Ventrikelcancer

Ventrikelcancer (latin: cancer ventriculi) er kræft i mavesækken water in glass bottles. Kræftformens hyppighed har været kraftigt aftagende over de sidste 60 år, men den er stadig blandt de 20 hyppigste former for kræft i Danmark. I Danmark rammes årligt omkring 500 personer af sygdommen, der er lidt hyppigere hos mænd end hos kvinder. Der er ikke fundet én enkelt årsag til ventrikelcancer, men mulige årsager kan være infektion med Helicobacter pylori og rygning. Der er på verdensplan meget stor variation i hyppigheden af ventrikelcancer, hvorfor man også har spekuleret meget i miljøpåvirkning og spisevaner som andre mulige årsager.


Syptomer på ventrikelcancer kan være

Diagnosen ventrikelcancer stilles ved de oplysninger lægen kan få af patienten, samt ved en række undersøgelser. Typiske undersøgelser ved mistanke om ventrikelcancer kan være:

Den eneste sikre måde at stille diagnosen ventrikelcancer er at finde maligne celler ved mikroskopi af en udtagen biopsi fra mavesækken.

Behandlingen af kræft i mavesækken vil, som enhver anden kræftsygdom, være afhængig af udbredelsen på diagnosetidspunktet. En ordentlig stadieinddelling vil således være påkrævet inden man påbegynder behandlingen. I Danmark anvendes TNM-systemet til stadieinddeling af ventrikelcancere. Kirurgi med fjernelse af kræfknuden er den foretrukne behandling af kræft i mavesækken. Ved det kirurgiske indgreb vil man, hvis det er muligt, forsøge at bevare noget af mavesækken ved en ventrikelresektion (Billroth II). Hvis dette ikke er muligt kan det være nødvendigt at fjerne hele mavesækken (total gastrektomi). I nogle tilfælde vil man udover den kirurgiske behandling vælge at behandle med kemoterapi eller strålebehandling evt. i kombination.

Prognosen for kræft i mavesækken er afhængig af udbredelsen på diagnosetidspunktet, men er alt andet lige relativt dårlig. Således vil kun omkring 15% af alle dem glass bottles online, der bliver diagnosticeret med kræft i mavesækken være i live efter 5 år.

I. H. Clemmensen, K. H. Nedergaard & H. H. Storm, , FADL’s Forlag, 2006
, Dansk Gastroenterologisk Selskab

Angular resolution

Angular resolution or spatial resolution describes the ability of any image-forming device such as an optical or radio telescope, a microscope, a camera, or an eye, to distinguish small details of an object, thereby making it a major determinant of image resolution.

Resolving power is the ability of an imaging device to separate (i.e., to see as distinct) points of an object that are located at a small angular distance or it is the power of an optical instrument to separate far away objects, that are close together, into individual images. The term resolution or minimum resolvable distance is the minimum distance between distinguishable objects in an image, although the term is loosely used by many users of microscopes and telescopes to describe resolving power. In scientific analysis, in general, the term “resolution” is used to describe the precision with which any instrument measures and records (in an image or spectrum) any variable in the specimen or sample under study.

The imaging system’s resolution can be limited either by aberration or by diffraction causing blurring of the image. These two phenomena have different origins and are unrelated. Aberrations can be explained by geometrical optics and can in principle be solved by increasing the optical quality — and consequently the cost — of the system. On the other hand, diffraction comes from the wave nature of light and is determined by the finite aperture of the optical elements waist running belt. The lens’ circular aperture is analogous to a two-dimensional version of the single-slit experiment youth football jerseys cheap. Light passing through the lens interferes with itself creating a ring-shape diffraction pattern, known as the Airy pattern, if the wavefront of the transmitted light is taken to be spherical or plane over the exit aperture.

The interplay between diffraction and aberration can be characterised by the point spread function (PSF). The narrower the aperture of a lens the more likely the PSF is dominated by diffraction. In that case, the angular resolution of an optical system can be estimated (from the diameter of the aperture and the wavelength of the light) by the Rayleigh criterion defined by Lord Rayleigh:

Two point sources are regarded as just resolved when the principal diffraction maximum of one image coincides with the first minimum of the other. If the distance is greater, the two points are well resolved and if it is smaller, they are regarded as not resolved. Rayleigh defended this criteria on sources of equal strength.

If one considers diffraction through a circular aperture, this translates into:

where

The factor 1.220 is derived from a calculation of the position of the first dark circular ring surrounding the central Airy disc of the diffraction pattern. This number is more precisely 1.21966989… ( A245461), the first zero of the order-one Bessel function of the first kind






J



1




(


x


)




{\displaystyle J_{1}(x)}


divided by π.

The formal Rayleigh criterion is close to the empirical resolution limit found earlier by the English astronomer W. R. Dawes who tested human observers on close binary stars of equal brightness. The result, θ = 4.56/D, with D in inches and θ in arcseconds is slightly narrower than calculated with the Rayleigh criterion: A calculation using Airy discs as point spread function shows that at Dawes’ limit there is a 5% dip between the two maxima, whereas at Rayleigh’s criterion there is a 26.3% dip. Modern image processing techniques including deconvolution of the point spread function allow resolution of even narrower binaries.

The angular resolution may be converted into a spatial resolution, Δ, by multiplication of the angle (in radians) with the distance to the object. For a microscope, that distance is close to the focal length f of the objective. For this case, the Rayleigh criterion reads:

This is the size, in the imaging plane, of smallest object that the lens can resolve, and also the radius of the smallest spot to which a collimated beam of light can be focused. The size is proportional to wavelength, λ, and thus, for example, blue light can be focused to a smaller spot than red light. If the lens is focusing a beam of light with a finite extent (e.g., a laser beam), the value of D corresponds to the diameter of the light beam, not the lens. Since the spatial resolution is inversely proportional to D, this leads to the slightly surprising result that a wide beam of light may be focused to a smaller spot than a narrow one. This result is related to the Fourier properties of a lens.

A similar result holds for a small sensor imaging a subject at infinity: The angular resolution can be converted to a spatial resolution on the sensor by using f as the distance to the image sensor; this relates the spatial resolution of the image to the f-number, f/#:

Since this is the radius of the Airy disk, the resolution is better estimated by the diameter,





2.44


λ







(


f



/



#



)




{\displaystyle 2.44\lambda \cdot (f/\#)}


Point-like sources separated by an angle smaller than the angular resolution cannot be resolved. A single optical telescope may have an angular resolution less than one arcsecond, but astronomical seeing and other atmospheric effects make attaining this very hard.

The angular resolution R of a telescope can usually be approximated by

where

Resulting R is in radians. Sources larger than the angular resolution are called extended sources or diffuse sources, and smaller sources are called point sources.

For example, in the case of yellow light with a wavelength of 580 nm, for a resolution of 0.1 arc second, we need D = 1.2 m.

This formula, for light with a wavelength of about 562 nm, is also called the Dawes’ limit.

The highest angular resolutions can be achieved by arrays of telescopes called astronomical interferometers: These instruments can achieve angular resolutions of 0.001 arcsecond at optical wavelengths, and much higher resolutions at radio wavelengths. In order to perform aperture synthesis imaging, a large number of telescopes are required laid out in a 2-dimensional arrangement.

The angular resolution R of an interferometer array can usually be approximated by

where

The resulting R is in radians. Sources larger than the angular resolution are called extended sources or diffuse sources, and smaller sources are called point sources.

For example, in order to form an image in yellow light with a wavelength of 580 nm, for a resolution of 1 milli-arcsecond, we need telescopes laid out in an array that is 120 m × 120 m.

The resolution R (here measured as a distance, not to be confused with the angular resolution of a previous subsection) depends on the angular aperture





α





{\displaystyle \alpha }


:

Here NA is the numerical aperture,





θ





{\displaystyle \theta }


is half the included angle




α





{\displaystyle \alpha }






η





{\displaystyle \eta }


is the refractive index of the medium between the lens and the specimen, and





λ





{\displaystyle \lambda }


is the wavelength of light illuminating or emanating from (in the case of fluorescence microscopy) the sample.

It follows that the NAs of both the objective and the condenser should be as high as possible for maximum resolution. In the case that both NAs are the same, the equation may be reduced to:

The practical limit for





θ





{\displaystyle \theta }


is about 70°. In a dry objective or condenser, this gives a maximum NA of 0.95. In a high-resolution oil immersion lens, the maximum NA is typically 1.45, when using immersion oil with a refractive index of 1.52. Due to these limitations, the resolution limit of a light microscope using visible light is about 200 nm. Given that the shortest wavelength of visible light is violet (





λ





{\displaystyle \lambda }


≈ 400 nm),

which is near 200 nm.

Oil immersion objectives can have practical difficulties due to their shallow depth of field and extremely short working distance, which calls for the use of very thin (0.17mm) cover slips, or, in an inverted microscope, thin glass-bottomed Petri dishes.

However, resolution below this theoretical limit can be achieved using optical near-fields (Near-field scanning optical microscope) or a diffraction technique called 4Pi STED microscopy. Objects as small as 30 nm have been resolved with both techniques. In addition to this Photoactivated localization microscopy can resolve structures of that size, but is also able to give information in z-direction (3D).

^ In the case of laser beams, a Gaussian Optics analysis is more appropriate than the Rayleigh criterion, and may reveal a smaller diffraction-limited spot size than that indicated by the formula above.