Among patients with unstable angina or myocardial infarction without ST-segment elevation, prasugrel did not significantly reduce the frequency of the primary end point, as compared with clopidogrel, and similar risks of bleeding were observed. (Funded by Eli Lilly and Daiichi Sankyo; TRILOGY ACS ClinicalTrials.gov number, NCT00699998.).
SummaryA semi-automated imaging system is described to quantitate estrogen and progesterone receptor immunoreactivity in human breast cancer. The system works for any conventional method of image acquisition using microscopic slides that have been processed for immunohistochemical analysis of the estrogen receptor and progesterone receptor. Estrogen receptor and progesterone receptor immunohistochemical staining produce colorimetric differences in nuclear staining that conventionally have been interpreted manually by pathologists and expressed as percentage of positive tumoral nuclei. The estrogen receptor and progesterone receptor status of human breast cancer represent important prognostic and predictive markers of human breast cancer that dictate therapeutic decisions but their subjective interpretation result in interobserver, intraobserver and fatigue variability. Subjective measurements are traditionally limited to a determination of percentage of tumoral nuclei that show positive immunoreactivity. To address these limitations, imaging algorithms utilizing both colorimetric (RGB) as well as intensity (gray scale) determinations were used to analyze pixels of the acquired image. Image acquisition utilized either scanner or microscope with attached digital or analogue camera capable of producing images with a resolution of 20 pixels /10 µ. Areas of each image were screened and the area of interest richest in tumour cells manually selected for image processing. Images were processed initially by JPG conversion of SVS scanned virtual slides or direct JPG photomicrograph capture. Following image acquisition, Correspondence to: Sanford H. Barsky. Tel: 614-292-4692; fax: 614-688-5632; e-mail: sanford.barsky@osumc.edu images were screened for quality, enhanced and processed. The algorithm-based values for estrogen receptor and progesterone receptor percentage nuclear positivity both strongly correlated with the subjective measurements (intraclass correlation: 0.77; 95% confidence interval: 0.59, 0.95) yet exhibited no interobserver, intraobserver or fatigue variability. In addition the algorithms provided measurements of nuclear estrogen receptor and progesterone receptor staining intensity (mean, mode and median staining intensity of positive staining nuclei), parameters that subjective review could not assess. Other semi-automated image analysis systems have been used to measure estrogen receptor and progesterone receptor immunoreactivity but these either have required proprietary hardware or have been based on luminosity differences alone. By contrast our algorithms were independent of proprietary hardware and were based on not just luminosity and colour but also many other imaging features including epithelial pattern recognition and nuclear morphology. These features provide a more accurate, versatile and robust imaging analysis platform that can be fully automated in the near future. Because of all these properties, our semi-automated imaging system 'adds value' as a means of measuring these important nuclea...
Thin films of hafnium oxide are deposited on Si(100) substrates by means of atomic layer deposition using tetrakis(diethylamino)hafnium and water on Si(100) at 300°C. Detailed studies of temperature induced annealing effects on the HfO2∕Si interface are done using angle resolved x-ray photoelectron spectroscopy (XPS), Fourier transform infrared spectroscopy, and time of flight secondary ion mass spectroscopy (ToF-SIMS). As-deposited films show mostly native silicon oxide at the interface. Crystallization of HfO2 film initiates at about 600°C. As the annealing temperature is increased, the hafnium silicate content in the film is found to increase and the mostly silicon oxide interlayer is found to grow thicker under Ar atmosphere. Also, the formation of hafnium silicide is found to take place at temperatures ⩾800°C. The XPS data shows decomposition of the interfacial hafnium silicate layer into hafnium oxide and silicon oxide at 1000°C along with increasing formation of hafnium silicide. The ToF-SIMS data suggest interdiffusion of the hafnium oxide film and the interfacial silicon oxide during the annealing process.
B*2705 was the main subtype observed in both patient and control groups. Frequency of B*2704 was more in AS patients compared to controls. Occurrence of AS-associated uveitis was more often in B*2704-positive AS patients compared to B*2705-positive ones.
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