. Conception, design and critical revision. ABSTRACT PURPOSE:The present a novel adenocarcinoma model in athymic mice. METHODS:Seven athymic mice were used. Colon diversion and distal fistula were made. Adenocarcinoma cells were inoculated in the submucosa of fistula. Tumor growth was monitored daily. Scintigraphy with 99mTc-MIBI was performed to identify the tumor. RESULTS:The model of distal colon cancer is feasible. Tumor detection was possible by both, macroscopically and molecular imaging.All resections demonstrated poorly differentiated tumors. Colon obstruction occurred in one case, similarly to evolution in human tumors of distal colon. CONCLUSION:The proposed model of distal colon cancer is feasible, allows for easy monitoring of tumoral growth by both, macroscopically and molecular imaging, and is suitable for studying the evolution of tumor with implementation of cytotoxic therapy in vivo. Camundongos Nus.
Many state‐of‐the‐art methods for seizure prediction, using the electroencephalogram, are based on machine learning models that are black boxes, weakening the trust of clinicians in them for high‐risk decisions. Seizure prediction concerns a multidimensional time‐series problem that performs continuous sliding window analysis and classification. In this work, we make a critical review of which explanations increase trust in models' decisions for predicting seizures. We developed three machine learning methodologies to explore their explainability potential. These contain different levels of model transparency: a logistic regression, an ensemble of 15 support vector machines, and an ensemble of three convolutional neural networks. For each methodology, we evaluated quasi‐prospectively the performance in 40 patients (testing data comprised 2055 hours and 104 seizures). We selected patients with good and poor performance to explain the models' decisions. Then, with grounded theory, we evaluated how these explanations helped specialists (data scientists and clinicians working in epilepsy) to understand the obtained model dynamics. We obtained four lessons for better communication between data scientists and clinicians. We found that the goal of explainability is not to explain the system's decisions but to improve the system itself. Model transparency is not the most significant factor in explaining a model decision for seizure prediction. Even when using intuitive and state‐of‐the‐art features, it is hard to understand brain dynamics and their relationship with the developed models. We achieve an increase in understanding by developing, in parallel, several systems that explicitly deal with signal dynamics changes that help develop a complete problem formulation.
Anal mucosal melanoma is rare and is associated with a poor prognosis.The unusual and ambiguous symptoms often account for the late diagnosis and poor prognosis of anal melanoma. An 83-year-old woman presented to our family doctor with a pigmented swelling of the anal margin.She was examined and was referred to the hospital.The diagnosis evidenced an anal malignant melanoma,after the complementary diagnostic tests prescribes by family physician. Our observation underscores the importance of early detection and diagnosis of a malignant disease and the importance of a family physician in accuracy observation patient
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