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International evaluation of an AI system for breast cancer screening 期刊论文
NATURE, 2020, 577 (7788) : 89-+
作者:  McKinney, Scott Mayer;  Sieniek, Marcin;  Godbole, Varun;  Godwin, Jonathan;  Antropova, Natasha;  Ashrafian, Hutan;  Back, Trevor;  Chesus, Mary;  Corrado, Greg C.;  Darzi, Ara;  Etemadi, Mozziyar;  Garcia-Vicente, Florencia;  Gilbert, Fiona J.;  Halling-Brown, Mark;  Hassabis, Demis;  Jansen, Sunny;  Karthikesalingam, Alan;  Kelly, Christopher J.;  King, Dominic;  Ledsam, Joseph R.;  Melnick, David;  Mostofi, Hormuz;  Peng, Lily;  Reicher, Joshua Jay;  Romera-Paredes, Bernardino;  Sidebottom, Richard;  Suleyman, Mustafa;  Tse, Daniel;  Young, Kenneth C.;  De Fauw, Jeffrey;  Shetty, Shravya
收藏  |  浏览/下载:16/0  |  提交时间:2020/07/03

Screening mammography aims to identify breast cancer at earlier stages of the disease, when treatment can be more successful(1). Despite the existence of screening programmes worldwide, the interpretation of mammograms is affected by high rates of false positives and false negatives(2). Here we present an artificial intelligence (AI) system that is capable of surpassing human experts in breast cancer prediction. To assess its performance in the clinical setting, we curated a large representative dataset from the UK and a large enriched dataset from the USA. We show an absolute reduction of 5.7% and 1.2% (USA and UK) in false positives and 9.4% and 2.7% in false negatives. We provide evidence of the ability of the system to generalize from the UK to the USA. In an independent study of six radiologists, the AI system outperformed all of the human readers: the area under the receiver operating characteristic curve (AUC-ROC) for the AI system was greater than the AUC-ROC for the average radiologist by an absolute margin of 11.5%. We ran a simulation in which the AI system participated in the double-reading process that is used in the UK, and found that the AI system maintained non-inferior performance and reduced the workload of the second reader by 88%. This robust assessment of the AI system paves the way for clinical trials to improve the accuracy and efficiency of breast cancer screening.


  
Spectroscopic confirmation of a mature galaxy cluster at a redshift of 2 期刊论文
NATURE, 2020, 577 (7788) : 39-+
作者:  Willis, J. P.;  Canning, R. E. A.;  Noordeh, E. S.;  Allen, S. W.;  King, A. L.;  Mantz, A.;  Morris, R. G.;  Stanford, S. A.;  Brammer, G.
收藏  |  浏览/下载:17/0  |  提交时间:2020/07/03

Galaxy clusters are the most massive virialized structures in the Universe and are formed through the gravitational accretion of matter over cosmic time(1). The discovery(2) of an evolved galaxy cluster at redshift z = 2, corresponding to a look-back time of 10.4 billion years, provides an opportunity to study its properties. The galaxy cluster XLSSC 122 was originally detected as a faint, extended X-ray source in the XMM Large Scale Structure survey and was revealed to be coincident with a compact over-density of galaxies(2) with photometric redshifts of 1.9 +/- 0.2. Subsequent observations3 at millimetre wavelengths detected a Sunyaev-Zel'  dovich decrement along the line of sight to XLSSC 122, thus confirming the existence of hot intracluster gas, while deep imaging spectroscopy from the European Space Agency'  s X-ray Multi-Mirror Mission (XMM-Newton) revealed(4) an extended, X-ray-bright gaseous atmosphere with a virial temperature of 60 million Kelvin, enriched with metals to the same extent as are local clusters. Here we report optical spectroscopic observations of XLSSC 122 and identify 37 member galaxies at a mean redshift of 1.98, corresponding to a look-back time of 10.4 billion years. We use photometry to determine a mean, dust-free stellar age of 2.98 billion years, indicating that star formation commenced in these galaxies at a mean redshift of 12, when the Universe was only 370 million years old. The full range of inferred formation redshifts, including the effects of dust, covers the interval from 7 to 13. These observations confirm that XLSSC 122 is a remarkably mature galaxy cluster with both evolved stellar populations in the member galaxies and a hot, metal-rich gas composing the intracluster medium.


  
Resolving the Differences in the Simulated and Reconstructed Temperature Response to Volcanism 期刊论文
GEOPHYSICAL RESEARCH LETTERS, 2020, 47 (8)
作者:  Zhu, Feng;  Emile-Geay, Julien;  Hakim, Gregory J.;  King, Jonathan;  Anchukaitis, Kevin J.
收藏  |  浏览/下载:14/0  |  提交时间:2020/07/02
volcanic eruptions  temperature response  simulation-reconstruction comparison  Last Millennium Reanalysis  paleoclimate data assimilation  Superposed Epoch Analysis  
A La Nina-Like Climate Response to South African Biomass Burning Aerosol in CESM Simulations 期刊论文
JOURNAL OF GEOPHYSICAL RESEARCH-ATMOSPHERES, 2020, 125 (6)
作者:  Amiri-Farahani, Anahita;  Allen, Robert J.;  Li, King-Fai;  Nabat, Pierre;  Westervelt, Daniel M.
收藏  |  浏览/下载:11/0  |  提交时间:2020/07/02
The seismicity of Mars 期刊论文
NATURE GEOSCIENCE, 2020, 13 (3) : 205-+
作者:  Giardini, D.;  Lognonne, P.;  Banerdt, W. B.;  Pike, W. T.;  Christensen, U.;  Ceylan, S.;  Clinton, J. F.;  van Driel, M.;  Staehler, S. C.;  Boese, M.;  Garcia, R. F.;  Khan, A.;  Panning, M.;  Perrin, C.;  Banfield, D.;  Beucler, E.;  Charalambous, C.;  Euchner, F.;  Horleston, A.;  Jacob, A.;  Kawamura, T.;  Kedar, S.;  Mainsant, G.;  Scholz, J. -R.;  Smrekar, S. E.;  Spiga, A.;  Agard, C.;  Antonangeli, D.;  Barkaoui, S.;  Barrett, E.;  Combes, P.;  Conejero, V.;  Daubar, I.;  Drilleau, M.;  Ferrier, C.;  Gabsi, T.;  Gudkova, T.;  Hurst, K.;  Karakostas, F.;  King, S.;  Knapmeyer, M.;  Knapmeyer-Endrun, B.;  Llorca-Cejudo, R.;  Lucas, A.;  Luno, L.;  Margerin, L.;  McClean, J. B.;  Mimoun, D.;  Murdoch, N.;  Nimmo, F.;  Nonon, M.;  Pardo, C.;  Rivoldini, A.;  Manfredi, J. A. Rodriguez;  Samuel, H.;  Schimmel, M.;  Stott, A. E.;  Stutzmann, E.;  Teanby, N.;  Warren, T.;  Weber, R. C.;  Wieczorek, M.;  Yana, C.
收藏  |  浏览/下载:16/0  |  提交时间:2020/05/13
Bacterial coexistence driven by motility and spatial competition 期刊论文
NATURE, 2020, 578 (7796) : 588-+
作者:  Micke, P.;  Leopold, T.;  King, S. A.;  Benkler, E.;  Spiess, L. J.;  Schmoeger, L.;  Schwarz, M.;  Crespo Lopez-Urrutia, J. R.;  Schmidt, P. O.
收藏  |  浏览/下载:11/0  |  提交时间:2020/07/03

Elucidating elementary mechanisms that underlie bacterial diversity is central to ecology(1,2) and microbiome research(3). Bacteria are known to coexist by metabolic specialization(4), cooperation(5) and cyclic warfare(6-8). Many species are also motile(9), which is studied in terms of mechanism(10,11), benefit(12,13), strategy(14,15), evolution(16,17) and ecology(18,19). Indeed, bacteria often compete for nutrient patches that become available periodically or by random disturbances(2,20,21). However, the role of bacterial motility in coexistence remains unexplored experimentally. Here we show that-for mixed bacterial populations that colonize nutrient patches-either population outcompetes the other when low in relative abundance. This inversion of the competitive hierarchy is caused by active segregation and spatial exclusion within the patch: a small fast-moving population can outcompete a large fast-growing population by impeding its migration into the patch, while a small fast-growing population can outcompete a large fast-moving population by expelling it from the initial contact area. The resulting spatial segregation is lost for weak growth-migration trade-offs and a lack of virgin space, but is robust to population ratio, density and chemotactic ability, and is observed in both laboratory and wild strains. These findings show that motility differences and their trade-offs with growth are sufficient to promote diversity, and suggest previously undescribed roles for motility in niche formation and collective expulsion-containment strategies beyond individual search and survival.


In mixed bacterial populations that colonize nutrient patches, a growth-migration trade-off can lead to spatial exclusion that provides an advantage to populations that become rare, thereby stabilizing the community.


  
B cells are associated with survival and immunotherapy response in sarcoma 期刊论文
NATURE, 2020, 577 (7791) : 556-+
作者:  Willis, J. P.;  Canning, R. E. A.;  Noordeh, E. S.;  Allen, S. W.;  King, A. L.;  Mantz, A.;  Morris, R. G.;  Stanford, S. A.;  Brammer, G.
收藏  |  浏览/下载:16/0  |  提交时间:2020/07/03

Soft-tissue sarcomas represent a heterogeneous group of cancer, with more than 50 histological subtypes(1,2). The clinical presentation of patients with different subtypes is often atypical, and responses to therapies such as immune checkpoint blockade vary widely(3,4). To explain this clinical variability, here we study gene expression profiles in 608 tumours across subtypes of soft-tissue sarcoma. We establish an immune-based classification on the basis of the composition of the tumour microenvironment and identify five distinct phenotypes: immune-low (A and B), immune-high (D and E), and highly vascularized (C) groups. In situ analysis of an independent validation cohort shows that class E was characterized by the presence of tertiary lymphoid structures that contain T cells and follicular dendritic cells and are particularly rich in B cells. B cells are the strongest prognostic factor even in the context of high or low CD8(+) T cells and cytotoxic contents. The class-E group demonstrated improved survival and a high response rate to PD1 blockade with pembrolizumab in a phase 2 clinical trial. Together, this work confirms the immune subtypes in patients with soft-tissue sarcoma, and unravels the potential of B-cell-rich tertiary lymphoid structures to guide clinical decision-making and treatments, which could have broader applications in other diseases.


Immune profiling of the tumour microenvironment of soft-tissue sarcoma identifies a group of patients with high levels of B-cell infiltration and tertiary lymphoid structures that have improved survival and a high response rate to immune checkpoint blockade therapy.


  
Light-regulated collective contractility in a multicellular choanoflagellate 期刊论文
SCIENCE, 2019, 366 (6463) : 326-+
作者:  Brunet, Thibaut;  Larson, Ben T.;  Linden, Tess A.;  Vermeij, Mark J. A.;  McDonald, Kent;  King, Nicole
收藏  |  浏览/下载:8/0  |  提交时间:2019/11/27
Dome formation on Ceres by solid-state flow analogous to terrestrial salt tectonics 期刊论文
NATURE GEOSCIENCE, 2019, 12 (10) : 797-+
作者:  Bland, M. T.;  Buczkowski, D. L.;  Sizemore, H. G.;  Ermakov, A., I;  King, S. D.;  Sori, M. M.;  Raymond, C. A.;  Castillo-Rogez, J. C.;  Russell, C. T.
收藏  |  浏览/下载:8/0  |  提交时间:2019/11/27
The Australian Northwest Cloudband: Climatology, Mechanisms, and Association with Precipitation 期刊论文
JOURNAL OF CLIMATE, 2019, 32 (20) : 6665-6684
作者:  Reid, Kimberley J.;  Simmonds, Ian;  Vincent, Claire L.;  King, Andrew D.
收藏  |  浏览/下载:8/0  |  提交时间:2019/11/27
Australia  Synoptic climatology  Precipitation  Algorithms  Satellite observations