2 research outputs found
CLINICAL IMPACT OF 18F FDG PET-CT ON MANAGEMENT OF GERM CELL TUMORS
Purpose: The purpose of this study was to review the impact of 18F- fluorodeoxyglucose positron emission tomography-computed tomography (FDG-PET-CT) scans on the management of patients with germ cell tumours (GCT) at our centre. Methods: A descriptive, cross-sectional, retrospective review of a total of 29 FDG PET-CT scans acquired in 20 patients with GCT between December 2009 and May 2013. Results: Sixteen males and four females with the average age of 34.4 years (+18SD) were identi ed who underwent FDG PET-CT scans for treatment response/outcome evaluation on an average period of 3 months after completion of therapy. Hypermetabolic residual disease (PET-CT positive) was identi ed in 8 (40%). 6 (30%) had non-FDG-avid residual morphologic disease (PET negative and CT positive) and 6 (30%) were disease free (PET-CT negative). FDG PET-CT led to change in the management plan of 12 (60%) of cases as compared to the CT alone ndings. Follow-up was available for a median of 2.9 years (±1.5 SD). The overall 5-year disease-free survival was found to be PET-CT positive patients = 62%, PET-negative and CT-positive patients = 80% and PET-CT-negative patients = 100%. Conclusion: FDG PET-CT scanning has a potential role in the evaluation of response to treatment and can predict the survival outcome. Key words: 18F- uorodeoxyglucose positron emission tomography computed tomography, disease-free survival, germ cell tumour, standardised uptake value
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Writing US identities in the wars without frontlines: literary perspectives on the Persian Gulf and Iraq wars
For many cultural commentators, the Persian Gulf War (1990-1991) signalled a new era in which technological advances transformed warfare into what Jean Baudrillard refers to as a virtual experience epitomised by “surgical strikes” and “smart-bombs”. In contrast, the Iraq War (2003-2009) was hailed by many as a return to a more conventional form of combat in which soldiers fought their enemy in face-to-face interactions. This thesis argues that such an analysis of the conflicts overlooks the complexity of the war experience for many Gulf and Iraq War combatants. It therefore seeks to construct a reading of the literary responses to these conflicts, including novels, memoirs, and poetry, as well as alternative forms of narrative, which acknowledges the complexity of each war. Whilst it is important to recognise the ways in which Gulf War combatants experienced virtual war and Iraq War soldiers experienced guerrilla warfare, it is equally important to acknowledge the ways in which these conflicts resisted popular perceptions of them, and how this incongruence affected the combatants
