ABSTRACT
The extent of tumor spread influences on the clinical outcome, and which determine T stage of colorectal cancer. However, pathologic discrimination between pT3 and pT4a in the eighth edition of the American Joint Committee on Cancer (AJCC)-TNM stage is subjective, and more objective discrimination method for deeply invasive advanced colon cancer is mandatory for standardized patient management. Peritoneal elastic laminal invasion (ELI) detected using elastic staining may increase the objective discrimination of deeply invasive advanced colon cancer. In this study, we constructed ELI study group to investigate feasibility, objectivity, and prognostic utility of ELI. Furthermore, pT classification using ELI was investigated based on these data. At first, concordance study investigated objectivity using 60 pT3 and pT4a colon cancers. Simultaneously, a multi-institutional retrospective study was performed to assess ELI's prognostic utility in 1202 colon cancer cases from 6 institutions. In the concordance study, objectivity, represented by κ, was higher in the ELI assessment than in pT classification. In the multi-institutional retrospective study, elastic staining revealed that ELI was a strong prognostic factor. The clinical outcome of pT3 cases with ELI was significantly and consistently worse than that of those without ELI. pT classification into pT3 without ELI, pT3 with ELI, and pT4a was an independent prognostic factor. In this study, we revealed that ELI is an objective method for discriminating deeply invasive advanced colon cancer. Based on its feasibility, objectivity, and prognostic utility, ELI can subdivide pT3 lesions into pT3a (without ELI) and pT3b (with ELI).
Subject(s)
Colonic Neoplasms , Humans , Colonic Neoplasms/pathology , Neoplasm Invasiveness/pathology , Neoplasm Staging , Prognosis , Retrospective StudiesABSTRACT
Here, ultra-low relative phase jitters over a wide optical spectrum were achieved for dual Ti:Sapphire optical frequency combs. The two optical frequency combs were independently phase-locked to a Sr optical lattice clock laser delivered through a commercial optical fiber network. We confirmed that the relative phase jitters between the two combs integrated from 8.3 mHz to 200 kHz were below 1 rad, corresponding to a relative linewidth of below 8.3 mHz, over the entire wavelength of the optical frequency combs ranging from 550 nm to 1020 nm. Our work paves the way for ultrahigh-precision dual-comb spectroscopy covering a wide optical spectral range with a simple setup, and provides an absolute optical frequency reference with great stability over a wide range of wavelengths.
ABSTRACT
We report on an ultralow noise optical frequency transfer from a remotely located Sr optical lattice clock laser to a Ti:Sapphire optical frequency comb through telecom-wavelength optical fiber networks. The inherent narrow linewidth of the Ti:Sapphire optical frequency comb eliminates the need for a local reference high-finesse cavity. The relative fractional frequency instability of the optical frequency comb with respect to the remote optical reference was 6.7(1) × 10-18 at 1 s and 1.05(3) × 10-19 at 1,000 s including a 2.9 km-long fiber network. This ensured the optical frequency comb had the same precision as the optical standard. Our result paves the way for ultrahigh-precision spectroscopy and conversion of the highly precise optical frequency to radio frequencies in a simpler setup.
