Risk assessment for patients with chronic myeloid leukaemia before allogeneic blood or marrow transplantation. Chronic Leukemia Working Party of the European Group for Blood and Marrow Transplantation

BACKGROUND: Transplantation of blood or bone-marrow stem cells is the treatment of choice for selected patients with chronic myeloid leukaemia (CML). Transplantation is used with increasing frequency and success, but remains associated with substantial risks of morbidity and mortality. Other treatments with satisfactory short-term outcome are available. For appropriate counselling of patients, a rapid and simple way to assess risk is needed. METHODS: Data from 3142 patients (1873 [60%] male, 1269 [40%] female; mean age 34 years, range <1-60 years) treated with allogeneic blood or marrow transplants for CML between 1989 and 1997, reported to the European Group for Blood and Marrow Transplantation (EBMT), were used to develop and test a simple risk score based on previously reported major pretransplant risk factors: histocompatibility, stage of disease at time of transplantation, age and sex of donor and recipient, and time from diagnosis to transplantation. We analysed probabilities of survival, leukaemia-free survival, transplant-related mortality, and relapse incidence with respect to these risk factors. FINDINGS: At the time of analysis, 1922 (61%) of the 3142 patients were alive-1567 (65%) of those with HLA-identical sibling donors and 417 (57%) of those with unrelated donors. 1682 (54%) were alive without relapse. 1220 (39%) patients had died, 1013 (83%) of transplant-related causes, 207 (17%) of relapse. 447 (14%) patients had relapsed. The final scoring system was highly predictive for leukaemia-free survival, survival and transplant-related mortality. Survival at 5 years was 72%, 70%, 62%, 48%, 40%, 18%, and 22% for patients with scores 0, 1, 2, 3, 4, 5, and 6, respectively. Risk of transplant-related mortality was 20%, 23%, 31%, 46%, 51%, 71%, and 73%. Data showed the same trends for HLA-identical sibling transplants and unrelated transplants for transplants done in 1989-93 and 1994-96. INTERPRETATION: Pretransplant risk factors are cumulative for individual patients with CML having blood or marrow transplantation. A simple system based on five main factors gives adequate risk assessment for counselling of patients and taking decisions.     

Generic visual analysis for multi- and hyperspectral image data

Multi- and hyperspectral imaging and data analysis has been investigated in the last decades in the context of various fields of application like remote sensing or microscopic spectroscopy. However, recent developments in sensor technology and a growing number of application areas require a more generic view on data analysis, that clearly expands the current, domain-specific approaches. In this context, we address the problem of interactive exploration of multi- and hyperspectral data, consisting of (semi-)automatic data analysis and scientific visualization in a comprehensive fashion. In this paper, we propose an approach that enables a generic interactive exploration and easy segmentation of multi- and hyperspectral data, based on characterizing spectra of an individual dataset, the so-called endmembers. Using the concepts of existing endmember extraction algorithms, we derive a visual analysis system, where the characteristic spectra initially identified serve as input to interactively tailor a problem-specific visual analysis by means of visual exploration. An optional outlier detection improves the robustness of the endmember detection and analysis. An adequate system feedback of the costly unmixing procedure for the spectral data with respect to the current set of endmembers is ensured by a novel technique for progressive unmixing and view update which is applied at user modification. The progressive unmixing is based on an efficient prediction scheme applied to previous unmixing results. We present a detailed evaluation of our system in terms of confocal Raman microscopy, common multispectral imaging and remote sensing.     

Particle Level Set Advection for the Interactive Visualization of Unsteady 3D Flow

Typically, flow volumes are visualized by defining their boundary as iso‐surface of a level set function. Grid‐based level sets offer a good global representation but suffer from numerical diffusion of surface detail, whereas particle‐based methods preserve details more accurately but introduce the problem of unequal global representation. The particle level set (PLS) method combines the advantages of both approaches by interchanging the information between the grid and the particles. Our work demonstrates that the PLS technique can be adapted to volumetric dye advection via streak volumes, and to the visualization by time surfaces and path volumes. We achieve this with a modified and extended PLS, including a model for dye injection. A new algorithmic interpretation of PLS is introduced to exploit the efficiency of the GPU, leading to interactive visualization. Finally, we demonstrate the high quality and usefulness of PLS flow visualization by providing quantitative results on volume preservation and by discussing typical applications of 3D flow visualization.     

Raycasting of Light Field Galleries from Volumetric Data

The paper describes a technique to generate high‐quality light field representations from volumetric data. We show how light field galleries can be created to give unexperienced audiences access to interactive high‐quality volume renditions. The proposed light field representation is lightweight with respect to storage and bandwidth capacity and is thus ideal as exchange format for visualization results, especially for web galleries. The approach expands an existing sphere‐hemisphere parameterization for the light field with per‐pixel depth. High‐quality paraboloid maps from volumetric data are generated using GPU‐based ray‐casting or slicing approaches. Different layers, such as isosurfaces, but not restricted to, can be generated independently and composited in real time. This allows the user to interactively explore the model and to change visibility parameters at run‐time.     

IT Is Here to Serve

By having IT address itself instead of the business and its customers, we've seen IT projects emerge that have no business value, creating the public perception of IT as a black hole of funding. This black-hole perception magnifies when the IT department doesn't partner with company stakeholders when addressing actual needs; rather, IT professionals create solutions based on what they want to provide instead of what the business requires. The author describes why it's essential for IT professionals to turn outward rather than inward.     

Real-time simulation of time-of-flight sensors

Today’s time-of-flight (TOF) sensors measure full-range distance information by estimating the elapsed time between emission and receiving of active light in real-time. Such sensors are inexpensive, compact, and they have a high performance, which especially fits real-time applications, e.g. in the fields of automotive, robotics, 3D imaging, and visualization. The simulation of such sensors is an essential building block for hardware design and application development. Therefore, the simulation data must capture the major sensor characteristics.This paper introduces a simulation approach, which is motivated by physics, for the Photonic Mixing Device (PMD) sensor which is a specific type of time-of-flight sensor. Dynamic motion blurring and resolution artifacts such as flying pixels as well as the typical deviation error are prominent effects of real world systems. Flying pixels arise when an area of inhomogeneous depth is covered by a single PMD-pixel whereas the deviation error is based on the anharmonic properties of the optical signal. The modeling of these artifacts is essential for an authentic simulation approach. We present a detailed comparison between a real PMD-device and the simulation data regarding the sensor characteristics.The proposed algorithms are implemented in a hardware accelerated solution which makes use of the programmability of modern Graphics Processing Units (GPUs). This way, an interactive simulation feedback is provided for applications and further data processing. The simulation takes place in real-time and thus all required control mechanisms are accessible in real-time, too.     

Influence of craniofacial surgery on the social attitudes toward the malformed and their handling in different cultures and at different times: a contribution to social world history

A historic overview including the European, American, Asian, and African continents is given on attitudes toward and the handling of humans with congenital malformations in ancient cultures and on pertinent customs in some prehistoric peoples. Figures of early works of art showing malformed individuals are presented testifying to this worldwide and timeless problem of humankind. In parallel, analogous patient photographs from our hospital before and after reconstructive surgery are shown. Philosophies of ancient Greece, rome, and China on the subject of malformed infants essentially did not differ from the known attitudes of the less developed tribes in Europe and pre-Columbian America, although the means of elimination of unwanted offspring were rather passive (exposure) than active (manual killing). A radical change in attitudes and practices occurred with the spread of the Christian religion and its political installment in Europe. The care for the underprivileged including the malformed ones was considered a Christian duty to be performed with compassion and love. In our century, the clocks have been and apparently are turned back again. Atheistic and Darwinian influences, political atheism, and the belief in "higher ethics" issued by "superman" have led to a relapse into barbarism, also within the medical system. We, as craniofacial surgeons, are privileged to have the means to turn the clocks forward again by rehabilitating the physically most underprivileged: those with conspicuous craniofacial malformations. The necessary techniques exist and are applied, as the figures of patients from our hospital demonstrate, but the will and the emotional strength for their consequent application require more than our hands.     

Differential expression of ICAM-1 and LFA-1 versus L-selectin and VCAM-1 in autoimmune insulitis of NOD mice and association with both Th1- and Th2-type infiltrates

The infiltration of pancreatic islets by mononuclear cells is the hallmark of the development of insulin dependent diabetes mellitus (IDDM) in the NOD mouse, an animal model for human IDDM. The aim, of this study was to correlate adhesion molecule expression with the degree of islet infiltration and to compare Th1- and Th2-driven islet inflammation. Cryostat sections of NOD mouse pancreata before and after diabetes development were analysed by semiquantitative immunohistochemistry. NOD mouse islets did not show the expression of ICAM-1, LFA-1, L-selectin and VCAM-1 prior to infiltration by mononuclear cells. Furthermore, islets with early stage insulitis (grade 1, periinsular location of small infiltrates) still were devoid of adhesion molecule expression. ICAM-1 and LFA-1 were first demonstrable in islets with strong periinsular infiltrates (insulitis grade 2) while L-selectin and VCAM-1 were only seen in islets with mild or strong intraislet infiltration (grade 3-4). Adhesion molecules were demonstrable in areas of macrophage and T-lymphocyte infiltrates but not in adjacent endocrine islet tissue. Islets of all infiltration stages contained Th2 lymphocytes (positive for IL-4). Substantial numbers of Th1 cells (positive for IFN-gamma, TNF-alpha, IL-2 and/or IL-2 receptor) were observed only after acceleration of diabetes development by a single injection of cyclophosphamide (250 mg/kg i.p.). Interestingly, the adhesion molecule expression pattern in islets with "Th1' versus "Th2 insulitis' was not different. In conclusion, the expression of adhesion molecules in islets during the development of autoimmune diabetes does not precede mononuclear infiltration but probably occurs in response to the activation of initial small infiltrates. ICAM-1 and LFA-1 expression is seen prior to L-selectin and VCAM-1. However, adhesion molecule expression during Th1 versus Th2 cell infiltration is very similar, suggesting similar adhesion molecule requirements of the two Th subsets.     

A Third Order Hierarchical Basis WENO Interpolation for Sparse Grids with Application to Conservation Laws with Uncertain Data

In this paper, we introduce a third order hierarchical basis WENO interpolation, which possesses similar accuracy and stability properties as usual WENO interpolations. The main motivation for the hierarchical approach is the direct applicability on sparse grids. This is for instance of large practical interest in the numerical solution of conservation laws with uncertain data, where discontinuities in the physical domain often carry over to the (potentially high-dimensional) stochastic domain. For this, we apply the introduced hierarchical basis WENO interpolation within a non-intrusive collocation method and present first results on 2- and 3-dimensional sparse grids.     

Multicomponent Physical Vapor Deposited Films with Homogeneous Molecular Material Distribution Featuring Improved Resist Sensitivity

Each film preparation technique affects the physical properties of the resulting coating and thus defines its applicability in modern device construction. In this context solvent based spin coated and solvent‐free physical vapor deposited molecular glass photoresist films are systematically investigated for their dissolution behavior, sensitivity, and overall lithographic performance. These investigations demonstrate that the solvent‐free physical vapor deposition leads to a marked increase in sensitivity. This could be explained by the individual molecule by molecule deposition step producing a more homogeneous distribution of the multicomponent resist system, especially the photoacid generator. In addition, this assumption is supported by former published simulations focusing on aggregate formation within thin films. This work demonstrates that the lithographic sensitivity of multicomponent resist system is an intrinsic parameter to investigate molecular material distribution and indicates that the applied film preparation technique is crucial for the corresponding performance and applicability.