemotherapy than cells expressing TIMP-1 (Davidsen et al., Br J Cancer, 2005). In addition, we have recently published (Schrohl et al., Clin Cancer Res., 2006), that patients with metastatic breast cancer and high levels of TIMP-1 in their primary tumor tissues, have a significantly reduced likelihood of obtaining an objective response to chemotherapy.
 Purpose: The aim of the present study was to evaluate if Tissue Inhibitor of Metalloproteinses-1 (TIMP-1) tumor cell immunoreactivity could be used to identify a subset of patients who benefits from adjuvant chemotherapy.
 Patients and Methods: Formalin fixed paraffin embedded tissue micro arrays from 647 patients who were enrolled in the Danish Breast Cancer Cooperative Group randomized trial 89D comparing adjuvant CMF versus adjuvant CEF were analysed for tumor cell TIMP-1 immunoreactivity. The primary end-point was invasive disease free survival (IDFS). Immunohistochemistry was performed using the anti-TIMP-1 monoclonal antibody VT7 as described previously (Sørensen et al., J. Hist. Cytochem., 2006) and the slides were scored as + or – for positive immunoreactivity.
 Results: Tumor cell TIMP-1 immunoreactivity was found in 75% of the tumor samples. In the CEF treated patients, individuals with TIMP-1 negative tumors had a significant longer IDFS than patients with TIMP-1 positive tumors (p=0.047). The multivariate Cox regression analysis of IDFS showed that CEF was superior to CMF among patients with TIMP-1 negative tumors (HR: 0.51; 95%CI: 0.31 to 0.84, p=0.008), while no significant difference could be demonstrated among patients with TIMP-1 positive tumors (HR: 0.86; 95%CI: 0.66 to 1.11, p=0.24). However, only a non-significanct trend could be demonstrated between TIMP-1 status and CEF versus CMF (p=0.07 for interaction).
 Conclusion: Lack of TIMP-1 tumor cell immunoreactivity seems to predict a favourable effect of epirubicin containing adjuvant therapy in primary breast cancer. However, an independent study is awaited to validate the potential predictive value of TIMP-1 immunoreactivity.

Citation Information: Cancer Res 2009;69(2 Suppl):Abstract nr 6042.

Passively mode-locked 10 GHz femtosecond Ti:sapphire laser

We report a mode-locked Ti:sapphire femtosecond laser emitting 42 fs pulses at a 10 GHz repetition rate. When operated with a spectrally integrated average power greater than 1 W, the associated femtosecond laser frequency comb contains approximately 500 modes, each with power exceeding 1 mW. Spectral broadening in nonlinear microstructured fiber yields comb elements with individual powers greater than 1 nW over approximately 250 nm of spectral bandwidth. The modes of the emitted comb are resolved and imaged with a simple grating spectrometer and digital camera. Combined with absorption spectroscopy of rubidium vapor, this approach permits identification of the mode index and measurement of the carrier envelope offset frequency of the comb.

fMRI and its interpretations: an illustration on directional selectivity in area V5/MT

fMRI is a tool to study brain function noninvasively that can reliably identify sites of neural involvement for a given task. However, to what extent can fMRI signals be related to measures obtained in electrophysiology? Can the blood-oxygen-level-dependent signal be interpreted as spatially pooled spiking activity? Here we combine knowledge from neurovascular coupling, functional imaging and neurophysiology to discuss whether fMRI has succeeded in demonstrating one of the most established functional properties in the visual brain, namely directional selectivity in the motion-processing region V5/MT+. We also discuss differences of fMRI and electrophysiology in their sensitivity to distinct physiological processes. We conclude that fMRI constitutes a complement, not a poor-resolution substitute, to invasive techniques, and that it deserves interpretations that acknowledge its stand as a separate signal.

Experiment LEND of the NASA Lunar Reconnaissance Orbiter for high-resolution mapping of neutron emission of the Moon

The scientific objectives of neutron mapping of the Moon are presented as 3 investigation tasks of NASA's Lunar Reconnaissance Orbiter mission. Two tasks focus on mapping hydrogen content over the entire Moon and on testing the presence of water-ice deposits at the bottom of permanently shadowed craters at the lunar poles. The third task corresponds to the determination of neutron contribution to the total radiation dose at an altitude of 50 km above the Moon. We show that the Lunar Exploration Neutron Detector (LEND) will be capable of carrying out all 3 investigations. The design concept of LEND is presented together with results of numerical simulations of the instrument's sensitivity for hydrogen detection. The sensitivity of LEND is shown to be characterized by a hydrogen detection limit of about 100 ppm for a polar reference area with a radius of 5 km. If the presence of ice deposits in polar "cold traps" is confirmed, a unique record of many millions of years of lunar history would be obtained, by which the history of lunar impacts could be discerned from the layers of water ice and dust. Future applications of a LEND-type instrument for Mars orbital observations are also discussed.

1-GHz repetition rate femtosecond OPO with stabilized offset between signal and idler frequency combs

We report an optical parametric oscillator (OPO) based on periodically poled lithium niobate (PPLN) that is synchronously pumped by a femtosecond Ti:sapphire laser at 1 GHz repetition rate. The signal output has a center wavelength of 1558 nm and its spectral bandwidth amounts to 40 nm. The OPO operates in a regime where the signal- and idler frequency combs exhibit a partial overlap around 1600 nm. In this near-degeneracy region, a beat at the offset between the signal and idler frequency combs is detected. Phase-locking this beat to an external reference stabilizes the spectral envelopes of the signal- and idler output. At the same time, the underlying frequency combs are stabilized relative to each other with an instability of 1.5x10(-17) at 1 s gate time.

Spectrally resolved optical frequency comb from a self-referenced 5 GHz femtosecond laser

We report a mode-locked Ti:sapphire femtosecond laser with 5GHz repetition rate. Spectral broadening of the 24 fs pulses in a microstructured fiber yields an octave-spanning spectrum and permits self-referencing and active stabilization of the emitted femtosecond laser frequency comb (FLFC). The individual modes of the 5 GHz FLFC are resolved with a high-resolution spectrometer based on a virtually imaged phased array spectral disperser. Isolation of single comb elements at a microwatt average power level is demonstrated. The combination of the high-power, frequency-stabilized 5 GHz laser and the straightforward resolution of its many modes will benefit applications in direct frequency comb spectroscopy. Additionally, such a stabilized FLFC should serve as a useful tool for direct mode-by-mode Fourier synthesis of optical waveforms.

Natural vision reveals regional specialization to local motion and to contrast-invariant, global flow in the human brain

Visual changes in feature movies, like in real-live, can be partitioned into global flow due to self/camera motion, local/differential flow due to object motion, and residuals, for example, due to illumination changes. We correlated these measures with brain responses of human volunteers viewing movies in an fMRI scanner. Early visual areas responded only to residual changes, thus lacking responses to equally large motion-induced changes, consistent with predictive coding. Motion activated V5+ (MT+), V3A, medial posterior parietal cortex (mPPC) and, weakly, lateral occipital cortex (LOC). V5+ responded to local/differential motion and depended on visual contrast, whereas mPPC responded to global flow spanning the whole visual field and was contrast independent. mPPC thus codes for flow compatible with unbiased heading estimation in natural scenes and for the comparison of visual flow with nonretinal, multimodal motion cues in it or downstream. mPPC was functionally connected to anterior portions of V5+, whereas laterally neighboring putative homologue of lateral intraparietal area (LIP) connected with frontal eye fields. Our results demonstrate a progression of selectivity from local and contrast-dependent motion processing in V5+ toward global and contrast-independent motion processing in mPPC. The function, connectivity, and anatomical neighborhood of mPPC imply several parallels to monkey ventral intraparietal area (VIP).

Identification of alternatively spliced TIMP-1 mRNA in cancer cell lines and colon cancer tissue

TIMP-1 is a promising new candidate as a prognostic marker in colorectal and breast cancer. We now describe the discovery of two alternatively spliced variants of TIMP-1 mRNA. The two variants lacking exon 2 (del-2) and 5 (del-5), respectively, were identified in human cancer cell lines by RT-PCR. The del-2 variant was, furthermore, detected in extracts from 12 colorectal cancer tissue samples. By western blotting additional bands of lower molecular mass than full-length TIMP-1 were identified in tumor tissue, but not in plasma samples obtained from cancer patients. The two splice variants of TIMP-1 may hold important clinical information, and either alone or in combination with measurement of full-length TIMP-1 they may improve the prognostic and/or predictive value of TIMP-1 analyses.

Ultrafast time-domain spectroscopy based on high-speed asynchronous optical sampling

High-speed asynchronous optical sampling (ASOPS) is a novel technique for ultrafast time-domain spectroscopy (TDS). It employs two mode-locked femtosecond oscillators operating at a fixed repetition frequency difference as sources of pump and probe pulses. We present a system where the 1 GHz pulse repetition frequencies of two Ti:sapphire oscillators are linked at an offset of Deltaf(R)=10 kHz. As a result, their relative time delay is repetitively ramped from zero to 1 ns within a scan time of 100 micros. Mechanical delay scanners common to conventional TDS systems are eliminated, thus systematic errors due to beam pointing instabilities and spot size variations are avoided when long time delays are scanned. Owing to the multikilohertz scan-rate, high-speed ASOPS permits data acquisition speeds impossible with conventional schemes. Within only 1 s of data acquisition time, a signal resolution of 6 x 10(-7) is achieved for optical pump-probe spectroscopy over a time-delay window of 1 ns. When applied to terahertz TDS, the same acquisition time yields high-resolution terahertz spectra with 37 dB signal-to-noise ratio under nitrogen purging of the spectrometer. Spectra with 57 dB are obtained within 2 min. A new approach to perform the offset lock between the two femtosecond oscillators in a master-slave configuration using a frequency shifter at the third harmonic of the pulse repetition frequency is employed. This approach permits an unprecedented time-delay resolution of better than 160 fs. High-speed ASOPS provides the functionality of an all-optical oscilloscope with a bandwidth in excess of 3000 GHz and with 1 GHz frequency resolution.

Dosimetric evaluation of a 2D pixel ionization chamber for implementation in clinical routine

In this paper we present the results of a dosimetric evaluation of a 2D ionization chamber array with the objective of its implementation for quality assurance in clinical routine. The pixel ionization chamber MatriXX (Scanditronix Wellhofer, Germany) consists of 32x32 chambers with a distance of 7.6 mm between chamber centres. The effective depth of measurement under the surface of the detector was determined. The dose and energy dependence, the behaviour of the device during its initial phase and its time stability as well as the lateral response of a single chamber of the detector in cross-plane and diagonal directions were analysed. It could be shown, that the detector's response is linear with dose and energy independent. Taking the lateral response into account, two different dose profiles, for a pyramidal and an IMRT dose distribution, were applied to compare the data generated by a treatment planning system with measurements. From these investigations it can be concluded that the detector is a suitable device for quality assurance and 2D dose verifications.

A low-threshold self-referenced Ti:Sapphire optical frequency comb

We demonstrate an octave-spanning, self-referenced optical frequency comb produced with a high-repetition-rate (frep=585 MHz) femtosecond Ti:Sapphire laser that requires less than 1 W of 532 nm pump power. The frequency comb was stabilized to a CW laser as required for optical clocks and low noise frequency synthesis. These results should be relevant for applications that require more-compact and efficient frequency combs.

The temporal order of binding visual attributes

The brain processes distinct attributes such as colour and motion in anatomically largely segregated systems. Moreover, these two attributes are perceived with different latencies. Here, we show that the time required to bind these two attributes differs too. In psychophysical experiments, we determined minimal presentation times required to perceptually pair spatially separate pairs of stimuli consisting of colour or motion. Binding two colours required longer presentation times than binding the directions of two moving stimuli. Cross-attribute binding between colour and motion took longer than within-attribute binding. This was so even when the relative perceptual delay between colour and motion was compensated for, which accelerated colour-motion binding. Moreover, stimuli could be discriminated but not bound at fast presentation rates. Our results thus show that spatial binding is an attribute-specific process and faster within the same than across different attributes. Furthermore, the time required to bind attributes is independent of that required to process them, since colour is perceived before motion but requires longer time for binding. Finally, our results suggest that binding acts on attribute-specific neural representations of the stimuli at a late, perceptually explicit stage. These results lead us to conclude that spatial binding is separate from, and subsequent to, stimulus processing and that it is an attribute-dependent and post-conscious process.

Octave-spanning Ti:sapphire laser with a repetition rate >1 ghz for optical frequency measurements and comparisons

We demonstrate a self-referenced, octave-spanning, mode-locked Ti:sapphire laser with a scalable repetition rate (550 MHz - 1.35 GHz). We use the frequency comb output of the laser, without additional broadening in optical fiber, for simultaneous measurements against atomic optical standards at 534, 578, 563, and 657 nm and to stabilize the laser offset frequency.

High-resolution THz spectrometer with kHz scan rates

We demonstrate a rapid scanning high-resolution THz spectrometer capable of acquiring THz field transients with 1 ns duration without mechanical delay line. The THz spectrometer is based on two 1-GHz Ti:sapphire femtosecond lasers which are linked with a fixed repetition rate difference in order to perform high-speed asynchronous optical sampling. One laser drives a high-efficiency large-area GaAs based THz emitter, the other laser is used for electro-optic detection of the emitted THz-field. At a scan rate of 9 kHz a time resolution of 230 fs is accomplished. High-resolution spectra from 50 GHz up to 3 THz are obtained and water absorption lines with a width of 11 GHz are observed. The use of femtosecond lasers with 1 GHz repetition rate is essential to obtain rapid scanning and high time-resolution at the same time.

The chronoarchitecture of the cerebral cortex

We review here a new approach to mapping the human cerebral cortex into distinct subdivisions. Unlike cytoarchitecture or traditional functional imaging, it does not rely on specific anatomical markers or functional hypotheses. Instead, we propose that the unique activity time course (ATC) of each cortical subdivision, elicited during natural conditions, acts as a temporal fingerprint that can be used to segregate cortical subdivisions, map their spatial extent, and reveal their functional and potentially anatomical connectivity. We argue that since the modular organisation of the brain and its connectivity evolved and developed in natural conditions, these are optimal for revealing its organisation. We review the concepts, methodology and first results of this approach, relying on data obtained with functional magnetic resonance imaging (fMRI) when volunteers viewed traditional stimuli or a James Bond movie. Independent component analysis (ICA) was used to identify voxels belonging to distinct functional subdivisions, based on their differential spatio-temporal fingerprints. Many more regions could be segregated during natural viewing, demonstrating that the complexity of natural stimuli leads to more differential responses in more functional modules. We demonstrate that, in a single experiment, a multitude of distinct regions can be identified across the whole brain, even within the visual cortex, including areas V1, V4 and V5. This differentiation is based entirely on the differential ATCs of different areas during natural viewing. Distinct areas can therefore be identified without any a priori hypothesis about their function or spatial location. The areas we identified corresponded anatomically across subjects, and their ATCs showed highly area-specific inter-subject correlations. Furthermore, natural conditions led to a significant de-correlation of interregional ATCs compared to rest, indicating an increase in regional specificity during natural conditions. In contrast, the correlation between ATCs of distant regions of known substantial anatomical connections increased and reflected their known anatomical connectivity pattern. We demonstrate this using the example of the language network involving Broca's and Wernicke's area and homologous areas in the two hemispheres. In conclusion, this new approach to brain mapping may not only serve to identify novel functional subdivisions, but to reveal their connectivity as well.

High-resolution spectroscopy with a femtosecond laser frequency comb

The output of a mode-locked femtosecond laser is used for precision single-photon spectroscopy of 133Cs in an atomic beam. By changing the laser's repetition rate, the cesium D1 (6s 2S(1/2)-->6p 2P(1/2)) and D2 (6s 2S(1/2)-->6p 2P(3/2)) transitions are detected and the optical frequencies are measured with accuracy similar to that obtained with a cw laser. Control of the femtosecond laser repetition rate by use of the atomic fluorescence is also implemented, thus realizing a simple cesium optical clock.

Asynchronous optical sampling for high-speed characterization of integrated resonant terahertz sensors

Two femtosecond Ti:sapphire lasers with slightly different repetition rates near 1 GHz are coupled to implement high-speed asynchronous optical sampling. The application of this technique is successfully demonstrated in the field of terahertz time-domain spectroscopy (TDS). A time delay of 1 ns is scanned at a frequency of 5 kHz without moving mechanical parts. Compared with that of conventional TDS schemes based on lock-in detection and moving mirrors, the readout time of integrated resonant THz sensors is reduced by a factor of 20, opening the way for high-throughput THz sensing in marker-free DNA analysis.

Femtosecond-laser-based synthesis of ultrastable microwave signals from optical frequency references

We use femtosecond laser frequency combs to convert optical frequency references to the microwave domain, where we demonstrate the synthesis of 10-GHz signals having a fractional frequency instability of < or =3.5 x 10(-15) at a 1-s averaging time, limited by the optical reference. The residual instability and phase noise of the femtosecond-laser-based frequency synthesizers are 6.5 x 10(-16) at 1 s and -98 dBc/Hz at a 1-Hz offset from the 10-GHz carrier, respectively. The timing jitter of the microwave signals is 3.3 fs.

Brain dynamics during natural viewing conditions—A new guide for mapping connectivity in vivo

We describe here a new way of obtaining maps of connectivity in the human brain based on interregional correlations of blood oxygen level-dependent (BOLD) signal during natural viewing conditions. We propose that anatomical connections are reflected in BOLD signal correlations during natural brain dynamics. This may provide a powerful approach to chart connectivity, more so than that based on the 'resting state' of the human brain, and it may complement diffusion tensor imaging. Our approach relies on natural brain dynamics and is therefore experimentally unbiased and independent of hypothesis-driven, specialized stimuli. It has the advantage that natural viewing leads to considerably stronger cortical activity than rest, thus facilitating detection of weaker connections. To validate our technique, we used functional magnetic resonance imaging (fMRI) to record BOLD signal while volunteers freely viewed a movie that was interrupted by resting periods. We used independent component analysis (ICA) to segregate cortical areas before characterizing the dynamics of their BOLD signal during free viewing and rest. Natural viewing and rest each revealed highly specific correlation maps, which reflected known anatomical connections. Examples are homologous regions in visual and auditory cortices in the two hemispheres and the language network consisting of Wernicke's area, Broca's area, and a premotor region. Correlations between regions known to be directly connected were always substantially higher than between nonconnected regions. Furthermore, compared to rest, natural viewing specifically increased correlations between anatomically connected regions while it decreased correlations between nonconnected regions. Our findings therefore demonstrate that natural viewing conditions lead to particularly specific interregional correlations and thus provide a powerful environment to reveal anatomical connectivity in vivo.

Stabilization of femtosecond laser frequency combs with subhertz residual linewidths

We demonstrate that femtosecond laser frequency combs (FLFCs) can have a subhertz linewidth across their entire emission spectra when they are phase locked to a reference laser with a similarly narrow linewidth. Correspondingly, the coherence time of the comb components relative to the reference laser can be of the order of a few seconds. Thus we are able to detect high-contrast spectral interferograms at up to 10-s integration time between two FLFCs locked to a common optical reference.