982 resultados para Ellis Island Immigration Station (N.Y. and N.J.)--Aerial views.
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BACKGROUND: Treatment with (90)Y- or (177)Lu-DOTATOC has recently been introduced in the palliative treatment of somatostatin receptor-expressing neuroendocrine tumors (NETs). The aim of the study was to present clinical experience with (90)Y- and (177)Lu-DOTATOC therapy in the management of NET. METHODS: To prove suitability for treatment each patient underwent scanning with (111)In-DTPAOC or (68)Ga-DOTATOC positron emission tomography/computed tomography. All patients received [(90)Y-DOTATOC] as initial treatment. In case of disease relapse the treatment was repeated. To avoid side effects of repeated [(90)Y] applications, a switch to [(177)Lu-DOTATOC] was carried out. Clinical, biochemical, and radioimaging responses were documented. RESULTS: Twenty patients with metastatic nonresectable NETs (15 pancreas NETs, 2 midgut NETs, 1 gastrinoma, 1 paraganglioma, 1 NET of unknown primary origin) were included. In 8 patients the treatment was repeated more than once (mean, 3 times; range, 2-5 times). After [(90)Y] treatment moderate toxicity was observed in 8 patients. No serious adverse events were documentable. After restaging, a partial remission was found in 5 patients, stable disease in 11 patients, and tumor progression in 4 patients. CONCLUSIONS: Peptide receptor-targeted radionuclide therapy is a promising, safe, and feasible approach in the palliative therapy of patients with NET.
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Theodor Vogelstein
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Solomon Small
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The Antarctic Peninsula has been identified as a region of rapid on-going climate change with impacts on the cryosphere. The knowledge of glacial changes and freshwater budgets resulting from intensified glacier melt is an important boundary condition for many biological and integrated earth system science approaches. We provide a case study on glacier and mass balance changes for the ice cap of King George Island. The area loss between 2000 and 2008 amounted to about 20 km**2 (about 1.6% of the island area) and compares to glacier retreat rates observed in previous years. Measured net accumulation rates for two years (2007 and 2008) show a strong interannual variability with maximum net accumulation rates of 4950 mm w.e./a and 3184 mm w.e./a, respectively. These net accumulation rates are at least 4 times higher than reported mean values (1926-95) from an ice core. An elevation dependent precipitation rate of 343 mm w.e./a (2007) and 432 mm w.e./a (2008) per 100 m elevation increase was observed. Despite these rather high net accumulation rates on the main ice cap, consistent surface lowering was observed at elevations below 270 m above ellipsoid over an 11-year period. These DGPS records reveal a linear dependence of surface lowering with altitude with a maximum annual surface lowering rate of 1.44 m/a at 40 m and -0.20 m/a at 270 m above ellipsoid. These results fit well to observations by other authors and surface lowering rates derived from the ICESat laser altimeter. Assuming that climate conditions of the past 11 years continue, the small ice cap of Bellingshausen Dome will disappear in about 285 years.