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Kastenschmidt JM, Schroers-Martin JG, Sworder BJ, Sureshchandra S, Khodadoust MS, Liu CL, Olsen M, Kurtz DM, Diehn M, Wagar LE, Alizadeh AA. A human lymphoma organoid model for evaluating and targeting the follicular lymphoma tumor immune microenvironment. Cell Stem Cell 2024; 31:410-420.e4. [PMID: 38402619 PMCID: PMC10960522 DOI: 10.1016/j.stem.2024.01.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2023] [Revised: 12/11/2023] [Accepted: 01/30/2024] [Indexed: 02/27/2024]
Abstract
Heterogeneity in the tumor microenvironment (TME) of follicular lymphomas (FLs) can affect clinical outcomes. Current immunotherapeutic strategies, including antibody- and cell-based therapies, variably overcome pro-tumorigenic mechanisms for sustained disease control. Modeling the intact FL TME, with its native, syngeneic tumor-infiltrating leukocytes, is a major challenge. Here, we describe an organoid culture method for cultivating patient-derived lymphoma organoids (PDLOs), which include cells from the native FL TME. We define the robustness of this method by successfully culturing cryopreserved FL specimens from diverse patients and demonstrate the stability of TME cellular composition, tumor somatic mutations, gene expression profiles, and B/T cell receptor dynamics over 3 weeks. PDLOs treated with CD3:CD19 and CD3:CD20 therapeutic bispecific antibodies showed B cell killing and T cell activation. This stable system offers a robust platform for advancing precision medicine efforts in FL through patient-specific modeling, high-throughput screening, TME signature identification, and treatment response evaluation.
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Affiliation(s)
- Jenna M Kastenschmidt
- Department of Physiology & Biophysics, University of California, Irvine, Irvine, CA 92617, USA; Institute for Immunology, University of California, Irvine, Irvine, CA 92617, USA; Chao Family Comprehensive Cancer Center, University of California, Irvine, Irvine, CA 92617, USA; Cancer Research Institute, University of California, Irvine, Irvine, CA 92617, USA
| | | | - Brian J Sworder
- Division of Oncology, Department of Medicine, Stanford University, Stanford, CA 94305, USA
| | - Suhas Sureshchandra
- Department of Physiology & Biophysics, University of California, Irvine, Irvine, CA 92617, USA; Institute for Immunology, University of California, Irvine, Irvine, CA 92617, USA; Chao Family Comprehensive Cancer Center, University of California, Irvine, Irvine, CA 92617, USA; Cancer Research Institute, University of California, Irvine, Irvine, CA 92617, USA
| | - Michael S Khodadoust
- Division of Oncology, Department of Medicine, Stanford University, Stanford, CA 94305, USA; Stanford Cancer Institute, Stanford University, Stanford, CA 94305, USA
| | - Chih Long Liu
- Division of Oncology, Department of Medicine, Stanford University, Stanford, CA 94305, USA
| | - Mari Olsen
- Division of Oncology, Department of Medicine, Stanford University, Stanford, CA 94305, USA
| | - David M Kurtz
- Division of Oncology, Department of Medicine, Stanford University, Stanford, CA 94305, USA; Stanford Cancer Institute, Stanford University, Stanford, CA 94305, USA
| | - Maximilian Diehn
- Stanford Cancer Institute, Stanford University, Stanford, CA 94305, USA; Department of Radiation Oncology, Stanford University, Stanford, CA 94305, USA; Institute for Stem Cell Biology and Regenerative Medicine, Stanford University, Stanford, CA 94305, USA
| | - Lisa E Wagar
- Department of Physiology & Biophysics, University of California, Irvine, Irvine, CA 92617, USA; Institute for Immunology, University of California, Irvine, Irvine, CA 92617, USA; Chao Family Comprehensive Cancer Center, University of California, Irvine, Irvine, CA 92617, USA; Cancer Research Institute, University of California, Irvine, Irvine, CA 92617, USA.
| | - Ash A Alizadeh
- Division of Oncology, Department of Medicine, Stanford University, Stanford, CA 94305, USA; Division of Hematology, Department of Medicine, Stanford University, Stanford, CA 94305, USA; Stanford Cancer Institute, Stanford University, Stanford, CA 94305, USA; Institute for Stem Cell Biology and Regenerative Medicine, Stanford University, Stanford, CA 94305, USA
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2
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Alig SK, Shahrokh Esfahani M, Garofalo A, Li MY, Rossi C, Flerlage T, Flerlage JE, Adams R, Binkley MS, Shukla N, Jin MC, Olsen M, Telenius A, Mutter JA, Schroers-Martin JG, Sworder BJ, Rai S, King DA, Schultz A, Bögeholz J, Su S, Kathuria KR, Liu CL, Kang X, Strohband MJ, Langfitt D, Pobre-Piza KF, Surman S, Tian F, Spina V, Tousseyn T, Buedts L, Hoppe R, Natkunam Y, Fornecker LM, Castellino SM, Advani R, Rossi D, Lynch R, Ghesquières H, Casasnovas O, Kurtz DM, Marks LJ, Link MP, André M, Vandenberghe P, Steidl C, Diehn M, Alizadeh AA. Distinct Hodgkin lymphoma subtypes defined by noninvasive genomic profiling. Nature 2024; 625:778-787. [PMID: 38081297 DOI: 10.1038/s41586-023-06903-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2022] [Accepted: 11/28/2023] [Indexed: 01/06/2024]
Abstract
The scarcity of malignant Hodgkin and Reed-Sternberg cells hampers tissue-based comprehensive genomic profiling of classic Hodgkin lymphoma (cHL). By contrast, liquid biopsies show promise for molecular profiling of cHL due to relatively high circulating tumour DNA (ctDNA) levels1-4. Here we show that the plasma representation of mutations exceeds the bulk tumour representation in most cases, making cHL particularly amenable to noninvasive profiling. Leveraging single-cell transcriptional profiles of cHL tumours, we demonstrate Hodgkin and Reed-Sternberg ctDNA shedding to be shaped by DNASE1L3, whose increased tumour microenvironment-derived expression drives high ctDNA concentrations. Using this insight, we comprehensively profile 366 patients, revealing two distinct cHL genomic subtypes with characteristic clinical and prognostic correlates, as well as distinct transcriptional and immunological profiles. Furthermore, we identify a novel class of truncating IL4R mutations that are dependent on IL-13 signalling and therapeutically targetable with IL-4Rα-blocking antibodies. Finally, using PhasED-seq5, we demonstrate the clinical value of pretreatment and on-treatment ctDNA levels for longitudinally refining cHL risk prediction and for detection of radiographically occult minimal residual disease. Collectively, these results support the utility of noninvasive strategies for genotyping and dynamic monitoring of cHL, as well as capturing molecularly distinct subtypes with diagnostic, prognostic and therapeutic potential.
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Affiliation(s)
- Stefan K Alig
- Department of Medicine, Divisions of Oncology and Hematology, Stanford University, Stanford, CA, USA
| | | | - Andrea Garofalo
- Department of Medicine, Divisions of Oncology and Hematology, Stanford University, Stanford, CA, USA
| | - Michael Yu Li
- Centre for Lymphoid Cancer, British Columbia Cancer, Vancouver, British Columbia, Canada
| | - Cédric Rossi
- Department of Medicine, Divisions of Oncology and Hematology, Stanford University, Stanford, CA, USA
- Hematology Department, University Hospital F. Mitterrand and Inserm UMR 1231, Dijon, France
| | - Tim Flerlage
- Department of Infectious Diseases, St Jude Children's Research Hospital, Memphis, TN, USA
| | - Jamie E Flerlage
- Department of Oncology, St Jude Children's Research Hospital, Memphis, TN, USA
| | - Ragini Adams
- Department of Pediatrics, Division of Pediatric Hematology and Oncology, Stanford University, Stanford, CA, USA
| | - Michael S Binkley
- Department of Radiation Oncology, Stanford University Medical Center, Stanford, CA, USA
| | - Navika Shukla
- Department of Medicine, Divisions of Oncology and Hematology, Stanford University, Stanford, CA, USA
| | - Michael C Jin
- Department of Medicine, Divisions of Oncology and Hematology, Stanford University, Stanford, CA, USA
| | - Mari Olsen
- Department of Medicine, Divisions of Oncology and Hematology, Stanford University, Stanford, CA, USA
| | - Adèle Telenius
- Centre for Lymphoid Cancer, British Columbia Cancer, Vancouver, British Columbia, Canada
| | - Jurik A Mutter
- Department of Medicine, Divisions of Oncology and Hematology, Stanford University, Stanford, CA, USA
| | - Joseph G Schroers-Martin
- Department of Medicine, Divisions of Oncology and Hematology, Stanford University, Stanford, CA, USA
| | - Brian J Sworder
- Department of Medicine, Divisions of Oncology and Hematology, Stanford University, Stanford, CA, USA
| | - Shinya Rai
- Centre for Lymphoid Cancer, British Columbia Cancer, Vancouver, British Columbia, Canada
| | - Daniel A King
- Department of Medicine, Divisions of Oncology and Hematology, Stanford University, Stanford, CA, USA
| | - Andre Schultz
- Department of Medicine, Divisions of Oncology and Hematology, Stanford University, Stanford, CA, USA
| | - Jan Bögeholz
- Department of Medicine, Divisions of Oncology and Hematology, Stanford University, Stanford, CA, USA
| | - Shengqin Su
- Department of Radiation Oncology, Stanford University Medical Center, Stanford, CA, USA
| | - Karan R Kathuria
- Department of Medicine, Divisions of Oncology and Hematology, Stanford University, Stanford, CA, USA
| | - Chih Long Liu
- Department of Medicine, Divisions of Oncology and Hematology, Stanford University, Stanford, CA, USA
| | - Xiaoman Kang
- Department of Medicine, Divisions of Oncology and Hematology, Stanford University, Stanford, CA, USA
| | - Maya J Strohband
- Department of Medicine, Divisions of Oncology and Hematology, Stanford University, Stanford, CA, USA
| | - Deanna Langfitt
- Department of Bone Marrow Transplant and Cellular Therapy, St Jude Children's Research Hospital, Memphis, TN, USA
| | | | - Sherri Surman
- Department of Infectious Diseases, St Jude Children's Research Hospital, Memphis, TN, USA
| | - Feng Tian
- Department of Medicine, Divisions of Oncology and Hematology, Stanford University, Stanford, CA, USA
| | - Valeria Spina
- Laboratory of Molecular Diagnostics, Department of Medical Genetics EOLAB, Bellinzona, Switzerland
| | - Thomas Tousseyn
- Department of Imaging and Pathology, KU Leuven, Leuven, Belgium
| | | | - Richard Hoppe
- Department of Radiation Oncology, Stanford University Medical Center, Stanford, CA, USA
| | | | - Luc-Matthieu Fornecker
- Institut de Cancérologie Strasbourg Europe (ICANS) and University of Strasbourg, Strasbourg, France
| | - Sharon M Castellino
- Department of Pediatrics, Emory University, Aflac Cancer and Blood Disorders Center, Children's Healthcare of Atlanta, Atlanta, GA, USA
| | - Ranjana Advani
- Department of Medicine, Divisions of Oncology and Hematology, Stanford University, Stanford, CA, USA
| | - Davide Rossi
- Clinic of Hematology, Oncology Institute of Southern Switzerland, Ente Ospedaliero Cantonale, Bellinzona, Switzerland
- Laboratory of Experimental Hematology, Institute of Oncology Research, Bellinzona, Switzerland
- Faculty of Biomedical Sciences, Università della Svizzera Italiana, Lugano, Switzerland
| | - Ryan Lynch
- Clinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, WA, USA
| | - Hervé Ghesquières
- Department of Hematology, Centre Hospitalier Lyon Sud, Hospices Civils de Lyon, Pierre Benite, France
| | - Olivier Casasnovas
- Hematology Department, University Hospital F. Mitterrand and Inserm UMR 1231, Dijon, France
| | - David M Kurtz
- Department of Medicine, Divisions of Oncology and Hematology, Stanford University, Stanford, CA, USA
| | - Lianna J Marks
- Department of Pediatrics, Division of Pediatric Hematology and Oncology, Stanford University, Stanford, CA, USA
| | - Michael P Link
- Department of Pediatrics, Division of Pediatric Hematology and Oncology, Stanford University, Stanford, CA, USA
| | - Marc André
- Department of Haematology, Université Catholique de Louvain, CHU UCL Namur, Yvoir, Belgium
| | - Peter Vandenberghe
- Department of Human Genetics, KU Leuven, Leuven, Belgium
- Department of Hematology, University Hospitals Leuven, Leuven, Belgium
| | - Christian Steidl
- Centre for Lymphoid Cancer, British Columbia Cancer, Vancouver, British Columbia, Canada
| | - Maximilian Diehn
- Department of Radiation Oncology, Stanford University Medical Center, Stanford, CA, USA.
| | - Ash A Alizadeh
- Department of Medicine, Divisions of Oncology and Hematology, Stanford University, Stanford, CA, USA.
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Nguyen VT, Sharp MK, Superchi C, Baron G, Glonti K, Blanco D, Olsen M, Vo Tat TT, Olarte Parra C, Névéol A, Hren D, Ravaud P, Boutron I. Biomedical doctoral students' research practices when facing dilemmas: two vignette-based randomized control trials. Sci Rep 2023; 13:16371. [PMID: 37773192 PMCID: PMC10541422 DOI: 10.1038/s41598-023-42121-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2023] [Accepted: 09/05/2023] [Indexed: 10/01/2023] Open
Abstract
Our aim was to describe the research practices of doctoral students facing a dilemma to research integrity and to assess the impact of inappropriate research environments, i.e. exposure to (a) a post-doctoral researcher who committed a Detrimental Research Practice (DRP) in a similar situation and (b) a supervisor who did not oppose the DRP. We conducted two 2-arm, parallel-group randomized controlled trials. We created 10 vignettes describing a realistic dilemma with two alternative courses of action (good practice versus DRP). 630 PhD students were randomized through an online system to a vignette (a) with (n = 151) or without (n = 164) exposure to a post-doctoral researcher; (b) with (n = 155) or without (n = 160) exposure to a supervisor. The primary outcome was a score from - 5 to + 5, where positive scores indicated the choice of DRP and negative scores indicated good practice. Overall, 37% of unexposed participants chose to commit DRP with important variation across vignettes (minimum 10%; maximum 66%). The mean difference [95%CI] was 0.17 [- 0.65 to 0.99;], p = 0.65 when exposed to the post-doctoral researcher, and 0.79 [- 0.38; 1.94], p = 0.16, when exposed to the supervisor. In conclusion, we did not find evidence of an impact of postdoctoral researchers and supervisors on student research practices.Trial registration: NCT04263805, NCT04263506 (registration date 11 February 2020).
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Affiliation(s)
- V T Nguyen
- Centre for Research in Epidemiology and Statistics (CRESS), Université Paris Cité and Université Sorbonne Paris Nord, Inserm, INRAE, 75004, Paris, France
- Department of Health Services Research, Institute of Population Health Sciences, University of Liverpool, Liverpool, UK
| | - M K Sharp
- Centre for Research in Epidemiology and Statistics (CRESS), Université Paris Cité and Université Sorbonne Paris Nord, Inserm, INRAE, 75004, Paris, France
- Department of Psychology, Faculty of Humanities and Social Sciences, University of Split, Split, Croatia
- Royal College of Surgeons in Ireland University of Medicine and Health Sciences, Dublin, Ireland
| | - C Superchi
- Centre for Research in Epidemiology and Statistics (CRESS), Université Paris Cité and Université Sorbonne Paris Nord, Inserm, INRAE, 75004, Paris, France
- Statistics and Operations Research Department, Barcelona-Tech, UPC, Barcelona, Spain
| | - G Baron
- Centre for Research in Epidemiology and Statistics (CRESS), Université Paris Cité and Université Sorbonne Paris Nord, Inserm, INRAE, 75004, Paris, France
- Centre d'Epidémiologie Clinique, AP-HP, Hôpital Hôtel Dieu, 75004, Paris, France
| | - K Glonti
- Centre for Research in Epidemiology and Statistics (CRESS), Université Paris Cité and Université Sorbonne Paris Nord, Inserm, INRAE, 75004, Paris, France
- Department of Psychology, Faculty of Humanities and Social Sciences, University of Split, Split, Croatia
| | - D Blanco
- Centre for Research in Epidemiology and Statistics (CRESS), Université Paris Cité and Université Sorbonne Paris Nord, Inserm, INRAE, 75004, Paris, France
- Department of Physiotherapy, Universitat Internacional de Catalunya, Barcelona, Spain
| | - M Olsen
- Centre for Research in Epidemiology and Statistics (CRESS), Université Paris Cité and Université Sorbonne Paris Nord, Inserm, INRAE, 75004, Paris, France
- Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands
| | - T T Vo Tat
- Centre for Research in Epidemiology and Statistics (CRESS), Université Paris Cité and Université Sorbonne Paris Nord, Inserm, INRAE, 75004, Paris, France
- Department of Statistics and Data Science, The Wharton School, University of Pennsylvania, Philadelphia, USA
| | - C Olarte Parra
- Centre for Research in Epidemiology and Statistics (CRESS), Université Paris Cité and Université Sorbonne Paris Nord, Inserm, INRAE, 75004, Paris, France
- Department of Applied Mathematics, Computer Science and Statistics, Ghent University, Ghent, Belgium
| | | | - D Hren
- Department of Psychology, Faculty of Humanities and Social Sciences, University of Split, Split, Croatia
| | - P Ravaud
- Centre for Research in Epidemiology and Statistics (CRESS), Université Paris Cité and Université Sorbonne Paris Nord, Inserm, INRAE, 75004, Paris, France
- Centre d'Epidémiologie Clinique, AP-HP, Hôpital Hôtel Dieu, 75004, Paris, France
| | - I Boutron
- Centre for Research in Epidemiology and Statistics (CRESS), Université Paris Cité and Université Sorbonne Paris Nord, Inserm, INRAE, 75004, Paris, France.
- Centre d'Epidémiologie Clinique, AP-HP, Hôpital Hôtel Dieu, 75004, Paris, France.
- Centre d'Épidémiologie Clinique, Hôpital Hôtel Dieu, 1 place du Parvis Notre-Dame, Cedex 4, 75089, Paris, France.
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Esfahani MS, Alig S, Hamilton E, Schroers-Martin J, Sworder B, Boegeholz J, Olsen M, Liu CL, Kurtz D, Diehn M, Alizadeh A. Abstract 1045: RePhyNER: Overcoming limitations of access to matched germline for serial liquid biopsy applications. Cancer Res 2023. [DOI: 10.1158/1538-7445.am2023-1045] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/07/2023]
Abstract
Abstract
Background: Comparison of a blood or tissue sample with a matched germline control is a key step for accurate detection of somatic mutations. This is particularly important for tracking minimal residual disease (MRD), since alterations erroneously considered to be tumor derived may lead to false detection. Use of blood leukocytes as a germline control is critical not only for appropriate censoring of constitutional allelic variants, but also for addressing those associated with clonal hematopoiesis (CH). However, such matched germline is not always available, or may be suboptimal when contaminated with tumor cells. We hypothesized that accurate tumor genotyping might be feasible without a matched germline, using a dedicated algorithmic framework relying on clonal relationships of alleles of interest (i.e., phylons).
Methods: Here, we introduce RePhyNER (Recursive Phylon Nomination, Enumeration, and Recovery), an algorithm for addressing this challenge in serial liquid biopsies. RePhyNER relies on the assumption that when comparing two specimens from the same individual (e.g., before and after therapy), the genomic variants of interests (e.g., tumor somatic mutations) behave differently in their allelic levels when compared to variants needing to be censored (e.g., germline constitutional alleles or CH). Using the change in mean allelic level of all variants in ≥2 samples, RePhyNER relies on a recursive approach to test each candidate somatic variant’s corresponding change gradient against this distribution using count-based statistics.
Results: We used simulations to assess the importance of multiple parameters including fraction of contaminating variants or alleles and mean allelic fold-change. These simulations showed substantially superior performance of a recursive approach and revealed that for ≥2-fold changes in the mean VAF in a pair of samples, RePhyNER accurately removed >99% of contaminating alleles while preserving ~100% of true variants. We then applied RePhyNER to 108 plasma cell-free DNA (cfDNA) samples from 47 patients with classic Hodgkin Lymphoma (cHL) profiled by PhasED-Seq and compared MRD-detection performance with or without matched germline. RePhyNER substantially improved specificity by ~30% (68% vs 99%), and Precision by ~50% (46% vs 96%), while only modestly reducing sensitivity (100% vs 91%). We next applied PhasED-Seq to a cohort of cHL patients (n=65) without matched germline information. MRD positivity within the first 2 cycles of therapy was associated with inferior outcome when using RePhyNER (P<0.05 vs ns), correctly reclassifying 26% of detected patients to undetected.
Conclusions: RePhyNER enables germline-free and accurate genotyping for MRD detection. Notably, RePhyNER obviates the need for additional germline profiling overcoming key limitations described above and avoids the additional associated costs of sequencing.
Citation Format: Mohammad Shahrokh Esfahani, Stefan Alig, Emily Hamilton, Joseph Schroers-Martin, Brian Sworder, Jan Boegeholz, Mari Olsen, Chih Long Liu, David Kurtz, Maximilian Diehn, Ash Alizadeh. RePhyNER: Overcoming limitations of access to matched germline for serial liquid biopsy applications [abstract]. In: Proceedings of the American Association for Cancer Research Annual Meeting 2023; Part 1 (Regular and Invited Abstracts); 2023 Apr 14-19; Orlando, FL. Philadelphia (PA): AACR; Cancer Res 2023;83(7_Suppl):Abstract nr 1045.
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Affiliation(s)
| | - Stefan Alig
- 1Stanford University School of Medicine, Stanford, CA
| | | | | | - Brian Sworder
- 1Stanford University School of Medicine, Stanford, CA
| | - Jan Boegeholz
- 1Stanford University School of Medicine, Stanford, CA
| | - Mari Olsen
- 1Stanford University School of Medicine, Stanford, CA
| | - Chih Long Liu
- 1Stanford University School of Medicine, Stanford, CA
| | - David Kurtz
- 1Stanford University School of Medicine, Stanford, CA
| | | | - Ash Alizadeh
- 1Stanford University School of Medicine, Stanford, CA
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5
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Mutter JA, Alig SK, Esfahani MS, Lauer EM, Mitschke J, Kurtz DM, Kühn J, Bleul S, Olsen M, Liu CL, Jin MC, Macaulay CW, Neidert N, Volk T, Eisenblaetter M, Rauer S, Heiland DH, Finke J, Duyster J, Wehrle J, Prinz M, Illerhaus G, Reinacher PC, Schorb E, Diehn M, Alizadeh AA, Scherer F. Circulating Tumor DNA Profiling for Detection, Risk Stratification, and Classification of Brain Lymphomas. J Clin Oncol 2023; 41:1684-1694. [PMID: 36542815 PMCID: PMC10419411 DOI: 10.1200/jco.22.00826] [Citation(s) in RCA: 16] [Impact Index Per Article: 16.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2022] [Revised: 09/26/2022] [Accepted: 11/08/2022] [Indexed: 12/24/2022] Open
Abstract
PURPOSE Clinical outcomes of patients with CNS lymphomas (CNSLs) are remarkably heterogeneous, yet identification of patients at high risk for treatment failure is challenging. Furthermore, CNSL diagnosis often remains unconfirmed because of contraindications for invasive stereotactic biopsies. Therefore, improved biomarkers are needed to better stratify patients into risk groups, predict treatment response, and noninvasively identify CNSL. PATIENTS AND METHODS We explored the value of circulating tumor DNA (ctDNA) for early outcome prediction, measurable residual disease monitoring, and surgery-free CNSL identification by applying ultrasensitive targeted next-generation sequencing to a total of 306 tumor, plasma, and CSF specimens from 136 patients with brain cancers, including 92 patients with CNSL. RESULTS Before therapy, ctDNA was detectable in 78% of plasma and 100% of CSF samples. Patients with positive ctDNA in pretreatment plasma had significantly shorter progression-free survival (PFS, P < .0001, log-rank test) and overall survival (OS, P = .0001, log-rank test). In multivariate analyses including established clinical and radiographic risk factors, pretreatment plasma ctDNA concentrations were independently prognostic of clinical outcomes (PFS HR, 1.4; 95% CI, 1.0 to 1.9; P = .03; OS HR, 1.6; 95% CI, 1.1 to 2.2; P = .006). Moreover, measurable residual disease detection by plasma ctDNA monitoring during treatment identified patients with particularly poor prognosis following curative-intent immunochemotherapy (PFS, P = .0002; OS, P = .004, log-rank test). Finally, we developed a proof-of-principle machine learning approach for biopsy-free CNSL identification from ctDNA, showing sensitivities of 59% (CSF) and 25% (plasma) with high positive predictive value. CONCLUSION We demonstrate robust and ultrasensitive detection of ctDNA at various disease milestones in CNSL. Our findings highlight the role of ctDNA as a noninvasive biomarker and its potential value for personalized risk stratification and treatment guidance in patients with CNSL. [Media: see text].
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Affiliation(s)
- Jurik A. Mutter
- Department of Medicine I, Medical Center—University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany
- University of Freiburg, Faculty of Biology, Freiburg, Germany
| | - Stefan K. Alig
- Divisions of Oncology and Hematology, Department of Medicine, Stanford University, Stanford, CA
| | - Mohammad S. Esfahani
- Divisions of Oncology and Hematology, Department of Medicine, Stanford University, Stanford, CA
| | - Eliza M. Lauer
- Department of Medicine I, Medical Center—University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany
| | - Jan Mitschke
- Department of Medicine I, Medical Center—University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany
| | - David M. Kurtz
- Divisions of Oncology and Hematology, Department of Medicine, Stanford University, Stanford, CA
| | - Julia Kühn
- Department of Medicine I, Medical Center—University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany
| | - Sabine Bleul
- Department of Medicine I, Medical Center—University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany
| | - Mari Olsen
- Divisions of Oncology and Hematology, Department of Medicine, Stanford University, Stanford, CA
| | - Chih Long Liu
- Divisions of Oncology and Hematology, Department of Medicine, Stanford University, Stanford, CA
| | - Michael C. Jin
- Divisions of Oncology and Hematology, Department of Medicine, Stanford University, Stanford, CA
| | - Charles W. Macaulay
- Divisions of Oncology and Hematology, Department of Medicine, Stanford University, Stanford, CA
| | - Nicolas Neidert
- Department of Neurosurgery, Medical Center—University of Freiburg, Freiburg, Germany
- Berta-Ottenstein-Programme for Clinician Scientists Medical Center, University of Freiburg, Freiburg, Germany
| | - Timo Volk
- Department of Neurology, Medical Center—University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany
| | - Michel Eisenblaetter
- Department of Radiology, Medical Center—University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany
| | - Sebastian Rauer
- Department of Neurology, Medical Center—University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany
| | - Dieter H. Heiland
- Department of Neurosurgery, Medical Center—University of Freiburg, Freiburg, Germany
| | - Jürgen Finke
- Department of Medicine I, Medical Center—University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany
| | - Justus Duyster
- Department of Medicine I, Medical Center—University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany
| | - Julius Wehrle
- Department of Medicine I, Medical Center—University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany
| | - Marco Prinz
- Institute of Neuropathology, Medical Faculty, University of Freiburg, Freiburg, Germany
- Center for Basics in NeuroModulation (NeuroModulBasics), Faculty of Medicine, University of Freiburg, Freiburg, Germany
- Signalling Research Centres BIOSS and CIBSS, University of Freiburg, Freiburg, Germany
| | - Gerald Illerhaus
- Department of Hematology/Oncology and Palliative Care, Klinikum Stuttgart, Stuttgart, Germany
| | - Peter C. Reinacher
- Department of Stereotactic and Functional Neurosurgery, Medical Center—University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany
- Fraunhofer Institute for Laser Technology (ILT), Aachen, Germany
| | - Elisabeth Schorb
- Department of Medicine I, Medical Center—University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany
| | - Maximilian Diehn
- Department of Radiation Oncology, Stanford School of Medicine, Stanford, CA
| | - Ash A. Alizadeh
- Divisions of Oncology and Hematology, Department of Medicine, Stanford University, Stanford, CA
| | - Florian Scherer
- Department of Medicine I, Medical Center—University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany
- German Cancer Consortium (DKTK) partner site Freiburg and German Cancer Research Center (DKFZ), Heidelberg, Germany
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Jeppesen M, Jensen-Fangel S, Leo-Hansen C, Højte C, Olsen M, Wang M, Bendixen M, Johansen H, Bjørn Jensen C, Pressler T, Skov M, Olesen H, Faurholt-Jepsen D, Lea Katzenstein T, Qvist T. 484 Change in pulmonary infections 12 months after elexacaftor/tezacaftor/ivacaftor introduction: Results from the Danish National Cystic Fibrosis Cohort. J Cyst Fibros 2022. [DOI: 10.1016/s1569-1993(22)01174-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
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7
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Leo-Hansen C, Faurholt-Jepsen D, Højte C, Pressler T, Jeppesen M, Jensen-Fangel S, Olesen H, Ritz C, Qvist T, Olsen M. 126 Change in pulmonary function after introduction of elexacaftor/tezacaftor/ivacaftor: Results from the national cystic fibrosis cohort in Denmark. J Cyst Fibros 2022. [DOI: 10.1016/s1569-1993(22)00817-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
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8
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Refsgaard L, Skarsø E, Ravkilde T, Nissen H, Berg M, Olsen M, Jakobsen K, Boye K, Kamby C, Lind Laursen K, Jensen I, Bekke S, Matthiessen L, Laugaard Lorenzen E, Thorsen L, Offersen B, Korreman S. OC-0941 Impact of guidelines on nationwide breast cancer treatment planning practices (DBCG RT Nation study). Radiother Oncol 2022. [DOI: 10.1016/s0167-8140(22)02721-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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9
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Olsen M, Vik A, Lien E, Schirmer-Mikalsen K, Fredriksli O, Follestad T, Sandrød O, Finnanger TG, Skandsen T. A population-based study of global outcome after moderate to severe traumatic brain injury in children and adolescents. J Neurosurg Pediatr 2022; 29:397-406. [PMID: 35061977 DOI: 10.3171/2021.11.peds21285] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/30/2021] [Accepted: 11/22/2021] [Indexed: 11/06/2022]
Abstract
OBJECTIVE The primary aim of this study was to evaluate the global outcome longitudinally over 5 years in children and adolescents surviving moderate to severe traumatic brain injury (msTBI) to investigate changes in outcome over time. The secondary aim was to explore how age at the time of injury affected outcome. METHODS All children and adolescents (aged 0-17 years; subdivided into children aged 0-10 years and adolescents aged 11-17 years) with moderate (Glasgow Coma Scale [GCS] score 9-13) or severe (GCS score ≤ 8) TBI who were admitted to a level I trauma center in Norway over a 10-year period (2004-2014) were prospectively included. In addition, young adults (aged 18-24 years) with msTBI were included for comparison. Outcome was assessed with the Glasgow Outcome Scale-Extended (GOS-E) at 6 months, 12 months, and 5 years after injury. The effect of time since injury and age at injury on the probability of good outcome was estimated by the method of generalized estimating equations. RESULTS A total of 30 children, 39 adolescents, and 97 young adults were included, among which 24 children, 38 adolescents, and 76 young adults survived and were planned for follow-up. In-hospital mortality from TBI was 7% for children, 3% for adolescents, and 18% for young adults. In surviving patients at the 5-year follow-up, good recovery (GOS-E score 7 or 8) was observed in 87% of children and all adolescents with moderate TBI, as well as in 44% of children and 59% of adolescents with severe TBI. No patient remained in a persistent vegetative state. For all patients, the odds for good recovery increased from 6 to 12 months (OR 1.79, 95% CI 1.15-2.80; p = 0.010), although not from 12 months to 5 years (OR 0.98, 95% CI 0.62-1.55; p = 0.940). Children/adolescents (aged 0-17 years) had higher odds for good recovery than young adults (OR 2.86, 95% CI 1.26-6.48; p = 0.012). CONCLUSIONS In this population-based study of pediatric msTBI, surprisingly high rates of good recovery over 5 years were found, including good recovery for a large majority of children and all adolescents with moderate TBI. Less than half of the children and more than half of the adolescents with severe TBI had good outcomes. The odds for good recovery increased from 6 to 12 months and were higher in children/adolescents (aged 0-17 years) than in young adults.
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Affiliation(s)
- Mari Olsen
- 1Department of Physical Medicine and Rehabilitation, St. Olavs Hospital, Trondheim University Hospital.,2Department of Neuromedicine and Movement Science, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, NTNU
| | - Anne Vik
- 2Department of Neuromedicine and Movement Science, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, NTNU.,3Department of Neurosurgery, St. Olavs Hospital, Trondheim University Hospital
| | - Espen Lien
- 4Department of Pediatrics, St. Olavs Hospital, Trondheim University Hospital
| | - Kari Schirmer-Mikalsen
- 5Department of Anaesthesiology and Intensive Care, St. Olavs Hospital, Trondheim University Hospital; and
| | - Oddrun Fredriksli
- 2Department of Neuromedicine and Movement Science, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, NTNU.,3Department of Neurosurgery, St. Olavs Hospital, Trondheim University Hospital
| | - Turid Follestad
- 6Department of Clinical and Molecular Medicine, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, NTNU, Trondheim, Norway
| | - Oddrun Sandrød
- 5Department of Anaesthesiology and Intensive Care, St. Olavs Hospital, Trondheim University Hospital; and
| | - Torun G Finnanger
- 4Department of Pediatrics, St. Olavs Hospital, Trondheim University Hospital
| | - Toril Skandsen
- 1Department of Physical Medicine and Rehabilitation, St. Olavs Hospital, Trondheim University Hospital.,2Department of Neuromedicine and Movement Science, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, NTNU
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10
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Kurtz DM, Soo J, Co Ting Keh L, Alig S, Chabon JJ, Sworder BJ, Schultz A, Jin MC, Scherer F, Garofalo A, Macaulay CW, Hamilton EG, Chen B, Olsen M, Schroers-Martin JG, Craig AFM, Moding EJ, Esfahani MS, Liu CL, Dührsen U, Hüttmann A, Casasnovas RO, Westin JR, Roschewski M, Wilson WH, Gaidano G, Rossi D, Diehn M, Alizadeh AA. Enhanced detection of minimal residual disease by targeted sequencing of phased variants in circulating tumor DNA. Nat Biotechnol 2021; 39:1537-1547. [PMID: 34294911 PMCID: PMC8678141 DOI: 10.1038/s41587-021-00981-w] [Citation(s) in RCA: 127] [Impact Index Per Article: 42.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2020] [Accepted: 06/11/2021] [Indexed: 12/11/2022]
Abstract
Circulating tumor-derived DNA (ctDNA) is an emerging biomarker for many cancers, but the limited sensitivity of current detection methods reduces its utility for diagnosing minimal residual disease. Here we describe phased variant enrichment and detection sequencing (PhasED-seq), a method that uses multiple somatic mutations in individual DNA fragments to improve the sensitivity of ctDNA detection. Leveraging whole-genome sequences from 2,538 tumors, we identify phased variants and their associations with mutational signatures. We show that even without molecular barcodes, the limits of detection of PhasED-seq outperform prior methods, including duplex barcoding, allowing ctDNA detection in the ppm range in participant samples. We profiled 678 specimens from 213 participants with B cell lymphomas, including serial cell-free DNA samples before and during therapy for diffuse large B cell lymphoma. In participants with undetectable ctDNA after two cycles of therapy using a next-generation sequencing-based approach termed cancer personalized profiling by deep sequencing, an additional 25% have ctDNA detectable by PhasED-seq and have worse outcomes. Finally, we demonstrate the application of PhasED-seq to solid tumors.
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Affiliation(s)
- David M Kurtz
- Division of Oncology, Department of Medicine, Stanford University, Stanford, CA, USA
- Stanford Cancer Institute, Stanford University, Stanford, CA, USA
| | - Joanne Soo
- Division of Oncology, Department of Medicine, Stanford University, Stanford, CA, USA
| | - Lyron Co Ting Keh
- Division of Oncology, Department of Medicine, Stanford University, Stanford, CA, USA
| | - Stefan Alig
- Division of Oncology, Department of Medicine, Stanford University, Stanford, CA, USA
| | - Jacob J Chabon
- Stanford Cancer Institute, Stanford University, Stanford, CA, USA
- Institute for Stem Cell Biology and Regenerative Medicine, Stanford University, Stanford, CA, USA
- Foresight Diagnostics, Aurora, CO, USA
| | - Brian J Sworder
- Division of Oncology, Department of Medicine, Stanford University, Stanford, CA, USA
| | - Andre Schultz
- Stanford Cancer Institute, Stanford University, Stanford, CA, USA
| | - Michael C Jin
- Division of Oncology, Department of Medicine, Stanford University, Stanford, CA, USA
| | - Florian Scherer
- Division of Oncology, Department of Medicine, Stanford University, Stanford, CA, USA
- Department of Medicine I, Medical Center-University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany
| | - Andrea Garofalo
- Division of Oncology, Department of Medicine, Stanford University, Stanford, CA, USA
| | - Charles W Macaulay
- Division of Oncology, Department of Medicine, Stanford University, Stanford, CA, USA
| | - Emily G Hamilton
- Program in Cancer Biology, Stanford University, Stanford, CA, USA
| | - Binbin Chen
- Division of Oncology, Department of Medicine, Stanford University, Stanford, CA, USA
- Department of Genetics, Stanford University, Stanford, CA, USA
| | - Mari Olsen
- Division of Oncology, Department of Medicine, Stanford University, Stanford, CA, USA
| | - Joseph G Schroers-Martin
- Division of Oncology, Department of Medicine, Stanford University, Stanford, CA, USA
- Division of Hematology, Department of Medicine, Stanford University, Stanford, CA, USA
| | - Alexander F M Craig
- Division of Oncology, Department of Medicine, Stanford University, Stanford, CA, USA
| | - Everett J Moding
- Department of Radiation Oncology, Stanford University, Stanford, CA, USA
| | - Mohammad S Esfahani
- Division of Oncology, Department of Medicine, Stanford University, Stanford, CA, USA
| | - Chih Long Liu
- Division of Oncology, Department of Medicine, Stanford University, Stanford, CA, USA
| | - Ulrich Dührsen
- Department of Hematology and Stem Cell Transplantation, West German Cancer Center Essen, University Hospital Essen, Essen, Germany
| | - Andreas Hüttmann
- Department of Hematology and Stem Cell Transplantation, West German Cancer Center Essen, University Hospital Essen, Essen, Germany
| | | | - Jason R Westin
- Department of Lymphoma/Myeloma, The University of Texas MD Anderson Cancer Center, Houston, TX, USA
| | - Mark Roschewski
- Lymphoid Malignancies Branch, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, MD, USA
| | - Wyndham H Wilson
- Lymphoid Malignancies Branch, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, MD, USA
| | - Gianluca Gaidano
- Division of Hematology, Department of Translational Medicine, University of Eastern Piedmont, Novara, Italy
| | - Davide Rossi
- Hematology, Oncology Institute of Southern Switzerland and Institute of Oncology Research, Bellinzona, Switzerland
| | - Maximilian Diehn
- Stanford Cancer Institute, Stanford University, Stanford, CA, USA.
- Institute for Stem Cell Biology and Regenerative Medicine, Stanford University, Stanford, CA, USA.
- Department of Radiation Oncology, Stanford University, Stanford, CA, USA.
| | - Ash A Alizadeh
- Division of Oncology, Department of Medicine, Stanford University, Stanford, CA, USA.
- Stanford Cancer Institute, Stanford University, Stanford, CA, USA.
- Institute for Stem Cell Biology and Regenerative Medicine, Stanford University, Stanford, CA, USA.
- Division of Hematology, Department of Medicine, Stanford University, Stanford, CA, USA.
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11
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Huang D, Hegeman R, Roy M, Prout T, Swartz K, Olsen M, Rose S. Metastatic melanoma to the ovary in pregnancy: A case report. Gynecol Oncol Rep 2021; 38:100859. [PMID: 34926752 PMCID: PMC8651785 DOI: 10.1016/j.gore.2021.100859] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/11/2021] [Revised: 08/30/2021] [Accepted: 09/07/2021] [Indexed: 11/25/2022] Open
Abstract
Metastatic melanoma to the ovary is uncommon and can occur years after initial diagnosis. Ovarian metastatic melanoma can mimic various benign lesions on imaging and clinical history is key. If any suspicion in pregnancy, placenta should be evaluated due to possibility of transplacental transmission.
Metastatic melanoma to the ovary is an uncommon presentation. We report a case of metastatic melanoma to the ovary that presented as a growing left adnexal mass during pregnancy and was thought to be benign by imaging and frozen section pathology. Here we discuss the challenges in radiologic and pathologic diagnosis, as well as considerations for the mother and newborn.
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12
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Marsault LV, Ravn C, Overgaard A, Frich LH, Olsen M, Anstensrud T, Nielsen J, Overgaard S. Laminar airflow versus turbulent airflow in simulated total hip arthroplasty: measurements of colony-forming units, particles, and energy consumption. J Hosp Infect 2021; 115:117-123. [PMID: 34182062 DOI: 10.1016/j.jhin.2021.06.009] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2021] [Revised: 06/14/2021] [Accepted: 06/20/2021] [Indexed: 11/29/2022]
Abstract
BACKGROUND The optimal type of ventilation in operating theatres for joint arthroplasty has been debated for decades. Recently, the World Health Organization changed its recommendations based on articles that have since been criticized. The economic and environmental impact of ventilation is also currently an important research topic but has not been well investigated. AIM To compare how large, high-volume, laminar airflow (LAF) and turbulent airflow (TAF) ventilation systems perform during standardized simulated total hip arthroplasty (THA), as they pertain to colony-forming units (cfu), particle counts, and energy consumption. METHODS Two identical operating theatres were used to perform simulated THA. The only difference was that one was equipped with LAF and the other with TAF. Cfu and particles were collected from key points in the operating theatre, and energy was measured for each simulation. Thirty-two simulations were done in total. FINDINGS LAF had significantly reduced cfu and particle count when compared with TAF, at both 100% and 50% air influx. Furthermore, it was shown that lowering the air influx by 50% in LAF did not significantly affect cfu or particles, although reducing the fresh air influx from 100% to 50% significantly lowered the energy consumption. Most simulations in TAF did not meet the cleanroom requirements. CONCLUSION Cfu were significantly lower in LAF at both 100% and 50% air influx. It is possible to reduce fresh air influx in LAF operating theatres by 50%, significantly reducing energy consumption, while still maintaining cfu and particle counts below the ISO classification threshold required for THA surgery.
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Affiliation(s)
- L V Marsault
- Odense University Hospital, Department of Orthopaedic Surgery and Traumatology, Odense, Denmark
| | - C Ravn
- Odense University Hospital, Department of Orthopaedic Surgery and Traumatology, Odense, Denmark; Kolding Hospital Lillebaelt, Department of Orthopaedic Surgery and Traumatology, Kolding, Denmark
| | - A Overgaard
- Gentofte-Herlev Hospital, Department of Orthopaedic Surgery and Traumatology, Hellerup, Denmark; The Parker Institute, Bispebjerg and Frederiksberg Hospital, University of Copenhagen, Copenhagen, Denmark
| | - L H Frich
- University of Southern Denmark, Department of Clinical Research, Odense, Denmark
| | | | | | - J Nielsen
- Fournais Energy ApS, Vedbæk, Denmark
| | - S Overgaard
- Odense University Hospital, Department of Orthopaedic Surgery and Traumatology, Odense, Denmark; University of Southern Denmark, Department of Clinical Research, Odense, Denmark; Copenhagen University Hospital, Bispebjerg, Department of Orthopaedic Surgery and Traumatology, Copenhagen; University of Copenhagen, Department of Clinical Medicine, Faculty of Health and Medical Sciences, Denmark.
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13
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Mutter JA, Alig S, Lauer EM, Esfahani MS, Mitschke J, Kurtz DM, Olsen M, Liu CL, Jin MC, Bleul S, Macaulay CW, Neidert NN, Heiland DH, Finke J, Duyster J, Wehrle J, Prinz M, Illerhaus G, Reinacher PC, Schorb E, Diehn M, Alizadeh AA, Scherer F. MATRIX INDUCTION FOLLOWED BY AUTOLOGOUS STEM CELL TRANSPLANT OR WHOLE‐BRAIN IRRADIATION IN PRIMARY CNS LYMPHOMA. 7‐YEAR RESULTS OF THE IELSG32 RANDOMIZED TRIAL. Hematol Oncol 2021. [DOI: 10.1002/hon.47_2879] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Affiliation(s)
- J. A. Mutter
- University Medical Center Freiburg Department of Hematology Oncology, and Stem Cell Transplantation Freiburg Germany
| | - S. Alig
- Stanford University Division of Oncology Department of Medicine Stanford California USA
| | - E. M. Lauer
- University Medical Center Freiburg Department of Hematology Oncology, and Stem Cell Transplantation Freiburg Germany
| | - M. S. Esfahani
- Stanford University Division of Oncology Department of Medicine Stanford California USA
| | - J. Mitschke
- University Medical Center Freiburg Department of Hematology Oncology, and Stem Cell Transplantation Freiburg Germany
| | - D. M. Kurtz
- Stanford University Division of Oncology Department of Medicine Stanford California USA
| | - M. Olsen
- Stanford University Division of Oncology Department of Medicine Stanford California USA
| | - C. L. Liu
- Stanford University Division of Oncology Department of Medicine Stanford California USA
| | - M. C. Jin
- Stanford University Division of Oncology Department of Medicine Stanford California USA
| | - S. Bleul
- University Medical Center Freiburg Department of Hematology Oncology, and Stem Cell Transplantation Freiburg Germany
| | - C. W. Macaulay
- Stanford University Division of Oncology Department of Medicine Stanford California USA
| | - N. N. Neidert
- University Medical Center Freiburg Department of Neurosurgery Freiburg Germany
| | - D. H. Heiland
- University Medical Center Freiburg Department of Neurosurgery Freiburg Germany
| | - J. Finke
- University Medical Center Freiburg Department of Hematology Oncology, and Stem Cell Transplantation Freiburg Germany
| | - J. Duyster
- University Medical Center Freiburg Department of Hematology Oncology, and Stem Cell Transplantation Freiburg Germany
| | - J. Wehrle
- University Medical Center Freiburg Department of Hematology Oncology, and Stem Cell Transplantation Freiburg Germany
| | - M. Prinz
- University Medical Center Freiburg Institute of Neuropathology Freiburg Germany
| | - G. Illerhaus
- Klinikum Stuttgart Department of Hematology/Oncology and Palliative Care Stuttgart Germany
| | - P. C. Reinacher
- University Medical Center Freiburg Department of Stereotactic and Functional Neurosurgery Freiburg Germany
| | - E. Schorb
- University Medical Center Freiburg Department of Hematology Oncology, and Stem Cell Transplantation Freiburg Germany
| | - M. Diehn
- Stanford University Department of Radiation Oncology Stanford California USA
| | - A. A. Alizadeh
- Stanford University Division of Oncology Department of Medicine Stanford California USA
| | - F. Scherer
- University Medical Center Freiburg Department of Hematology Oncology, and Stem Cell Transplantation Freiburg Germany
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14
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Mutter JA, Alig S, Lauer EM, Esfahani MS, Mitschke J, Kurtz DM, Olsen M, Liu CL, Jin MC, Bleul S, Macaulay CW, Neidert NN, Heiland DH, Finke J, Duyster J, Wehrle J, Prinz M, Illerhaus G, Reinacher PC, Schorb E, Diehn M, Alizadeh AA, Scherer F. NONINVASIVE DETECTION, CLASSIFICATION, AND RISK STRATIFICATION OF PRIMARY CNS LYMPHOMAS BY CTDNA PROFILING. Hematol Oncol 2021. [DOI: 10.1002/hon.46_2879] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Affiliation(s)
- J. A. Mutter
- University Medical Center Freiburg Department of Hematology, Oncology and Stem Cell Transplantation Freiburg Germany
| | - S. Alig
- Stanford University Division of Oncology Department of Medicine Stanford California USA
| | - E. M. Lauer
- University Medical Center Freiburg Department of Hematology, Oncology and Stem Cell Transplantation Freiburg Germany
| | - M. S. Esfahani
- Stanford University Division of Oncology Department of Medicine Stanford California USA
| | - J. Mitschke
- University Medical Center Freiburg Department of Hematology, Oncology and Stem Cell Transplantation Freiburg Germany
| | - D. M. Kurtz
- Stanford University Division of Oncology Department of Medicine Stanford California USA
| | - M. Olsen
- Stanford University Division of Oncology Department of Medicine Stanford California USA
| | - C. L. Liu
- Stanford University Division of Oncology Department of Medicine Stanford California USA
| | - M. C. Jin
- Stanford University Division of Oncology Department of Medicine Stanford California USA
| | - S. Bleul
- University Medical Center Freiburg Department of Hematology, Oncology and Stem Cell Transplantation Freiburg Germany
| | - C. W. Macaulay
- Stanford University Division of Oncology Department of Medicine Stanford California USA
| | - N. N. Neidert
- University Medical Center Freiburg Department of Neurosurgery Freiburg Germany
| | - D. H. Heiland
- University Medical Center Freiburg Department of Neurosurgery Freiburg Germany
| | - J. Finke
- University Medical Center Freiburg Department of Hematology, Oncology and Stem Cell Transplantation Freiburg Germany
| | - J. Duyster
- University Medical Center Freiburg Department of Hematology, Oncology and Stem Cell Transplantation Freiburg Germany
| | - J. Wehrle
- University Medical Center Freiburg Department of Hematology, Oncology and Stem Cell Transplantation Freiburg Germany
| | - M. Prinz
- University Medical Center Freiburg Institute of Neuropathology Freiburg Germany
| | - G. Illerhaus
- Klinikum Stuttgart Department of Hematology/Oncology and Palliative Care Stuttgart Germany
| | - P. C. Reinacher
- University Medical Center Freiburg Department of Stereotactic and Functional Neurosurgery Freiburg Germany
| | - E. Schorb
- University Medical Center Freiburg Department of Hematology, Oncology and Stem Cell Transplantation Freiburg Germany
| | - M. Diehn
- Stanford University Department of Radiation Oncology Stanford California USA
| | - A. A. Alizadeh
- Stanford University Division of Oncology Department of Medicine Stanford California USA
| | - F. Scherer
- University Medical Center Freiburg Department of Hematology, Oncology and Stem Cell Transplantation Freiburg Germany
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15
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Sworder B, Kurtz DM, Alig S, Frank MJ, Macauley CW, Garofalo A, Shukla N, Sahaf B, Esfahani MS, Sheybani N, Schroers-Martin J, Liu CL, Olsen M, Spiegel JY, Oak J, Jin MC, Beygi S, Khodadoust MS, Natkunam Y, Majzner R, Mackall CL, Diehn M, Miklos DM, Alizadeh AA. DETERMINANTS OF RESISTANCE TO ENGINEERED T‐CELL THERAPIES TARGETING CD19 IN LYMPHOMA. Hematol Oncol 2021. [DOI: 10.1002/hon.6_2879] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Affiliation(s)
- B Sworder
- Stanford University Department of Medicine, Division of Oncology Palo Alto California USA
| | - D. M Kurtz
- Stanford University Department of Medicine, Division of Oncology Palo Alto California USA
| | - S Alig
- Stanford University Department of Medicine, Division of Oncology Palo Alto California USA
| | - M. J Frank
- Stanford University Department of Medicine, Division of Blood and Bone Marrow Transplantation Palo Alto California USA
| | - C. W Macauley
- Stanford University Department of Medicine, Division of Oncology Palo Alto California USA
| | - A Garofalo
- Stanford University Department of Medicine, Division of Oncology Palo Alto California USA
| | - N Shukla
- Stanford University Department of Medicine, Division of Oncology Palo Alto California USA
| | - B Sahaf
- Stanford University Department of Medicine, Division of Blood and Bone Marrow Transplantation Palo Alto California USA
| | - M. S Esfahani
- Stanford University Department of Medicine, Division of Oncology Palo Alto California USA
| | - N Sheybani
- Stanford University Department of Medicine, Division of Oncology Palo Alto California USA
| | - J Schroers-Martin
- Stanford University Department of Medicine, Division of Oncology Palo Alto California USA
| | - C. L Liu
- Stanford University Department of Medicine, Division of Oncology Palo Alto California USA
| | - M. Olsen
- Stanford University Department of Medicine, Division of Oncology Palo Alto California USA
| | - J. Y Spiegel
- Stanford University Department of Medicine, Division of Blood and Bone Marrow Transplantation Palo Alto California USA
| | - J Oak
- Stanford University Department of Pathology Palo Alto California USA
| | - M. C Jin
- Stanford University Department of Medicine, Division of Oncology Palo Alto California USA
| | - S Beygi
- Stanford University Department of Medicine, Division of Oncology Palo Alto California USA
| | - M. S Khodadoust
- Stanford University Department of Medicine, Division of Oncology Palo Alto California USA
| | - Y Natkunam
- Stanford University Department of Pathology Palo Alto California USA
| | - R Majzner
- Stanford University Department of Pediatrics Palo Alto California USA
| | - C. L Mackall
- Stanford University Department of Pediatrics Palo Alto California USA
| | - M Diehn
- Stanford University Department of Radiation Oncology Palo Alto California USA
| | - D. M Miklos
- Stanford University Department of Medicine, Division of Blood and Bone Marrow Transplantation Palo Alto California USA
| | - A. A Alizadeh
- Stanford University Department of Medicine, Division of Oncology Palo Alto California USA
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Tveter AT, Osteras N, Nossum R, Mehl Eide RE, Klokkeide Å, Hoegh Matre K, Olsen M, Kjeken I. OP0157-HPR CHANGES IN PAIN AND HAND FUNCTION AFTER MULTIMODAL OCCUPATIONAL THERAPY AND/OR SURGERY IN PATIENTS WITH CARPOMETACARPAL OSTEOARTHRITIS. Ann Rheum Dis 2021. [DOI: 10.1136/annrheumdis-2021-eular.2857] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Background:Carpometacarpal osteoarthritis (CMC1 OA) is a subset of hand OA, often leading to pain and functional limitations. The EULAR recommends conservative treatment as first-line management, and a recent study showed significant short-term effect of multimodal occupational therapy on pain and hand function in patients referred to surgical consultation1. However, long-term results are lacking.Objectives:To explore the long-term effect of multimodal occupational therapy on pain and hand function in patients with CMC1 OA, and to assess the differences between those undergoing surgery or not in the two groups.Methods:This project presents secondary analyses of a multicentre RCT. Patients referred by their general practitioner to surgical consultation due to CMC1 OA at three Norwegian hospitals from 2013-2015 were eligible. During the waiting period between referral and surgical consultation, 180 patients were randomized to usual care (information, n=90) or a 3-month multimodal occupational therapy intervention (patient education, hand exercises, orthoses and assistive devices, n=90). Patients were assessed at baseline, and 4 (before surgical consultation), 18 and 24 months. Pain at rest was assessed using a 11-point numeric rating scale, and hand function was self-reported with the MAP-Hand (1-4, 1=no problem). The long-term within- and between-group differences on pain and hand function were assessed using repeated measure ANOVA. Sub-analyses were done among those undergoing surgery or not in the two groups. P-value <0.05.Results:163 patients (63 (8) years, 81% women) were included in the analyses. Both groups showed a significant reduction in pain and improvement in hand function over time (p<0.001), with a significant between-group difference for pain (F (1, 161) = 8.56, p = 0.004), in favour of the intervention group, but not hand function.After 2 years, 22 patients had undergone surgery in the intervention group vs 29 in the control group. No significant difference over time were found in pain or hand function between those undergoing surgery or not in the two groups. However, at the time of the surgical consultation, significantly higher pain (Figure 1) and poorer hand function were reported among those later undergoing surgery in the control group (p≤0.001). Surgery did not lead to further improvement in pain and hand function in the intervention group.Figure 1.Between-group difference on pain over a 2-year period. The control group is marked in light grey and the intervention group in black. Those who underwent surgery are marked with dotted lines, while those who did not are marked with solid lines (n=163)Conclusion:The results showed that the positive effect of multimodal occupational therapy on pain and hand function persisted over the 2-year period, however, no significant between-groups difference over time was found. No significant between-group differences were found when dividing into sub-groups, however, those later undergoing surgery in the control group scored significantly worse on pain and hand function at the time of surgical consultation. The results may imply that patients who would benefit from surgery were identified, and that surgery does not give an additional benefit in patients who have received multimodal occupational therapy. This needs to be further investigated.References:[1]Tveter AT, Østerås N, Nossum R, Eide REM, Klokkeide Å, Hoegh Matre K, et al. Short-term effects of occupational therapy on hand function and pain in patients with carpometacarpal osteoarthritis: secondary analyses from a randomized controlled trial. Arthritis care & research. 2020:10.1002/acr.24543Acknowledgements:We would like to acknowledge Øyvor Andreassen for her contribution throughout the project as a patient representative.Disclosure of Interests:None declared
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Kurtz DM, Chabon JJ, Sworder B, Co Ting Keh L, Soo J, Alig S, Schultz A, Garofalo A, Hamilton EG, Chen B, Olsen M, Moding EJ, Liu CL, Alizadeh AA, Diehn M. Leveraging phased variants for personalized minimal residual disease detection in localized non-small cell lung cancer. J Clin Oncol 2021. [DOI: 10.1200/jco.2021.39.15_suppl.8518] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
8518 Background: Detection of circulating tumor DNA (ctDNA) has prognostic value in lung cancer and could facilitate minimal residual disease (MRD) driven approaches. However, the sensitivity of ctDNA detection is suboptimal due to the background error rates of existing assays. We developed a novel method leveraging multiple mutations on a single cell-free DNA molecule (“phased variants” or PVs) resulting in an ultra-low error profile. Here we develop and apply this approach to improve MRD in localized NSCLC. Methods: To identify the prevalence of PVs, we reanalyzed whole genome sequencing (WGS) from 2,538 tumors and 24 cancer types from the pan-cancer analysis of whole genomes (PCAWG). We applied Phased Variant Enrichment and Detection Sequencing (PhasED-Seq) to track personalized PVs in localized NSCLC. We compared PhasED-Seq to a single nucleotide variant (SNV)-based ctDNA method. Results: In the PCAWG dataset, we found that PVs were common in both lung squamous cell carcinomas (LUSC, median 1,268/tumor; rank 2nd) and adenocarcinomas (LUAD, median 655.5/tumor; rank 3rd). However, PVs did not occur in stereotyped genomic regions. Thus, to leverage PhasED-Seq, we performed tumor/normal WGS to identify PVs, followed by design of personalized panels targeting PVs to allow deep cfDNA sequencing. We performed personalized PhasED-Seq for 5 patients with localized NSCLC. PVs were identified from WGS of tumor FFPE and validated by targeted resequencing in all cases (median 248/case). The background rate of PVs was lower than that of SNVs, even when considering duplex molecules (background: SNVs, 3.8e-5; duplex SNVs, 1.0e-5; PVs, 1.2e-6; P < 0.0001). We next assessed PhasED-Seq for MRD detection in 14 patient plasma samples. Both SNVs and PhasED-Seq had high specificity in healthy control cfDNA (95% and 97% respectively). Using SNVs, ctDNA was detected in 5/14 samples; PhasED-Seq detected all of these with nearly identical tumor fractions (Spearman rho = 0.97). However, PhasED-Seq also detected MRD in an additional 5 samples containing tumor fractions as low as 0.000094% (median 0.0004%). We analyzed serial samples from a patient with stage III LUAD treated with chemoradiotherapy (CRT) and durvalumab. SNV-based ctDNA and PhasED-Seq detected similar MRD levels (0.8%) prior to therapy. However, 3 samples collected during CRT, as well as before and during immunotherapy, were undetectable by SNVs. SNV-based ctDNA then re-emerged at disease recurrence. PhasED-Seq detected MRD in all 3 samples not detected by SNVs with tumor fractions as low as 0.00016%, including prior to immunotherapy (8 months prior to progression). Similar improvements were seen in samples not detected by SNVs from 2 additional patients. Conclusions: Personalized ctDNA monitoring via PVs is feasible and improves MRD detection in localized NSCLC. PhasED-Seq allows clinical studies testing personalized treatment based on MRD.
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Affiliation(s)
| | | | | | | | - Joanne Soo
- Division of Oncology, Stanford University School of Medicine, Stanford, CA
| | - Stefan Alig
- Stanford University Medical Center, Stanford, CA
| | | | | | | | | | | | | | | | | | - Maximilian Diehn
- Department of Radiation Oncology, Stanford University School of Medicine, Stanford, CA
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Kristensen A, Rosberg V, Vishram-Nielsen J, Pareek M, Linneberg A, Giampaoli S, Mancia G, Cesana G, Kuulasmaa K, Salomaa V, Sans S, Ferrieres J, Soderberg S, Moitry M, Olsen M. Simple cardiovascular risk stratification using anthropometric measures instead of serum cholesterol. The MORGAM Prospective Cohort Project. Eur Heart J 2020. [DOI: 10.1093/ehjci/ehaa946.2913] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
Background
Body composition predicts cardiovascular outcomes, but it is uncertain whether anthropometric measures can replace the more expensive serum total cholesterol for cardiovascular risk stratification in low resource settings.
Purpose
The purpose of the study was to compare the additive prognostic ability of serum total cholesterol with that of body mass index (BMI), waist/hip ratio (WHR), and estimated fat mass (EFM, calculated using a validated prediction equation), individually and combined.
Methods
We used data from the MORGAM (MONICA, Risk, Genetics, Archiving, and Monograph) Prospective Cohort Project, an international pooling of cardiovascular cohorts, to determine the relationship between anthropometric measures, serum cholesterol, and cardiovascular events, using multivariable Cox proportional-hazards regression analysis. We further investigated the ability of these measures to enhance prognostication beyond a simpler prediction model, consisting of age, sex, smoking status, systolic blood pressures, and country, using comparison of area under the receiver operating characteristics curve (AUCROC) derived from binary logistic regression models. The primary endpoint was major adverse cardiovascular events (MACE), defined as a composite of death from coronary heart disease, myocardial infarction, or stroke.
Results
The study population consisted of 52,188 apparently healthy subjects (56.3% men) aged 47±12 years ranging from 20 to 84, derived from 37 European cohorts, with baseline between 1982–2002 all followed for 10 years during which MACE occurred in 2465 (4.7%) subjects. All anthropometric measures (BMI: hazard ratio (HR) 1.04 [95% confidence interval (CI): 1.03–1.05] per kg/m2; WHR: HR 7.5 [4.0–14.0] per unit; EFM: HR 1.02 [1.01–1.02] per kg) as well as serum total cholesterol (HR 1.20 [1.16–1.24] per mmol/l) were significantly associated with MACE (P<0.001 for all), independently of age, sex, smoking status, systolic blood pressures, and country. The addition of serum cholesterol significantly improved the predictive ability of the simple model (AUCROC 0.818 vs. 0.814, P<0.001), as did the combination of WHR, BMI, and EFM (AUCROC 0.817 vs. 0.814, P=0.004). When assessed individually, BMI (AUCROC 0.816 vs. 0.814, P=0.004) and WHR (AUCROC 0.815 vs. 0.814, P=0.02) improved model performance, while EFM narrowly missed significance (AUCROC 0.815 vs. 0.814, P=0.06). There was no significant difference in the predictive ability of a model including serum cholesterol versus that including all three anthropometric measures (AUCROC 0.818 vs. 0.817, P=0.13). The figure shows the pertinent areas under the ROC curve in predicting MACE.
Conclusion
In this large population-based cohort study, the addition of a combination of anthropometric measures, i.e. BMI, WHR, and EFM, raised the predictive ability of a simple prognostic model comparable to that obtained by the addition of serum total cholesterol.
Figure 1
Funding Acknowledgement
Type of funding source: None
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Affiliation(s)
| | - V Rosberg
- Nordsjaellands Hospital, Hilleroed, Denmark
| | - J Vishram-Nielsen
- Rigshospitalet - Copenhagen University Hospital, Department of Cardiology, Copenhagen, Denmark
| | - M Pareek
- Yale New Haven Hospital, Department of Internal Medicine, New Haven, United States of America
| | - A Linneberg
- University of Copenhagen, Department of Clinical Medicine, Faculty of Health and Medical Sciences, Copenhagen, Denmark
| | - S Giampaoli
- National Institute of Health, Department of Cardiovascular, Endocrine-metabolic Diseases and Aging, Rome, Italy
| | - G Mancia
- University of Milan-Bicocca, Monza, Italy
| | - G Cesana
- University of Milan-Bicocca, Monza, Italy
| | - K Kuulasmaa
- National Institute for Health and Welfare (THL), Helsinki, Finland
| | - V Salomaa
- National Institute for Health and Welfare (THL), Helsinki, Finland
| | - S Sans
- Catalan Department of Health, Barcelona, Spain
| | - J Ferrieres
- Toulouse Rangueil University Hospital of Toulouse, Department of Cardiology, Toulouse, France
| | - S Soderberg
- Umea University, Department of Public Health and Clinical Medicine, Cardiology and Heart Centre, Umea, Sweden
| | - M Moitry
- University Hospital of Strasbourg, Department of Epidemiology and Public Health, Strasbourg, France
| | - M Olsen
- Holbaek Hospital, Department of Internal Medicine, Holbaek, Denmark
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Gravås EMH, Kjeken I, Nossum R, Mehl Eide RE, Klokkeide Å, Hoegh Matre K, Olsen M, Andreassen Ø, Osteras N, Tveter AT. FRI0635-HPR PATIENTS’ MOTIVATION AND GOALS FOR THUMB CARPOMETACARPAL OSTEOARTHRITIS SURGERY. Ann Rheum Dis 2020. [DOI: 10.1136/annrheumdis-2020-eular.3968] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Background:Osteoarthritis (OA) in the thumb carpometacarpal joint (CMCJ) is a prevalent disease which may lead to structural damage, severe pain and functional limitations, but for which there is yet no cure. Evidence-based treatment recommendations state that all patients with hand OA should be offered patient education, hand exercises, and provision of assistive devices and orthoses. Pharmacological therapy is recommended as a symptom relieving supplement. The main indication for CMCJ surgery is pain and poor function, and such surgery should be considered only when other treatment has proven insufficient in relieving pain (1). Previous research has shown that high motivation is a significant predictor for deciding to undergo CMCJ surgery (2), but there is little knowledge regarding which factors that motivates patients for undergoing such surgery.Objectives:The objective of this study was to explore patient goals and motivation for surgery, and factors characterizing patients highly motivated for surgery.Methods:This cross-sectional study included 180 patients referred from their general practitioner for CMCJ surgical consultation. Goals for surgery were collected with an open-ended question and analysed by linking the content of each goal to domains in the International Classification of Functioning, Disability and Health coding system. Motivation for surgery was rated with a Numeric Rating Scale (NRS, 0-10, 0=no motivation). Activity limitations was self-reported using the Measure of Activity Performance of the Hand (MAP-Hand, score 1 to 4, 1=no activity problems) and the Disabilities of the Arm, Shoulder and Hand questionnaire (QuickDASH; score 0-100, 0=no disability). Factors that characterized patients highly motivated for surgery (NRS≥8) were explored with multivariate regression analyses.Results:Mean age of participants was 63 years (SD 7.6) and 142 (79%) were women. The most common goals for surgery were to reduce pain and improve arm and hand use. Fifty-six (31%) of the patients were characterized as highly motivated for surgery. High motivation for surgery was strongly associated with more activity limitations (MAP-Hand; (OR 4.00, p=0.008)), living alone (OR 3.18, p=0.007) and a young age (OR 0.94, p=0.002).Conclusion:Decisions on CMCJ OA surgery should be based on assessment and discussion of patients’ life situation, hand pain, activity limitations and motivation and goals for surgery. According to the EULAR recommendations, previously received conservative and pharmacological treatment should also be evaluated.References:[1] Kloppenburg, M., et al. (2018). “2018 update of the EULAR recommendations for the management of hand osteoarthritis.” Ann Rheum Dis. 0; 1-9[2] Gravas, E. M. H., et al. (2019). “Non-pharmacological treatment gap preceding surgical consultation in thumb carpometacarpal osteoarthritis - a cross-sectional study.” BMC Musculoskelet Disord 20(1): 180.Disclosure of Interests:None declared
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Tveter AT, Kleven L, Osteras N, Nossum R, Mehl Eide RE, Klokkeide Å, Hoegh Matre K, Olsen M, Andreassen Ø, Kjeken I. OP0152-HPR A COST-UTILITY ANALYSIS OF MULTIMODAL OCCUPATIONAL THERAPY IN PATIENTS WITH THUMB BASE OSTEOARTHRITIS. Ann Rheum Dis 2020. [DOI: 10.1136/annrheumdis-2020-eular.3345] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Background:Patient education, hand exercises, and use of assistive devices and orthoses are regarded as first-line treatment for patients with hand osteoarthritis (OA) (1), however there is limited evidence for the cost-effectiveness of such treatment.Objectives:The objective of this study is to assess the cost-utility of a multimodal occupational therapy treatment delivered in the waiting period before surgical consultation in patients with thumb base OA compared to usual care.Methods:This study presents an economic evaluation assessing the difference in health care use and quality-of-life during a 24-month period in a Norwegian multicenter randomized controlled trial. All patients referred to surgical consultation due to thumb base OA at three departments of rheumatology between 2013 and 2015 were eligible for inclusion. In total, 180 patients were included and randomized to a control group or a multimodal occupational therapy group (90 patients in each group). During the waiting period between referral and actual surgical consultation, the control group continued with usual care which was staying on the waiting list and receiving information on hand OA. The intervention group got information on hand OA, ergonomic principles and use of assistive devices, and they were instructed in home-based hand exercises and received a day and a night orthosis. The intervention group was instructed to use the orthoses and assistive devices as much as possible and perform home exercises three times per week for 12 weeks. The patients were assessed at baseline and after 4, 18 and 24 months. The within-trial economic analysis reports the incremental cost-effectiveness ratio (ICER) reflecting the between-group difference in incremental cost per adjusted life years (QALY) over 24 months. A generic health-related quality of life questionnaire, the EuroQol 5 Dimension, was used to calculate the QALYs at baseline, 4, 18 and 24 months. Costs were collected from different sources, taking a health care perspective; The occupation therapist reported the number of consultations related to the intervention; surgical procedure and post-operative follow-up were collected from patients’ journals; and additional consumption of primary and specialist health care was self-reported by the patient. Sensitivity analyses were performed. The results are presented in a cost-effectiveness plane using bootstrapping. Willingness-to-pay threshold is set to be € 27 500 linked to the severity of this condition.Results:The mean age of the included patients was 63 years (SD 7.6) and 79% were women. There was a total between-group difference in QALYs of 0.07 utilities after 24 months, in favour of the intervention group. Operations constituted the main costs with 22 operations in the intervention group compared to 33 in the control group. The between-group difference in costs due to health care consumption was estimated to € 500 in favour of the intervention group (Figure 1).Conclusion:The results in this within-trial analysis indicate that multimodal occupational therapy in the waiting period before surgical consultation compared to usual care is a cost-effective alternative taking a health care perspective.References:[1]Kloppenburg, M., et al. (2018). “2018 update of the EULAR recommendations for the management of hand osteoarthritis.”Ann Rheum Dis.Disclosure of Interests:None declared
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Abstract
Abstract
Introduction
Evaluation of sleep apnea involves manual annotation of Polysomnography (PSG) file, a time-consuming process subject to interscorer variations. The DOSED algorithm has been shown to be helpful in detecting Central Sleep Apnea (CSA), Obstructive Sleep Apnea (OSA), and Hypopnea when merged into a single event type. This work uses a modified version of DOSED capable of detecting each event type separately.
Methods
The network consists of 3 blocks of 1D convolutional layers followed by 6 blocks of 2D convolutional layers. The network has 2 classification layers, one determines the probability of each class, and the other determines the start and duration time of the event with the highest probability. Four channels from nasal and mouth airflow and position of abdomen and thorax are used as input to the model. The model was trained using 2800 PSG from 4 different cohorts (MESA, MROS, SSC, WSC) and tested on 70 PSG, which have been scored by six technicians (Stanford, U Penn, St Louis).
Results
On an event by event basis, model F1-scores versus a weighted consensus score based on 6 technicians were 0.60 for OSA, 0.43 for CSA, and 0.34 for Hypopnea. Average F1-scores for the 6 technicians were 0.48 (std 0.04) for OSA, 0.29 (std 0.145) for CSA, and 0.54 (std 0.183) for Hypopnea, indicating that the model functions better on an event-by-event basis than an average technician. Correlations between indices/hr for central apnea, obstructive apnea, and hypopnea indicate excellent correlations for apneas, but poor correlation for hypopnea. We are now adding the snoring channel to explore if predictions can be improved.
Conclusion
The result shows that deep learning-based models can detect respiratory events with an accuracy similar to technicians. The poor agreement between technicians from different universities indicates that we need better definitions of hypopnea.
Support
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Affiliation(s)
| | | | | | | | | | | | - P Jennum
- Rigshospitalet, Glostrup, DENMARK
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22
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Olsen M, Sorensen H, Jennum P, Mignot E. 1208 Sleep Stage Prediction And Sleep Disordered Breathing Detection Using Raw Actigraphy And Photoplethysmography From Wearable Consumer Device. Sleep 2020. [DOI: 10.1093/sleep/zsaa056.1202] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Introduction
Wearable, multisensory consumer devices that estimate sleep are prevalent and hold great potential. Most validated actigraphic prediction studies of sleep stages (SS) have only used low resolution (30 sec) data and the Cole-Kripke algorithm. Other algorithms are often proprietary and not accessible or validated. We present an automatic, data-driven deep learning algorithm that process raw actigraphy (ACC) and photoplethysmography (PPG) using a low-cost consumer device at high (25Hz) and low resolution to predict SS and to detect sleep disordered breathing (SDB) events.
Methods
Our automatic, data-driven algorithm is a deep neural network trained and evaluated to predict SS and SDB events on 236 recordings of ACC data from a wrist-worn accelerometer and PPG data from the overlapping PSG. The network was tested on raw ACC and PPG data, which was collected at 25 Hz using the HUAMI Arc2 wristband from 39 participants that underwent a nocturnal polysomnography (PSG).
Results
Overall accuracy (Acc), recall (Re), specificity (Sp), and kappa (κ) per subject on the test dataset the prediction of wake, NREM, REM was Acc=76.6%, Re=72.4%, Sp=78.0%, kappa=0.42. On average, we found a 7 % higher performance using the raw sensor data as input instead of processed, low resolution inputs. PPG was especially useful for REM detection. The network assigned 55.6% of patients to the correct SDB severity group when using an apnea-hypopnea index above 15.
Conclusion
Current results show that SS prediction is significantly improved when using the raw sensor data; it indicates that the system holds promise as a potential pervasive monitoring device for patients with chronic sleep disorders. In contrast the system did not show potential as a sleep apnea screening tool. Additional studies are ongoing to examine the effects of pathology such as sleep apnea and periodic leg movement on SS prediction.
Support
Technical University of Denmark; University of Copenhagen, Copenhagen Center for Health Technology, Klarman Family Foundation.
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Affiliation(s)
- M Olsen
- Technical University of Denmark, Palo Alto, CA
| | - H Sorensen
- Technical University of Denmark, Lyngby, DENMARK
| | - P Jennum
- Danish Center for Sleep Medicine, Glostrup, DENMARK
| | - E Mignot
- Stanford University, Palo Alto, CA
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King D, Olsen M, Fisher G, Diehn M, Alizadeh A. Abstract C29: Development of a circulating tumor DNA assay in pancreas cancer. Cancer Res 2019. [DOI: 10.1158/1538-7445.panca19-c29] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Abstract
Pancreas cancer is the third most common cause of cancer-related death, owing in part to high rates of unresectable disease at time of diagnosis and poor long-term response to chemotherapy. Biomarkers are needed to sensitively identify and monitor disease burden, and to measure response to therapy. The CA19-9 tumor marker lacks sufficient positive or negative predictive value to guide treatment decisions, and digital droplet PCR (ddPCR) assessment of circulating KRAS mutations suffers poor sensitivity on account of only assessing a single DNA locus. We hypothesize that a multitargeted circulating tumor DNA assay can outperform CA19-9 and ddPCR as biomarker for the detection and monitoring of pancreas cancer. Our lab has developed the cancer personalized profiling by deep sequencing (CAPP-Seq) method, which combines high-depth sequencing with several strategies of error-suppression to identify minute amounts of tumor DNA circulating in patients’ blood. The development of our CAPP-Seq targeted sequencing panel hinged primarily on capturing regions of the genome known to be recurrently mutated in pancreatic ductal adenocarcinoma (PDAC), based on The Cancer Genome Atlas project. These regions contain mutations in KRAS, TP53, SMAD4, and by a long-tail of mutations in many other genes for which we contributed approximately 200 kb of selector space. In addition to recurrent SNVs, we also contributed approximately 35 kb for recurrent copy number variant locations, 10 kb for recurrent noncoding variants, and 20 kb for regions with aberrant expression patterns in PDAC based on TCGA RNA-sequencing data. This purpose of this study is to employ CAPP-Seq in two pancreas cancer cohorts: patients who underwent resection at Stanford and had blood drawn before and after surgical resection (n=30), and a cohort of patients with metastatic disease who are undergoing chemotherapy with blood draws at multiple time-points (n=20). The former cohort will assess prediction of recurrence based on ctDNA level, and the latter will assess patients with early development of resistance to chemotherapy. Before assessing this ctDNA detection assay in patients with pancreas cancer, we first evaluated the CAPP-Seq approach on two healthy research subjects and achieved on average 4000x de-duplicated sequencing depth, for a theoretical limit of detection of 0.03% circulating tumor fraction. We next sequenced samples from 7 patients with resectable disease and 8 with metastatic disease, with results expected in early July.
Citation Format: Dan King, Mari Olsen, George Fisher, Max Diehn, Ash Alizadeh. Development of a circulating tumor DNA assay in pancreas cancer [abstract]. In: Proceedings of the AACR Special Conference on Pancreatic Cancer: Advances in Science and Clinical Care; 2019 Sept 6-9; Boston, MA. Philadelphia (PA): AACR; Cancer Res 2019;79(24 Suppl):Abstract nr C29.
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Affiliation(s)
- Dan King
- Stanford University, Palo Alto, CA
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Janssen K, Aune M, Olsen M, Olsen GH, Berg T. Biological stain collection – Absorbing paper is superior to cotton swabs. Forensic Science International: Genetics Supplement Series 2019. [DOI: 10.1016/j.fsigss.2019.10.054] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Makanza R, Zaman-Allah M, Cairns JE, Eyre J, Burgueño J, Pacheco Á, Diepenbrock C, Magorokosho C, Tarekegne A, Olsen M, Prasanna BM. Correction to: High-throughput method for ear phenotyping and kernel weight estimation in maize using ear digital imaging. Plant Methods 2019; 15:52. [PMID: 31139242 PMCID: PMC6530015 DOI: 10.1186/s13007-019-0431-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
[This corrects the article DOI: 10.1186/s13007-018-0317-4.].
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Affiliation(s)
- R. Makanza
- International Maize and Wheat Improvement Center (CIMMYT), PO Box MP163, Harare, Zimbabwe
| | - M. Zaman-Allah
- International Maize and Wheat Improvement Center (CIMMYT), PO Box MP163, Harare, Zimbabwe
| | - J. E. Cairns
- International Maize and Wheat Improvement Center (CIMMYT), PO Box MP163, Harare, Zimbabwe
| | - J. Eyre
- University of Queensland, Brisbane, Australia
| | - J. Burgueño
- International Maize and Wheat Improvement Center (CIMMYT), El Batan, Mexico
| | - Ángela Pacheco
- International Maize and Wheat Improvement Center (CIMMYT), El Batan, Mexico
| | | | - C. Magorokosho
- International Maize and Wheat Improvement Center (CIMMYT), PO Box MP163, Harare, Zimbabwe
| | - A. Tarekegne
- International Maize and Wheat Improvement Center (CIMMYT), PO Box MP163, Harare, Zimbabwe
| | - M. Olsen
- International Maize and Wheat Improvement Center (CIMMYT), PO Box 1041, Nairobi, Kenya
| | - B. M. Prasanna
- International Maize and Wheat Improvement Center (CIMMYT), PO Box 1041, Nairobi, Kenya
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Field AR, Jacobs FMJ, Fiddes IT, Phillips APR, Reyes-Ortiz AM, LaMontagne E, Whitehead L, Meng V, Rosenkrantz JL, Olsen M, Hauessler M, Katzman S, Salama SR, Haussler D. Structurally Conserved Primate LncRNAs Are Transiently Expressed during Human Cortical Differentiation and Influence Cell-Type-Specific Genes. Stem Cell Reports 2019; 12:245-257. [PMID: 30639214 PMCID: PMC6372947 DOI: 10.1016/j.stemcr.2018.12.006] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2018] [Revised: 12/10/2018] [Accepted: 12/11/2018] [Indexed: 01/30/2023] Open
Abstract
The cerebral cortex has expanded in size and complexity in primates, yet the molecular innovations that enabled primate-specific brain attributes remain obscure. We generated cerebral cortex organoids from human, chimpanzee, orangutan, and rhesus pluripotent stem cells and sequenced their transcriptomes at weekly time points for comparative analysis. We used transcript structure and expression conservation to discover gene regulatory long non-coding RNAs (lncRNAs). Of 2,975 human, multi-exonic lncRNAs, 2,472 were structurally conserved in at least one other species and 920 were conserved in all. Three hundred eighty-six human lncRNAs were transiently expressed (TrEx) and many were also TrEx in great apes (46%) and rhesus (31%). Many TrEx lncRNAs are expressed in specific cell types by single-cell RNA sequencing. Four TrEx lncRNAs selected based on cell-type specificity, gene structure, and expression pattern conservation were ectopically expressed in HEK293 cells by CRISPRa. All induced trans gene expression changes were consistent with neural gene regulatory activity.
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Affiliation(s)
- Andrew R Field
- Molecular, Cell, and Developmental Biology, University of California, Santa Cruz, Santa Cruz, CA 95064, USA; Genomics Institute, University of California, Santa Cruz, Santa Cruz, CA, USA
| | - Frank M J Jacobs
- Biomolecular Engineering, University of California, Santa Cruz, Santa Cruz, CA 95064, USA
| | - Ian T Fiddes
- Genomics Institute, University of California, Santa Cruz, Santa Cruz, CA, USA; Biomolecular Engineering, University of California, Santa Cruz, Santa Cruz, CA 95064, USA
| | - Alex P R Phillips
- Biomolecular Engineering, University of California, Santa Cruz, Santa Cruz, CA 95064, USA
| | - Andrea M Reyes-Ortiz
- Biomolecular Engineering, University of California, Santa Cruz, Santa Cruz, CA 95064, USA
| | - Erin LaMontagne
- Biomolecular Engineering, University of California, Santa Cruz, Santa Cruz, CA 95064, USA
| | - Lila Whitehead
- Molecular, Cell, and Developmental Biology, University of California, Santa Cruz, Santa Cruz, CA 95064, USA
| | - Vincent Meng
- Molecular, Cell, and Developmental Biology, University of California, Santa Cruz, Santa Cruz, CA 95064, USA
| | - Jimi L Rosenkrantz
- Howard Hughes Medical Institute, University of California, Santa Cruz, Santa Cruz, CA 95064, USA
| | - Mari Olsen
- Howard Hughes Medical Institute, University of California, Santa Cruz, Santa Cruz, CA 95064, USA
| | - Max Hauessler
- Genomics Institute, University of California, Santa Cruz, Santa Cruz, CA, USA; Biomolecular Engineering, University of California, Santa Cruz, Santa Cruz, CA 95064, USA
| | - Sol Katzman
- Genomics Institute, University of California, Santa Cruz, Santa Cruz, CA, USA
| | - Sofie R Salama
- Genomics Institute, University of California, Santa Cruz, Santa Cruz, CA, USA; Biomolecular Engineering, University of California, Santa Cruz, Santa Cruz, CA 95064, USA; Howard Hughes Medical Institute, University of California, Santa Cruz, Santa Cruz, CA 95064, USA.
| | - David Haussler
- Genomics Institute, University of California, Santa Cruz, Santa Cruz, CA, USA; Biomolecular Engineering, University of California, Santa Cruz, Santa Cruz, CA 95064, USA; Howard Hughes Medical Institute, University of California, Santa Cruz, Santa Cruz, CA 95064, USA
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Abstract
BACKGROUND A variety of study designs are available to evaluate the accuracy of tests, but the terms used to describe these designs seem to lack clarity and standardization. We investigated if this was the case in the diagnostic guidance of the National Institute of Care and Health Excellence (NICE), an influential source of advice on the value of tests. OBJECTIVES To describe the range of study design terms and labels used to distinguish study designs in NICE Diagnostic Guidance and the underlying evidence reports. METHODS We carefully examined all NICE Diagnostic Guidance that has been developed from inception in 2011 until 2018 and the corresponding diagnostic assessment reports that summarized the evidence, focusing on guidance where tests were considered for diagnosis. We abstracted labels used to describe study designs and investigated what labels were used when studies were weighted differently because of their design (in terms of validity of evidence), in relevant sections. We made a descriptive analysis to assess the range of labels and also categorized labels by design features. RESULTS From a total of 36 pieces of guidance, 20 (56%) were eligible and 17 (47%) were included in our analysis. We identified 53 unique design labels, of which 19 (36%) were specific to diagnostic test accuracy designs. These referred to a total of 12 study design features. Labels were used in assigning different weights to studies in seven of the reports (41%) but never in the guidance documents. CONCLUSION Our study confirms a lack of clarity and standardization of test accuracy study design terms. There seems to be scope to reduce and harmonize the number of terms and still capture the design features that were deemed influential by those compiling the evidence reports. This should help decision makers in quickly identifying subgroups of included studies that should be weighted differently because their designs are more susceptible to bias.
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Affiliation(s)
- M. Olsen
- 0000 0004 0435 165Xgrid.16872.3aAmsterdam University Medical Centers, Department of Clinical Epidemiology, Biostatistics and Bioinformatics, Amsterdam Public Health Research Institute, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands
| | - Z. Zhelev
- 0000 0004 1936 8024grid.8391.3Exeter Test Group, Institute of Health Research, University of Exeter Medical School, St Lukes Campus, Exeter, EX1 2LU UK
| | - H. Hunt
- 0000 0004 1936 8024grid.8391.3Exeter Test Group, Institute of Health Research, University of Exeter Medical School, St Lukes Campus, Exeter, EX1 2LU UK
| | - J. L. Peters
- 0000 0004 1936 8024grid.8391.3Exeter Test Group, Institute of Health Research, University of Exeter Medical School, St Lukes Campus, Exeter, EX1 2LU UK
| | - P. Bossuyt
- 0000 0004 0435 165Xgrid.16872.3aAmsterdam University Medical Centers, Department of Clinical Epidemiology, Biostatistics and Bioinformatics, Amsterdam Public Health Research Institute, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands
| | - C. Hyde
- 0000 0004 1936 8024grid.8391.3Exeter Test Group, Institute of Health Research, University of Exeter Medical School, St Lukes Campus, Exeter, EX1 2LU UK
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Mitropoulou A, Gambacorta L, Lemming EW, Solfrizzo M, Olsen M. Extended evaluation of urinary multi-biomarker analyses of mycotoxins in Swedish adults and children. WORLD MYCOTOXIN J 2018. [DOI: 10.3920/wmj2018.2313] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
Biomarker-based methods are being more and more used to assess dietary exposure of mycotoxins in a population. The aim of the present study was to perform an extended analysis of urinary multiple mycotoxin levels and associations with background characteristics and food groups. Exposure assessment calculations were performed on three urine mycotoxins as described below and the probable daily intake (PDI) was compared with the established tolerable daily intake (TDI) to uncover potential exposure risks. The study population consisted of 250 adults and 50 school children in grade five from two surveys conducted by the Swedish National Food Agency. Six mycotoxins (deoxynivalenol (DON), zearalenone (ZEA), fumonisin B1 (FB1), fumonisin B2 (FB2), ochratoxin A (OTA), and nivalenol (NIV) and four metabolites (deepoxy-deoxynivalenol (DOM-1), aflatoxin M1 (AFM1), α-zearalenol (α-ZOL) and β-zearalenol (β-ZOL) were measured by an ultra-performance liquid chromatography tandem mass spectrometry based method (LC-MS/MS). OTA and DON were the most commonly occurring mycotoxins in urine of both adults and children, 51 and 63%, respectively in adults and 96 and 94%, respectively in children. A positive correlation was found between urinary NIV and total cereal consumption among adults. ZEA, α-ZOL, β-ZOL and FB2 were significantly higher in females than males (P<0.01 for all). Adjusted OTA levels were inversely correlated with income in men. In children, the percentage DOM-1 positive samples were much higher compared to adults, 76 and 8% respectively, indicating a higher capacity to detoxify DON. The small sample size among children made it difficult to study associations between urine mycotoxins levels and food group intake. All PDI estimates [DON (with and without DOM-1), ZEA (with and without α-ZOL and β-ZOL) and FB1] were below the TDI values except for DON exposure in adults, as reported previously, 1.3% of the volunteers were above the TDI.
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Affiliation(s)
- A. Mitropoulou
- National Food Agency, Department of Risk Benefit Assessment, P.O. Box 622, 751 26 Uppsala, Sweden
- Karolinska institute, Institute of Environmental Medicine, Box 210, 171 77 Stockholm, Sweden
| | - L. Gambacorta
- Institute of Sciences of Food Production (ISPA), National Research Council (CNR), Via Amendola 122/O, 70126 Bari, Italy
| | - E. Warensjö Lemming
- National Food Agency, Department of Risk Benefit Assessment, P.O. Box 622, 751 26 Uppsala, Sweden
| | - M. Solfrizzo
- Institute of Sciences of Food Production (ISPA), National Research Council (CNR), Via Amendola 122/O, 70126 Bari, Italy
| | - M. Olsen
- National Food Agency, Department of Risk Benefit Assessment, P.O. Box 622, 751 26 Uppsala, Sweden
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Whitson H, Woolson S, Olsen M, Muir K, McConnell E, Dziadul J, Stelmack J. PREVALENCE AND CONSEQUENCES OF COGNITIVE IMPAIRMENT AMONG VETERANS RECEIVING VISION REHABILITATION: A PILOT STUDY. Innov Aging 2018. [DOI: 10.1093/geroni/igy023.3182] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
| | | | | | - K Muir
- Duke University School of Medicine
| | | | - J Dziadul
- Durham Veterans Administration Medical Center
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Leisner M, Lindorff Riis J, Gniadecki R, Iversen L, Olsen M. Psoriasis and risk of myocardial infarction before and during an era with biological therapy: a population-based follow-up study. J Eur Acad Dermatol Venereol 2018; 32:2185-2190. [DOI: 10.1111/jdv.15021] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2017] [Accepted: 03/28/2018] [Indexed: 12/17/2022]
Affiliation(s)
- M.Z. Leisner
- Department of Clinical Epidemiology; Aarhus University Hospital; Aarhus N Denmark
| | - J. Lindorff Riis
- Department of Dermatology; Aarhus University Hospital; Aarhus N Denmark
| | - R. Gniadecki
- Department of Dermatology; Bispebjerg Hospital; Copenhagen Denmark
| | - L. Iversen
- Department of Dermatology; Aarhus University Hospital; Aarhus N Denmark
| | - M. Olsen
- Department of Clinical Epidemiology; Aarhus University Hospital; Aarhus N Denmark
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Olesen T, Pareek M, Stidsen J, Blicher M, Rasmussen S, Vishram-Nielsen J, Olsen M. IMPACT OF AGE ON THE ASSOCIATIONS BETWEEN TARGET ORGAN DAMAGE AND HEMODYNAMIC COMPONENTS DERIVED FROM 24-HOUR AMBULATORY BLOOD PRESSURE MEASUREMENT. J Hypertens 2018. [DOI: 10.1097/01.hjh.0000539433.80857.69] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Makanza R, Zaman-Allah M, Cairns JE, Eyre J, Burgueño J, Pacheco Á, Diepenbrock C, Magorokosho C, Tarekegne A, Olsen M, Prasanna BM. High-throughput method for ear phenotyping and kernel weight estimation in maize using ear digital imaging. Plant Methods 2018; 14:49. [PMID: 29946344 PMCID: PMC6003192 DOI: 10.1186/s13007-018-0317-4] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/15/2018] [Accepted: 06/07/2018] [Indexed: 05/18/2023]
Abstract
BACKGROUND Grain yield, ear and kernel attributes can assist to understand the performance of maize plant under different environmental conditions and can be used in the variety development process to address farmer's preferences. These parameters are however still laborious and expensive to measure. RESULTS A low-cost ear digital imaging method was developed that provides estimates of ear and kernel attributes i.e., ear number and size, kernel number and size as well as kernel weight from photos of ears harvested from field trial plots. The image processing method uses a script that runs in a batch mode on ImageJ; an open source software. Kernel weight was estimated using the total kernel number derived from the number of kernels visible on the image and the average kernel size. Data showed a good agreement in terms of accuracy and precision between ground truth measurements and data generated through image processing. Broad-sense heritability of the estimated parameters was in the range or higher than that for measured grain weight. Limitation of the method for kernel weight estimation is discussed. CONCLUSION The method developed in this work provides an opportunity to significantly reduce the cost of selection in the breeding process, especially for resource constrained crop improvement programs and can be used to learn more about the genetic bases of grain yield determinants.
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Affiliation(s)
- R. Makanza
- International Maize and Wheat Improvement Center (CIMMYT), PO Box MP163, Harare, Zimbabwe
| | - M. Zaman-Allah
- International Maize and Wheat Improvement Center (CIMMYT), PO Box MP163, Harare, Zimbabwe
| | - J. E. Cairns
- International Maize and Wheat Improvement Center (CIMMYT), PO Box MP163, Harare, Zimbabwe
| | - J. Eyre
- University of Queensland, Brisbane, Australia
| | - J. Burgueño
- International Maize and Wheat Improvement Center (CIMMYT), El Batan, Mexico
| | - Ángela Pacheco
- International Maize and Wheat Improvement Center (CIMMYT), El Batan, Mexico
| | | | - C. Magorokosho
- International Maize and Wheat Improvement Center (CIMMYT), PO Box MP163, Harare, Zimbabwe
| | - A. Tarekegne
- International Maize and Wheat Improvement Center (CIMMYT), PO Box MP163, Harare, Zimbabwe
| | - M. Olsen
- International Maize and Wheat Improvement Center (CIMMYT), PO Box 1041, Nairobi, Kenya
| | - B. M. Prasanna
- International Maize and Wheat Improvement Center (CIMMYT), PO Box 1041, Nairobi, Kenya
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Abstract
Isolates of Penicillium commune, Penicillium crustosum, Penicillium expansum, Penicillium roqueforti and Aspergillus versicolor, were inoculated on different food items (hard cheese, crème fraiche, tomato purée, apple and blueberry jam) and incubated at 15 °C for 14 days at 50% relative humidity (RH). After incubation the food samples were divided into 3 subsamples; A was 0-2 cm from the surface and including the fungal colony, subsample B was 2-4 cm and subsample C was the rest from >4 cm from the surface. The subsamples were analysed with a multianalyte method capable of identifying more than several hundreds of fungal metabolites. The outcome showed that mouldy food can contain a cocktail of bioactive secondary metabolites including mycotoxins and sometimes at high concentrations. Measurements of the diffusion of fungal metabolites from the colony on the surface (layer A) into the food (layer B and C) showed that the fungal metabolites do not diffuse more than 2 cm into the inner core of the hard cheese. On the other hand in more liquid foods, such as crème fraiche, fruit jams and tomato purée, the toxins diffused quite readily throughout the entire food sample. The levels of patulin found in the apple jam indicate that the tolerable daily intake for patulin may easily be exceeded even if the mouldy layer A is removed. This limited study calls for more similar studies to be performed to give risk managers a sound basis for advice to consumers.
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Affiliation(s)
- M. Olsen
- National Food Agency, Department of Risk Benefit Assessment, P.O. Box 622, 751 26 Uppsala, Sweden
| | - A. Gidlund
- National Food Agency, Department of Biology, P.O. Box 622, 751 26 Uppsala, Sweden
| | - M. Sulyok
- Center for Analytical Chemistry, Department of Agrobiotechnology (IFA-Tulln), University of Natural Resources and Life Sciences, Vienna (BOKU), Konrad-Lorenz-Str. 20, 3430 Tulln, Austria
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Olsen M, Lewis PM, Morrison Z, McKee MD, Waddell JP, Schemitsch EH. Total hip arthroplasty following failure of core decompression and tantalum rod implantation. Bone Joint J 2017; 98-B:1175-9. [PMID: 27587516 DOI: 10.1302/0301-620x.98b9.37252] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/14/2015] [Accepted: 05/09/2016] [Indexed: 11/05/2022]
Abstract
AIMS One method of femoral head preservation following avascular necrosis (AVN) is core decompression and insertion of a tantalum rod. However, there may be a high failure rate associated with this procedure. The purpose of this study was to document the clinical and radiological outcomes following total hip arthroplasty (THA) subsequent to failed tantalum rod insertion. PATIENTS AND METHODS A total of 37 failed tantalum rods requiring total hip arthroplasty were identified from a prospective database. There were 21 hips in 21 patients (12 men and nine women, mean age 37 years, 18 to 53) meeting minimum two year clinical and radiographic follow-up whose THAs were carried out between November 2002 and April 2013 (mean time between tantalum rod implantation and conversion to a THA was 26 months, 6 to 72). These were matched by age and gender to individuals (12 men, nine women, mean age 40 years, 18 to 58) receiving THA for AVN without prior tantalum rod insertion. RESULTS There were no functional outcome differences between the two groups. Tantalum residue was identified on all post-operative radiographs in the tantalum group. Linear wear rates were comparable between groups with no evidence of catastrophic wear in either group. CONCLUSION In the short term, tantalum rod implantation does not demonstrate an adverse effect on subsequent total joint replacement surgery. There is however, a high rate of retained tantalum debris on post-operative radiographs and thus there is an unknown risk of accelerated articular wear necessitating longer term study. Cite this article: Bone Joint J 2016;98-B:1175-9.
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Affiliation(s)
- M Olsen
- St. Michael's Hospital, University of Toronto, 30 Bond Street, Toronto, ON, M5B1W8, Canada
| | - P M Lewis
- Cwm Taf University Local Health Board, Prince Charles & Royal Glamorgan Hospitals, South Wales, UK
| | - Z Morrison
- St. Michael's Hospital, University of Toronto, 30 Bond Street, Toronto, ON, M5B1W8, Canada
| | - M D McKee
- St. Michael's Hospital, University of Toronto, 30 Bond Street, Toronto, ON, M5B1W8, Canada
| | - J P Waddell
- St. Michael's Hospital, University of Toronto, 30 Bond Street, Toronto, ON, M5B1W8, Canada
| | - E H Schemitsch
- London Health Sciences Centre, Western University, 339 Windermere Rd, London, ON, Canada
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Garcia-Mayoral E, Olsen M, Hedeholm R, Post S, Nielsen EE, Bekkevold D. Genetic structure of West Greenland populations of lumpfish Cyclopterus lumpus. J Fish Biol 2016; 89:2625-2642. [PMID: 27753091 DOI: 10.1111/jfb.13167] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/30/2016] [Accepted: 09/06/2016] [Indexed: 06/06/2023]
Abstract
In this study, 11 microsatellite markers were used to determine the structure of West Greenlandic lumpfish Cyclopterus lumpus populations across six spawning locations spanning >1500 km and compared with neighbouring populations in Canada and Iceland. To evaluate whether data allow for identification of origin of C. lumpus in Greenlandic waters, genetic assignment analysis was performed for 86 C. lumpus sampled on a feeding migration. Significant structuring with isolation by distance was observed in the West Greenland samples and two major subpopulations, north and south, were suggested. Based on FST values, closer relationships were observed between Greenland and Canada, than Greenland and Iceland. Surprisingly, the North Greenland population showed more similarities with Canadian samples, than did the geographically closer south-west Greenland population. Origin could be assigned for a high proportion of non-spawning fish and demonstrated a marked east-west spatial separation of fish of Greenlandic and Icelandic genotypes.
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Affiliation(s)
- E Garcia-Mayoral
- Danish Technical University, National Institue for Aquatic Resources, Vejlsøvej 39, 8600, Silkeborg, Denmark
| | - M Olsen
- Greenland Institute of Natural Resources, Kivioq 2, 3900, Nuuk, Greenland
| | - R Hedeholm
- Greenland Institute of Natural Resources, Kivioq 2, 3900, Nuuk, Greenland
| | - S Post
- Greenland Institute of Natural Resources, Kivioq 2, 3900, Nuuk, Greenland
| | - E E Nielsen
- Danish Technical University, National Institue for Aquatic Resources, Vejlsøvej 39, 8600, Silkeborg, Denmark
| | - D Bekkevold
- Danish Technical University, National Institue for Aquatic Resources, Vejlsøvej 39, 8600, Silkeborg, Denmark
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Janssen K, Olsen M, Olsen GH, Aune M, Berg T. Validation of automated PCR-setup of the Quantifiler ® Trio DNA Quantification kit on the Biomek ® 4000 Laboratory Automation Workstation. Forensic Science International: Genetics Supplement Series 2015. [DOI: 10.1016/j.fsigss.2015.09.232] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Wallin S, Gambacorta L, Kotova N, Warensjö Lemming E, Nälsén C, Solfrizzo M, Olsen M. Biomonitoring of concurrent mycotoxin exposure among adults in Sweden through urinary multi-biomarker analysis. Food Chem Toxicol 2015; 83:133-9. [DOI: 10.1016/j.fct.2015.05.023] [Citation(s) in RCA: 86] [Impact Index Per Article: 9.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2015] [Revised: 05/20/2015] [Accepted: 05/21/2015] [Indexed: 01/01/2023]
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Assersen K, Bie P, Hoilund‐Carlsen P, Olsen M, Greve S, Gam‐Hadberg JC, Braad PE, Diederichsen A, Mickley H, Damkjaer M. Exaggerated Natriuresis in Essential Hypertension is not due to Increase in Renal Medullary Blood Flow. FASEB J 2015. [DOI: 10.1096/fasebj.29.1_supplement.808.4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- K. Assersen
- EndocrinologyOdense Univ. HospitalOdenseDenmark
- Cardiovascular and Renal Research Univ. of Southern Denmark OdenseDenmark
| | - P. Bie
- Cardiovascular and Renal Research Univ. of Southern Denmark OdenseDenmark
| | | | - M. Olsen
- EndocrinologyOdense Univ. HospitalOdenseDenmark
| | - S. Greve
- EndocrinologyOdense Univ. HospitalOdenseDenmark
| | | | - P E. Braad
- Nuclear Medicine Odense Univ. Hospital OdenseDenmark
| | | | - H. Mickley
- Cardiology Odense Univ. Hospital OdenseDenmark
| | - M. Damkjaer
- PaediatricsOdense Univ. Hospital OdenseDenmark
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Vallurupalli M, Shulman D, Elmore S, Xu M, Dolisca S, Ilcisin L, Judd A, Kolarova T, Lock J, Niu N, Olsen M, Taylor K, Holmer H, Bhatt A, Huang F. Students for global oncology: Building a movement for student education
and engagement in an emerging field. Ann Glob Health 2015. [DOI: 10.1016/j.aogh.2015.02.635] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
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40
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Olsen M, Manzo V, Cardenas C, Bhatt A, Fajardo A, Huang F, Jacobs M, Kennell-Heiling S, May L, Mehrtash H, Taylor K, Xu M. Creating and implementing low literacy cancer education materials:
bridging the gap in sub-Saharan Africa. Ann Glob Health 2015. [DOI: 10.1016/j.aogh.2015.02.984] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
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Zaman-Allah M, Vergara O, Araus JL, Tarekegne A, Magorokosho C, Zarco-Tejada PJ, Hornero A, Albà AH, Das B, Craufurd P, Olsen M, Prasanna BM, Cairns J. Unmanned aerial platform-based multi-spectral imaging for field phenotyping of maize. Plant Methods 2015; 11:35. [PMID: 26106438 PMCID: PMC4477614 DOI: 10.1186/s13007-015-0078-2] [Citation(s) in RCA: 70] [Impact Index Per Article: 7.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/30/2015] [Accepted: 06/09/2015] [Indexed: 05/18/2023]
Abstract
BACKGROUND Recent developments in unmanned aerial platforms (UAP) have provided research opportunities in assessing land allocation and crop physiological traits, including response to abiotic and biotic stresses. UAP-based remote sensing can be used to rapidly and cost-effectively phenotype large numbers of plots and field trials in a dynamic way using time series. This is anticipated to have tremendous implications for progress in crop genetic improvement. RESULTS We present the use of a UAP equipped with sensors for multispectral imaging in spatial field variability assessment and phenotyping for low-nitrogen (low-N) stress tolerance in maize. Multispectral aerial images were used to (1) characterize experimental fields for spatial soil-nitrogen variability and (2) derive indices for crop performance under low-N stress. Overall, results showed that the aerial platform enables to effectively characterize spatial field variation and assess crop performance under low-N stress. The Normalized Difference Vegetation Index (NDVI) data derived from spectral imaging presented a strong correlation with ground-measured NDVI, crop senescence index and grain yield. CONCLUSION This work suggests that the aerial sensing platform designed for phenotyping studies has the potential to effectively assist in crop genetic improvement against abiotic stresses like low-N provided that sensors have enough resolution for plot level data collection. Limitations and future potential uses are also discussed.
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Affiliation(s)
- M Zaman-Allah
- />International Maize and Wheat Improvement Center (CIMMYT), PO Box MP163, Peg Mazowe Rd, Mt Pleasant, Harare, Zimbabwe
| | - O Vergara
- />Plant Physiology Unit, Department of Plant Biology, University of Barcelona, 08028 Barcelona, Spain
| | - J L Araus
- />Plant Physiology Unit, Department of Plant Biology, University of Barcelona, 08028 Barcelona, Spain
| | - A Tarekegne
- />International Maize and Wheat Improvement Center (CIMMYT), PO Box MP163, Peg Mazowe Rd, Mt Pleasant, Harare, Zimbabwe
| | - C Magorokosho
- />International Maize and Wheat Improvement Center (CIMMYT), PO Box MP163, Peg Mazowe Rd, Mt Pleasant, Harare, Zimbabwe
| | - P J Zarco-Tejada
- />Laboratory for Research Methods in Quantitative Remote Sensing (Quantalab IAS-CSIC), Cordoba, Spain
| | - A Hornero
- />Laboratory for Research Methods in Quantitative Remote Sensing (Quantalab IAS-CSIC), Cordoba, Spain
| | | | - B Das
- />International Maize and Wheat Improvement Center (CIMMYT), PO Box 1041, Nairobi, Kenya
| | - P Craufurd
- />International Maize and Wheat Improvement Center (CIMMYT), PO Box 1041, Nairobi, Kenya
| | - M Olsen
- />International Maize and Wheat Improvement Center (CIMMYT), PO Box 1041, Nairobi, Kenya
| | - B M Prasanna
- />International Maize and Wheat Improvement Center (CIMMYT), PO Box 1041, Nairobi, Kenya
| | - J Cairns
- />International Maize and Wheat Improvement Center (CIMMYT), PO Box MP163, Peg Mazowe Rd, Mt Pleasant, Harare, Zimbabwe
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Nelausen K, Michelsen H, Jensen B, Sengeloev L, Olsen M, Nielsen D. Internal Survey of Source Data in Clinical Trials. Ann Oncol 2014. [DOI: 10.1093/annonc/mdu353.20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Olsen M, Fahy CJ, Costi DA, Kelly AJ, Burgoyne LL. Anaesthesia-Related Haemodynamic Complications in Williams Syndrome Patients: A Review of One Institution's Experience. Anaesth Intensive Care 2014; 42:619-24. [DOI: 10.1177/0310057x1404200512] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Williams syndrome is a genetic disorder associated with cardiac pathology, including supravalvular aortic stenosis and coronary artery stenosis. Sudden cardiac death has been reported in the perioperative period and attributed to cardiovascular pathology. In this retrospective audit, case note and anaesthetic records were reviewed for all confirmed Williams syndrome patients who had received an anaesthetic in our institution between July 1974 and November 2009. There were a total of 108 anaesthetics administered in 29 patients. Twelve of the anaesthetics (11.1%) were associated with cardiac complications including cardiac arrest in two cases (1.85%). Of the two cardiac arrests, one patient died within the first 24 hours postanaesthetic and the other patient survived, giving an overall mortality of 0.9% (3.4%). We conclude that Williams syndrome confers a significant anaesthetic risk, which should be recognised and considered by clinicians planning procedures requiring general anaesthesia.
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Affiliation(s)
- M. Olsen
- Department of Children's Anaesthesia, Women's and Children's Hospital, North Adelaide, South Australia
| | - C. J. Fahy
- Department of Children's Anaesthesia, Women's and Children's Hospital, North Adelaide, South Australia
| | - D. A. Costi
- Department of Children's Anaesthesia, Women's and Children's Hospital, North Adelaide, South Australia
- Department of Children's Anaesthesia, Women's and Children's Hospital, North Adelaide, South Australia and Senior Clinical Lecturer in Acute Care Medicine, University of Adelaide, Adelaide, South Australia
| | - A. J. Kelly
- Department of Children's Anaesthesia, Women's and Children's Hospital, North Adelaide, South Australia
- Department of Cardiology, Women's and Children's Hospital, North Adelaide, South Australia
| | - L. L. Burgoyne
- Department of Children's Anaesthesia, Women's and Children's Hospital, North Adelaide, South Australia
- Department of Children's Anaesthesia, Women's and Children's Hospital, North Adelaide, South Australia and Senior Clinical Lecturer in Acute Care Medicine, University of Adelaide, Adelaide, South Australia
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Persu A, Jin Y, Baelen M, Vink E, Verloop WL, Schmidt B, Blicher MK, Severino F, Wuerzner G, Taylor A, Pechère-Bertschi A, Jokhaji F, Fadl Elmula FEM, Rosa J, Czarnecka D, Ehret G, Kahan T, Renkin J, Widimský J, Jacobs L, Spiering W, Burnier M, Mark PB, Menne J, Olsen MH, Blankestijn PJ, Kjeldsen S, Bots ML, Staessen JA, Baelen M, Gerber B, Horman S, Kefer J, Lengelé JP, le Polain de Waroux JB, Renkin J, Scavée C, Severino F, Vanoverschelde JL, Ehret G, Péchère-Bertschi A, Berry C, Brady A, Delles C, Dominiczak A, Freel M, Jardine A, Moss J, Muir S, Mark P, Padmanabhan S, Roditi G, Bauersachs J, Brinkmann J, Haller H, Heusser K, Jordan J, Klein G, Menne J, Schmidt B, Tank J, Czarnecka D, Jastrzębski M, Styczkiewicz K, Burnier M, Wuerzner G, Asayama K, Gu Y, Hashimoto A, Jacobs L, Jin Y, Kuznetsova T, Liu Y, Thijs L, Staessen JA, Blicher M, Beck-Nielse H, Flemming Høilund-Carlsen P, Olsen M, Brekke M, Engeseth K, Fadl Elmula FEM, Fossum E, Gjønnæss E, Hjørnholm U, Hoffmann P, Høieggen A, Kjær V, Kjeldsen SE, Larstorp AC, Meyerdierks O, Os I, Rostrup M, Stenehjem A, Rosa J, Petrak O, Zelinka T, Strauch B, Curila K, Tousek P, Widimský J, Widimský P, Jokhaji F, Lander R, Kahan T, Spaak J, Blankestijn PJ, Bots ML, Doevendans PA, Rookmaaker MB, Spiering W, Verloop WL, Vink EE, Voskuil M, Vonken EJ. Eligibility for Renal Denervation. Hypertension 2014; 63:1319-25. [DOI: 10.1161/hypertensionaha.114.03194] [Citation(s) in RCA: 58] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Affiliation(s)
- Alexandre Persu
- From the Pole of the Cardiovascular Research, Institut de Recherche Expérimentale et Clinique (A.P., J. Renkin) and Division of Cardiology, Cliniques Universitaires Saint-Luc (A.P., M.B., F.S., J. Renkin), Université Catholique de Louvain, Brussels, Belgium; Studies Coordinating Centre, Research Unit Hypertension and Cardiovascular Epidemiology, KU Leuven Department of Cardiovascular Sciences, University of Leuven, Leuven, Belgium (Y.J., L.J., J.A.S.); Julius Center for Health Sciences and Primary
| | - Yu Jin
- From the Pole of the Cardiovascular Research, Institut de Recherche Expérimentale et Clinique (A.P., J. Renkin) and Division of Cardiology, Cliniques Universitaires Saint-Luc (A.P., M.B., F.S., J. Renkin), Université Catholique de Louvain, Brussels, Belgium; Studies Coordinating Centre, Research Unit Hypertension and Cardiovascular Epidemiology, KU Leuven Department of Cardiovascular Sciences, University of Leuven, Leuven, Belgium (Y.J., L.J., J.A.S.); Julius Center for Health Sciences and Primary
| | - Marie Baelen
- From the Pole of the Cardiovascular Research, Institut de Recherche Expérimentale et Clinique (A.P., J. Renkin) and Division of Cardiology, Cliniques Universitaires Saint-Luc (A.P., M.B., F.S., J. Renkin), Université Catholique de Louvain, Brussels, Belgium; Studies Coordinating Centre, Research Unit Hypertension and Cardiovascular Epidemiology, KU Leuven Department of Cardiovascular Sciences, University of Leuven, Leuven, Belgium (Y.J., L.J., J.A.S.); Julius Center for Health Sciences and Primary
| | - Eva Vink
- From the Pole of the Cardiovascular Research, Institut de Recherche Expérimentale et Clinique (A.P., J. Renkin) and Division of Cardiology, Cliniques Universitaires Saint-Luc (A.P., M.B., F.S., J. Renkin), Université Catholique de Louvain, Brussels, Belgium; Studies Coordinating Centre, Research Unit Hypertension and Cardiovascular Epidemiology, KU Leuven Department of Cardiovascular Sciences, University of Leuven, Leuven, Belgium (Y.J., L.J., J.A.S.); Julius Center for Health Sciences and Primary
| | - Willemien L. Verloop
- From the Pole of the Cardiovascular Research, Institut de Recherche Expérimentale et Clinique (A.P., J. Renkin) and Division of Cardiology, Cliniques Universitaires Saint-Luc (A.P., M.B., F.S., J. Renkin), Université Catholique de Louvain, Brussels, Belgium; Studies Coordinating Centre, Research Unit Hypertension and Cardiovascular Epidemiology, KU Leuven Department of Cardiovascular Sciences, University of Leuven, Leuven, Belgium (Y.J., L.J., J.A.S.); Julius Center for Health Sciences and Primary
| | - Bernhard Schmidt
- From the Pole of the Cardiovascular Research, Institut de Recherche Expérimentale et Clinique (A.P., J. Renkin) and Division of Cardiology, Cliniques Universitaires Saint-Luc (A.P., M.B., F.S., J. Renkin), Université Catholique de Louvain, Brussels, Belgium; Studies Coordinating Centre, Research Unit Hypertension and Cardiovascular Epidemiology, KU Leuven Department of Cardiovascular Sciences, University of Leuven, Leuven, Belgium (Y.J., L.J., J.A.S.); Julius Center for Health Sciences and Primary
| | - Marie K. Blicher
- From the Pole of the Cardiovascular Research, Institut de Recherche Expérimentale et Clinique (A.P., J. Renkin) and Division of Cardiology, Cliniques Universitaires Saint-Luc (A.P., M.B., F.S., J. Renkin), Université Catholique de Louvain, Brussels, Belgium; Studies Coordinating Centre, Research Unit Hypertension and Cardiovascular Epidemiology, KU Leuven Department of Cardiovascular Sciences, University of Leuven, Leuven, Belgium (Y.J., L.J., J.A.S.); Julius Center for Health Sciences and Primary
| | - Francesca Severino
- From the Pole of the Cardiovascular Research, Institut de Recherche Expérimentale et Clinique (A.P., J. Renkin) and Division of Cardiology, Cliniques Universitaires Saint-Luc (A.P., M.B., F.S., J. Renkin), Université Catholique de Louvain, Brussels, Belgium; Studies Coordinating Centre, Research Unit Hypertension and Cardiovascular Epidemiology, KU Leuven Department of Cardiovascular Sciences, University of Leuven, Leuven, Belgium (Y.J., L.J., J.A.S.); Julius Center for Health Sciences and Primary
| | - Grégoire Wuerzner
- From the Pole of the Cardiovascular Research, Institut de Recherche Expérimentale et Clinique (A.P., J. Renkin) and Division of Cardiology, Cliniques Universitaires Saint-Luc (A.P., M.B., F.S., J. Renkin), Université Catholique de Louvain, Brussels, Belgium; Studies Coordinating Centre, Research Unit Hypertension and Cardiovascular Epidemiology, KU Leuven Department of Cardiovascular Sciences, University of Leuven, Leuven, Belgium (Y.J., L.J., J.A.S.); Julius Center for Health Sciences and Primary
| | - Alison Taylor
- From the Pole of the Cardiovascular Research, Institut de Recherche Expérimentale et Clinique (A.P., J. Renkin) and Division of Cardiology, Cliniques Universitaires Saint-Luc (A.P., M.B., F.S., J. Renkin), Université Catholique de Louvain, Brussels, Belgium; Studies Coordinating Centre, Research Unit Hypertension and Cardiovascular Epidemiology, KU Leuven Department of Cardiovascular Sciences, University of Leuven, Leuven, Belgium (Y.J., L.J., J.A.S.); Julius Center for Health Sciences and Primary
| | - Antoinette Pechère-Bertschi
- From the Pole of the Cardiovascular Research, Institut de Recherche Expérimentale et Clinique (A.P., J. Renkin) and Division of Cardiology, Cliniques Universitaires Saint-Luc (A.P., M.B., F.S., J. Renkin), Université Catholique de Louvain, Brussels, Belgium; Studies Coordinating Centre, Research Unit Hypertension and Cardiovascular Epidemiology, KU Leuven Department of Cardiovascular Sciences, University of Leuven, Leuven, Belgium (Y.J., L.J., J.A.S.); Julius Center for Health Sciences and Primary
| | - Fadi Jokhaji
- From the Pole of the Cardiovascular Research, Institut de Recherche Expérimentale et Clinique (A.P., J. Renkin) and Division of Cardiology, Cliniques Universitaires Saint-Luc (A.P., M.B., F.S., J. Renkin), Université Catholique de Louvain, Brussels, Belgium; Studies Coordinating Centre, Research Unit Hypertension and Cardiovascular Epidemiology, KU Leuven Department of Cardiovascular Sciences, University of Leuven, Leuven, Belgium (Y.J., L.J., J.A.S.); Julius Center for Health Sciences and Primary
| | - Fadl Elmula M. Fadl Elmula
- From the Pole of the Cardiovascular Research, Institut de Recherche Expérimentale et Clinique (A.P., J. Renkin) and Division of Cardiology, Cliniques Universitaires Saint-Luc (A.P., M.B., F.S., J. Renkin), Université Catholique de Louvain, Brussels, Belgium; Studies Coordinating Centre, Research Unit Hypertension and Cardiovascular Epidemiology, KU Leuven Department of Cardiovascular Sciences, University of Leuven, Leuven, Belgium (Y.J., L.J., J.A.S.); Julius Center for Health Sciences and Primary
| | - Jan Rosa
- From the Pole of the Cardiovascular Research, Institut de Recherche Expérimentale et Clinique (A.P., J. Renkin) and Division of Cardiology, Cliniques Universitaires Saint-Luc (A.P., M.B., F.S., J. Renkin), Université Catholique de Louvain, Brussels, Belgium; Studies Coordinating Centre, Research Unit Hypertension and Cardiovascular Epidemiology, KU Leuven Department of Cardiovascular Sciences, University of Leuven, Leuven, Belgium (Y.J., L.J., J.A.S.); Julius Center for Health Sciences and Primary
| | - Danuta Czarnecka
- From the Pole of the Cardiovascular Research, Institut de Recherche Expérimentale et Clinique (A.P., J. Renkin) and Division of Cardiology, Cliniques Universitaires Saint-Luc (A.P., M.B., F.S., J. Renkin), Université Catholique de Louvain, Brussels, Belgium; Studies Coordinating Centre, Research Unit Hypertension and Cardiovascular Epidemiology, KU Leuven Department of Cardiovascular Sciences, University of Leuven, Leuven, Belgium (Y.J., L.J., J.A.S.); Julius Center for Health Sciences and Primary
| | - Georg Ehret
- From the Pole of the Cardiovascular Research, Institut de Recherche Expérimentale et Clinique (A.P., J. Renkin) and Division of Cardiology, Cliniques Universitaires Saint-Luc (A.P., M.B., F.S., J. Renkin), Université Catholique de Louvain, Brussels, Belgium; Studies Coordinating Centre, Research Unit Hypertension and Cardiovascular Epidemiology, KU Leuven Department of Cardiovascular Sciences, University of Leuven, Leuven, Belgium (Y.J., L.J., J.A.S.); Julius Center for Health Sciences and Primary
| | - Thomas Kahan
- From the Pole of the Cardiovascular Research, Institut de Recherche Expérimentale et Clinique (A.P., J. Renkin) and Division of Cardiology, Cliniques Universitaires Saint-Luc (A.P., M.B., F.S., J. Renkin), Université Catholique de Louvain, Brussels, Belgium; Studies Coordinating Centre, Research Unit Hypertension and Cardiovascular Epidemiology, KU Leuven Department of Cardiovascular Sciences, University of Leuven, Leuven, Belgium (Y.J., L.J., J.A.S.); Julius Center for Health Sciences and Primary
| | - Jean Renkin
- From the Pole of the Cardiovascular Research, Institut de Recherche Expérimentale et Clinique (A.P., J. Renkin) and Division of Cardiology, Cliniques Universitaires Saint-Luc (A.P., M.B., F.S., J. Renkin), Université Catholique de Louvain, Brussels, Belgium; Studies Coordinating Centre, Research Unit Hypertension and Cardiovascular Epidemiology, KU Leuven Department of Cardiovascular Sciences, University of Leuven, Leuven, Belgium (Y.J., L.J., J.A.S.); Julius Center for Health Sciences and Primary
| | - Jiří Widimský
- From the Pole of the Cardiovascular Research, Institut de Recherche Expérimentale et Clinique (A.P., J. Renkin) and Division of Cardiology, Cliniques Universitaires Saint-Luc (A.P., M.B., F.S., J. Renkin), Université Catholique de Louvain, Brussels, Belgium; Studies Coordinating Centre, Research Unit Hypertension and Cardiovascular Epidemiology, KU Leuven Department of Cardiovascular Sciences, University of Leuven, Leuven, Belgium (Y.J., L.J., J.A.S.); Julius Center for Health Sciences and Primary
| | - Lotte Jacobs
- From the Pole of the Cardiovascular Research, Institut de Recherche Expérimentale et Clinique (A.P., J. Renkin) and Division of Cardiology, Cliniques Universitaires Saint-Luc (A.P., M.B., F.S., J. Renkin), Université Catholique de Louvain, Brussels, Belgium; Studies Coordinating Centre, Research Unit Hypertension and Cardiovascular Epidemiology, KU Leuven Department of Cardiovascular Sciences, University of Leuven, Leuven, Belgium (Y.J., L.J., J.A.S.); Julius Center for Health Sciences and Primary
| | - Wilko Spiering
- From the Pole of the Cardiovascular Research, Institut de Recherche Expérimentale et Clinique (A.P., J. Renkin) and Division of Cardiology, Cliniques Universitaires Saint-Luc (A.P., M.B., F.S., J. Renkin), Université Catholique de Louvain, Brussels, Belgium; Studies Coordinating Centre, Research Unit Hypertension and Cardiovascular Epidemiology, KU Leuven Department of Cardiovascular Sciences, University of Leuven, Leuven, Belgium (Y.J., L.J., J.A.S.); Julius Center for Health Sciences and Primary
| | - Michel Burnier
- From the Pole of the Cardiovascular Research, Institut de Recherche Expérimentale et Clinique (A.P., J. Renkin) and Division of Cardiology, Cliniques Universitaires Saint-Luc (A.P., M.B., F.S., J. Renkin), Université Catholique de Louvain, Brussels, Belgium; Studies Coordinating Centre, Research Unit Hypertension and Cardiovascular Epidemiology, KU Leuven Department of Cardiovascular Sciences, University of Leuven, Leuven, Belgium (Y.J., L.J., J.A.S.); Julius Center for Health Sciences and Primary
| | - Patrick B. Mark
- From the Pole of the Cardiovascular Research, Institut de Recherche Expérimentale et Clinique (A.P., J. Renkin) and Division of Cardiology, Cliniques Universitaires Saint-Luc (A.P., M.B., F.S., J. Renkin), Université Catholique de Louvain, Brussels, Belgium; Studies Coordinating Centre, Research Unit Hypertension and Cardiovascular Epidemiology, KU Leuven Department of Cardiovascular Sciences, University of Leuven, Leuven, Belgium (Y.J., L.J., J.A.S.); Julius Center for Health Sciences and Primary
| | - Jan Menne
- From the Pole of the Cardiovascular Research, Institut de Recherche Expérimentale et Clinique (A.P., J. Renkin) and Division of Cardiology, Cliniques Universitaires Saint-Luc (A.P., M.B., F.S., J. Renkin), Université Catholique de Louvain, Brussels, Belgium; Studies Coordinating Centre, Research Unit Hypertension and Cardiovascular Epidemiology, KU Leuven Department of Cardiovascular Sciences, University of Leuven, Leuven, Belgium (Y.J., L.J., J.A.S.); Julius Center for Health Sciences and Primary
| | - Michael H. Olsen
- From the Pole of the Cardiovascular Research, Institut de Recherche Expérimentale et Clinique (A.P., J. Renkin) and Division of Cardiology, Cliniques Universitaires Saint-Luc (A.P., M.B., F.S., J. Renkin), Université Catholique de Louvain, Brussels, Belgium; Studies Coordinating Centre, Research Unit Hypertension and Cardiovascular Epidemiology, KU Leuven Department of Cardiovascular Sciences, University of Leuven, Leuven, Belgium (Y.J., L.J., J.A.S.); Julius Center for Health Sciences and Primary
| | - Peter J. Blankestijn
- From the Pole of the Cardiovascular Research, Institut de Recherche Expérimentale et Clinique (A.P., J. Renkin) and Division of Cardiology, Cliniques Universitaires Saint-Luc (A.P., M.B., F.S., J. Renkin), Université Catholique de Louvain, Brussels, Belgium; Studies Coordinating Centre, Research Unit Hypertension and Cardiovascular Epidemiology, KU Leuven Department of Cardiovascular Sciences, University of Leuven, Leuven, Belgium (Y.J., L.J., J.A.S.); Julius Center for Health Sciences and Primary
| | - Sverre Kjeldsen
- From the Pole of the Cardiovascular Research, Institut de Recherche Expérimentale et Clinique (A.P., J. Renkin) and Division of Cardiology, Cliniques Universitaires Saint-Luc (A.P., M.B., F.S., J. Renkin), Université Catholique de Louvain, Brussels, Belgium; Studies Coordinating Centre, Research Unit Hypertension and Cardiovascular Epidemiology, KU Leuven Department of Cardiovascular Sciences, University of Leuven, Leuven, Belgium (Y.J., L.J., J.A.S.); Julius Center for Health Sciences and Primary
| | - Michiel L. Bots
- From the Pole of the Cardiovascular Research, Institut de Recherche Expérimentale et Clinique (A.P., J. Renkin) and Division of Cardiology, Cliniques Universitaires Saint-Luc (A.P., M.B., F.S., J. Renkin), Université Catholique de Louvain, Brussels, Belgium; Studies Coordinating Centre, Research Unit Hypertension and Cardiovascular Epidemiology, KU Leuven Department of Cardiovascular Sciences, University of Leuven, Leuven, Belgium (Y.J., L.J., J.A.S.); Julius Center for Health Sciences and Primary
| | - Jan A. Staessen
- From the Pole of the Cardiovascular Research, Institut de Recherche Expérimentale et Clinique (A.P., J. Renkin) and Division of Cardiology, Cliniques Universitaires Saint-Luc (A.P., M.B., F.S., J. Renkin), Université Catholique de Louvain, Brussels, Belgium; Studies Coordinating Centre, Research Unit Hypertension and Cardiovascular Epidemiology, KU Leuven Department of Cardiovascular Sciences, University of Leuven, Leuven, Belgium (Y.J., L.J., J.A.S.); Julius Center for Health Sciences and Primary
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Edinger J, Grubber J, Ulmer C, Zervakis J, Olsen M. A collaborative care model for improving sleep disorders management in primary care. Sleep Med 2013. [DOI: 10.1016/j.sleep.2013.11.247] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Wallin S, Hardie L, Kotova N, Lemming EW, Nälsén C, Ridefelt P, Turner P, White K, Olsen M. Biomonitoring study of deoxynivalenol exposure and association with typical cereal consumption in Swedish adults. WORLD MYCOTOXIN J 2013. [DOI: 10.3920/wmj2013.1581] [Citation(s) in RCA: 27] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
Deoxynivalenol (DON) is a mycotoxin of the trichothecene family commonly found in cereals infested with different Fusarium species. DON acts primarily on the gastrointestinal and immune system and is suspected to be an underlying agent causing several outbreaks of gastrointestinal disorder among humans, which prompts studies of human exposure and estimations of intake among populations. However, assessing human exposure to mycotoxins is associated with several difficulties. Therefore, a study was undertaken among adults (18-80 years) in a subgroup of Riksmaten, the Swedish national survey investigating dietary habits, examining both the association between urinary DON concentration and dietary intake of cereals, and estimations of daily DON intake. The results indicate that exposure to DON is common among Swedish adults, as this mycotoxin was detected in 292 out of 326 urine samples (90%) at levels ranging from non-detectable to 65.8 ng DON/ml urine with a median level of 2.9 ng/ml. Furthermore, urinary DON (ng/mg creatinine) was associated with intake (g/day) of total cereal grain as well as whole grain. Urinary DON was also significantly associated with breakfast cereals and porridge consumption (P<0.05). Estimated DON intake in this study ranged between 2.5 and 5,443 ng/kg body weight (bw). 1% of the individuals had estimated intakes above the group provisional maximum tolerable daily intake (PMTDI; 1 μg/kg), whereas the mean and median intakes of 159 and 84 ng DON/kg bw, respectively, were considerably below the PMTDI. Along with the toxicological profile of DON, no serious health implications are to be expected for the majority of Swedish adults, although a potential health concern remains for some high cereal consumers. In conclusion, biomonitoring could prove to be a valuable tool for observing DON exposure among populations.
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Affiliation(s)
- S. Wallin
- National Food Agency, P.O. Box 622, 75126 Uppsala, Sweden
| | - L.J. Hardie
- Division of Epidemiology, Leeds Institute for Genetics, Health and Therapeutics, University of Leeds, Leeds LS2 9JT, United Kingdom
| | - N. Kotova
- National Food Agency, P.O. Box 622, 75126 Uppsala, Sweden
| | | | - C. Nälsén
- National Food Agency, P.O. Box 622, 75126 Uppsala, Sweden
| | - P. Ridefelt
- Department of Medical Sciences, Section Clinical Chemistry, Uppsala University, University Hospital, 75185 Uppsala, Sweden
| | - P.C. Turner
- Maryland Institute for Applied Environmental Health, School of Public Health, University of Maryland, College Park, MD 20742, USA
| | - K.L.M. White
- Division of Epidemiology, Leeds Institute for Genetics, Health and Therapeutics, University of Leeds, Leeds LS2 9JT, United Kingdom
| | - M. Olsen
- National Food Agency, P.O. Box 622, 75126 Uppsala, Sweden
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Ramboz S, Silva SD, Stevenson R, Osborne M, Willms M, Kudwa A, Cirillo C, Mushlin R, Olsen M, Bent S, Ghavami A, Sherer T, Frasier M, Dave K. P.19.3 Phenotypic characterization of the autosomal recessive (Pink-1 and DJ-1) gene knockout rat models of Parkinson’s disease. Neuromuscul Disord 2013. [DOI: 10.1016/j.nmd.2013.06.684] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Rowles J, Olsen M. Perspectives on the development of antioxidant antiepileptogenic agents. Mini Rev Med Chem 2013; 12:1015-27. [PMID: 22512592 DOI: 10.2174/138955712802762266] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2011] [Revised: 04/11/2012] [Accepted: 04/14/2012] [Indexed: 11/22/2022]
Abstract
Epilepsy is a chronic disorder of abnormal electrical activity in the brain characterized by recurrent unprovoked seizures. Currently used pharmaceutical agents do not treat the underlying disease process, and a significant proportion of epileptic patients are refractory to current therapies. Therefore there is a strong need for additional therapeutic agents, especially those that address the underlying disease process of epileptogenesis. The redox potential of cells is maintained by an appropriate balance between pro- and anti-oxidative molecules; oxidative stress and increases in toxic reactive oxygen species occur when this balance shifts towards oxidation. Neural tissues are especially sensitive to oxygen levels, and oxidative stress is thought to be involved in epileptogenesis. Increases in reactive oxygen species occur in response to sustained neuronal electrical activity and seizures. Therefore antioxidants have been suggested as therapeutic design strategies for the treatment and modulation of epilepsy. This minireview focuses on several key antioxidants and agents involved in defending against oxidative stress that may be targets for new antiepileptogenic drug design, including directacting antioxidants, Nrf2-activating agents, and prolyl-4-hydroxylase inhibitors. A description of the necessary physicochemical properties and a summary of animal models that are thought to be useful for developing antiepileptogenic agents are presented.
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Affiliation(s)
- J Rowles
- Department of Pharmaceutical Sciences, College of Pharmacy - Glendale, Midwestern University, AZ 85308, USA
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Aznar M, Andersen F, Berthelsen A, Josipovic M, Klausen T, Loft A, Olsen M, Petersen P, Specht L. Feasibility of breathing-adapted PET/CT imaging for radiation therapy of Hodgkin lymphoma. Cancer Imaging 2011. [DOI: 10.1102/1470-7330.2011.9063] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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Willemsen P, Olsen M, Erickson S, Yonas A. Improving Driver Ability to Avoid Collisions when Following a Snowplow. J Vis 2010. [DOI: 10.1167/10.7.812] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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