Purpose: Repeat sentinel lymph node biopsy (rSLNB) has been suggested for axillary staging in clinically node-negative (cN0) patients with ipsilateral breast tumor recurrence (IBTR). Although rSLNB is technically feasible in this group of patients, the clinical value has not been established. We aimed to assess the added value of rSLNB in cN0 patients with IBTR who underwent optimal clinical staging with FDG-PET/CT.
View Article and Find Full Text PDFThere is considerable uncertainty surrounding future changes in tropical cyclone (TC) frequency and intensity, particularly at local scales. This uncertainty complicates risk assessments and implementation of risk mitigation strategies. We present a novel approach to overcome this problem, using the statistical model STORM to generate 10,000 years of synthetic TCs under past (1980-2017) and future climate (SSP585; 2015-2050) conditions from an ensemble of four high-resolution climate models.
View Article and Find Full Text PDFFuture changes in tropical cyclone properties are an important component of climate change impacts and risk for many tropical and midlatitude countries. In this study we assess the performance of a multimodel ensemble of climate models, at resolutions ranging from 250 to 25 km. We use a common experimental design including both atmosphere-only and coupled simulations run over the period 1950-2050, with two tracking algorithms applied uniformly across the models.
View Article and Find Full Text PDFPost-chemotherapy retroperitoneal lymph node dissection (PC-RPLND) is an important element of the management of patients with residual tumour after chemotherapy for disseminated nonseminomatous germ cell tumour (NSGCT). This is a challenging procedure and the outcome varies widely between institutions. There is much debate concerning the anatomical extent of the dissection and the literature is conflicting regarding the outcome of this procedure.
View Article and Find Full Text PDFOver the past few decades, the world has seen substantial tropical cyclone (TC) damages, with the 2017 Hurricanes Harvey, Irma and Maria entering the top-5 costliest Atlantic hurricanes ever. Calculating TC risk at a global scale, however, has proven difficult given the limited temporal and spatial information on TCs across much of the global coastline. Here, we present a novel database on TC characteristics on a global scale using a newly developed synthetic resampling algorithm we call STORM (Synthetic Tropical cyclOne geneRation Model).
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