High-dose chemotherapy and autologous haematopoietic stem-cell transplantation in older, fit patients with primary diffuse large B-cell CNS lymphoma (MARTA): a single-arm, phase 2 trial.

Background: Available treatments for older patients with primary diffuse large B-cell CNS lymphoma (PCNSL) offer progression-free survival of up to 16 months. We aimed to investigate an intensified treatment of high-dose chemotherapy and autologous haematopoietic stem-cell transplantation (HSCT) in older patients with PCNSL.

Methods: MARTA was a prospective, single-arm, phase 2 study done at 15 research hospitals in Germany.

Age-adjusted high-dose chemotherapy followed by autologous stem cell transplantation or conventional chemotherapy with R-MP as first-line treatment in elderly primary CNS lymphoma patients - the randomized phase III PRIMA-CNS trial.

Background: Older primary central nervous system lymphoma (PCNSL) patients have an inferior prognosis compared to younger patients because available evidence on best treatment is scarce and treatment delivery is challenging due to comorbidities and reduced performance status. High-dose chemotherapy and autologous stem cell transplantation (HCT-ASCT) after high-dose methotrexate (MTX)-based immuno-chemotherapy has become an increasingly used treatment approach in eligible elderly PCNSL patients with promising feasibility and efficacy, but has not been compared with conventional chemotherapy approaches. In addition, eligibility for HCT-ASCT in elderly PCNSL is not well defined.

Optimizing MATRix as remission induction in PCNSL: de-escalated induction treatment in newly diagnosed primary CNS lymphoma.

Background: Primary diffuse large B-cell lymphoma (DLBCL) of the central nervous system (PCNSL) is a rare disorder with an increasing incidence over the past decades. High-level evidence has been reported for the MATRix regimen (high-dose methotrexate (HD-MTX), high-dose AraC (HD-AraC), thiotepa and rituximab) followed by high-dose chemotherapy and autologous stem cell transplantation (HCT-ASCT) supporting this approach to be considered a standard therapy in newly diagnosed PCNSL patients ≤ 70 years. However, early treatment-related toxicities (predominantly infectious complications), occurring in up to 28% per MATRix cycle, diminish its therapeutic success.

OpenAltimetry - rapid analysis and visualization of Spaceborne altimeter data.

NASA's Ice, Cloud, and land Elevation Satellite-2 (ICESat-2) carries a laser altimeter that fires 10,000 pulses per second towards Earth and records the travel time of individual photons to measure the elevation of the surface below. The volume of data produced by ICESat-2, nearly a TB per day, presents significant challenges for users wishing to efficiently explore the dataset. NASA's National Snow and Ice Data Center (NSIDC) Distributed Active Archive Center (DAAC), which is responsible for archiving and distributing ICESat-2 data, provides search and subsetting services on mission data products, but providing interactive data discovery and visualization tools needed to assess data coverage and quality in a given area of interest is outside of NSIDC's mandate.

A dynamic saline groundwater system mapped beneath an Antarctic ice stream.

Antarctica's fast-flowing ice streams drain the ice sheet, with their velocity modulated by subglacial water systems. Current knowledge of these water systems is limited to the shallow portions near the ice-bed interface, but hypothesized deeper groundwater could also influence ice streaming. Here, we use magnetotelluric and passive seismic data from Whillans Ice Stream, West Antarctica, to provide the first observations of deep sub-ice stream groundwater.