Exome sequencing(ES)generates secondary findings(SFs)in 2%of tested individuals if one follows the American College of Medical Genetics and Genomics(ACMG)guide-lines.i,z2 However,the rate of incidental and secondary f...
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Exome sequencing(ES)generates secondary findings(SFs)in 2%of tested individuals if one follows the American College of Medical Genetics and Genomics(ACMG)guide-lines.i,z2 However,the rate of incidental and secondary findings(ISFs)is higher in routine clinical practice because of(i)the use of trio ES instead of solo sequencing and(i)the exclusion of the incidental findings(IFs)of medical value concerning genes in the ACMG ***,it is not clear how sufficient is a restricted list of genes to detect every ISF of major clinical value;and what is the amount of additional workload for the laboratory.
The incidence of multifocal(MF) and multicentric(MC) carcinomas varies widely among clinical studies,depending on definitions and methods for pathological *** resonance imaging is increasingly used because it can help...
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The incidence of multifocal(MF) and multicentric(MC) carcinomas varies widely among clinical studies,depending on definitions and methods for pathological *** resonance imaging is increasingly used because it can help identify additional and conventionally occult tumors with high ***,false positive lesions might incorrectly influence treatment ***,preoperative biopsies must be performed to avoid unnecessary *** studies have shown higher lymph node involvement rates in MF/MC tumors than in unifocal ***,the rate of local recurrences is usually low after breast conservative treatment(BCT) of MC/MF *** has been suggested that BCT is a reasonable option for MC/MF tumors in women aged 50-69 years,with small tumors and absence of extensive ductal carcinoma in situ.A metaanalysis showed an apparent decreased overall survival in MC/MF tumors but data are *** should achieve both acceptable cosmetic results and negative margins,which requires thorough preoperative radiological workup and localization of *** radiotherapy techniques must be evaluated since double boosts might result in increased toxicity,namely *** conclusion,BCT is feasible in selected patients with MC/MF but the choice of surgery must be discussed in a multidisciplinary team comprising at least radiologists,surgeons and radiotherapists.
Satellite retrievals of columnar nitrogen dioxide(NO_(2))are essential for the characterization of nitrogen oxides(NO_(x))processes and *** requirements of modeled a priori profiles present an outstanding bottleneck i...
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Satellite retrievals of columnar nitrogen dioxide(NO_(2))are essential for the characterization of nitrogen oxides(NO_(x))processes and *** requirements of modeled a priori profiles present an outstanding bottleneck in operational satellite NO_(2)*** this work,we instead use neural network(NN)models trained from over 360,000 radiative transfer(RT)simulations to translate satellite radiances across 390-495nm to total NO_(2)vertical column(NO_(2)C).Despite the wide variability of the many input parameters in the RT simulations,only a small number of key variables were found essential to the accurate prediction of NO_(2)C,including observing angles,surface reflectivity and altitude,and several key principal component scores of the *** addition to the NO_(2)C,the NN training and cross-validation experiments show that the wider retrieval window allows some information about the vertical distribution to be retrieved(e.g.,extending the rightmost wavelength from 465 to 495 nm decreases the root-mean-square-error by 0.75%)under high-NO_(2)C *** to four months of TROPOMI data,the trained NN model shows strong ability to reproduce the NO_(2)C observed by the ground-based Pandonia Global *** coefficient of determination(R2,0.75)and normalized mean bias(NMB,-33%)are competitive with the level 2 operational TROPOMI product(R^(2)=0:77,NMB=−29%)over clear(geometric cloud fraction<0:2)and polluted(NO_(2)C≥7:5×10^(15)molecules/cm2)*** NN retrieval approach is~12 times faster than predictions using high spatial resolution(~3 km)a priori profiles from chemical transport modeling,which is especially attractive to the handling of large volume satellite data.
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