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Osorio RC, Haddad AF, Hart DM, Goldrich N, Badani A, Kabir AS, Juncker R, Oh JY, Carrete L, Peeran Z, Chalif EJ, Zheng AC, Braunstein S, Theodosopoulos PV, El-Sayed IH, Gurrola J, Kunwar S, Blevins LS, Aghi MK. Socioeconomic differences between medically and surgically treated prolactinomas: a retrospective review of 598 patients. J Neurosurg 2024; 140:712-723. [PMID: 37877974 DOI: 10.3171/2023.6.jns23570] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2023] [Accepted: 06/15/2023] [Indexed: 10/26/2023]
Abstract
OBJECTIVE Socioeconomic status (SES) is known to affect presentations and outcomes in pituitary neuroendocrine tumor resections, but there is a paucity of literature examining its impact specifically on patients with prolactinomas, who may be treated medically or surgically. The authors sought to determine whether SES was associated with differences in treatment choice or outcomes for prolactinoma patients. METHODS The authors retrospectively reviewed patient records at a high-volume academic pituitary center for prolactinoma diagnoses. Patients were split into medically and surgically treated cohorts. Race, ethnicity, insurance status, primary care physician (PCP) status, and zip code-based income data were collected and examined as socioeconomic covariates. Outcomes of interest included pretreatment likelihood of surgical cure, medical versus surgical treatment allocation, and posttreatment remission rates. RESULTS The authors analyzed 568 prolactinoma patients (351 medically treated and 217 surgically treated). Patients receiving surgery were more likely to have Medicaid or private insurance (p < 0.001) and have lower incomes (p < 0.001) than medically treated patients. Lower-income surgical patients were more likely to require surgical intervention for an indication such as tumor decompression than higher-income patients (p = 0.023). Surgical patients with a PCP had a higher estimated likelihood of surgical cure (p = 0.008), while no SES-based differences in surgical remission likelihood existed in the medical cohort. After surgery, surgical patients who achieved remission had significantly higher income than those who did not (p < 0.001). Other SES factors were not associated with surgical remission, and among medically treated patients, remission rates were not affected by any SES factor. Income was inversely related to prolactinoma size in both cohorts (surgical, p < 0.001; medical, p = 0.005) but was associated more prominently in surgical patients (surgical, -0.65 mm per $10,000; medical, -0.37 mm per $10,000). CONCLUSIONS While surgical prolactinoma patients were prone to income and PCP-related disparities, no SES disparities were found among medically treated patients. Income had a more pronounced association with tumor size in the surgical cohort and likely contributed to the increased need for surgical intervention seen in low-income surgical patients. Addressing socioeconomic healthcare disparities is needed among surgical prolactinoma patients to increase rates of early presentation and improve the outcomes of low-SES populations.
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Affiliation(s)
| | | | | | | | | | | | | | - Jun Y Oh
- Departments of1Neurological Surgery
| | | | | | | | | | | | | | - Ivan H El-Sayed
- 4Otolaryngology Head and Neck Surgery, University of California, San Francisco, California; and
| | - José Gurrola
- 4Otolaryngology Head and Neck Surgery, University of California, San Francisco, California; and
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Osorio RC, Aabedi AA, Carson W, Badani A, Chalif E, Theodosopoulos PV, Kunwar S, Aghi MK, Goldschmidt E. Risk Factors for Significant Postoperative Hemorrhage After Pituitary Neuroendocrine Tumor Resection: A Case-Control Study of 1066 Surgeries. Neurosurgery 2023; 93:206-214. [PMID: 36794944 DOI: 10.1227/neu.0000000000002404] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2022] [Accepted: 12/12/2022] [Indexed: 02/17/2023] Open
Abstract
BACKGROUND Postoperative hemorrhage is a rare but potentially serious complication after pituitary surgery. The risk factors for this complication are mostly unknown, and further knowledge would help guide postoperative management. OBJECTIVE To investigate the perioperative risks and clinical presentation of significant postoperative hemorrhage (SPH) after endonasal surgery for pituitary neuroendocrine tumors. METHODS A population of 1066 patients undergoing endonasal (microscopic and endoscopic) surgery for pituitary neuroendocrine tumor resection at a high-volume academic center was reviewed. SPH cases were defined as postoperative hematoma evident on imaging requiring return to the operating room for evacuation. Patient and tumor characteristics were analyzed with uni- and multivariable logistic regression, and postoperative courses were descriptively examined. RESULTS Ten patients were found to have SPH. On univariable analysis, these cases were significantly more likely to present with apoplexy ( P = .004), have larger tumors ( P < .001), and lower gross total resection rates ( P = .019). A multivariate regression analysis showed that tumor size (odds ratio 1.94, P = .008) and apoplexy at presentation (odds ratio 6.00, P = .018) were significantly associated with higher odds of SPH. The most common symptoms for patients with SPH were vision deficits and headache, and the median time for symptom onset was 1 day after surgery. CONCLUSION Larger tumor size and presentation with apoplexy were associated with clinically significant postoperative hemorrhage. Patients presenting with pituitary apoplexy are more likely to experience a significant postoperative hemorrhage and should be carefully monitored for headache and vision changes in the days after surgery.
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Affiliation(s)
- Robert C Osorio
- Department of Neurological Surgery, University of California San Francisco, San Francisco, California, USA
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Srejic U, Litonius E, Gandhi S, Talke P, Maties O, Siegmueller C, Magsaysay A, Hasen D, Kunwar S, Seth R, Gibson L, Bickler P. Bilateral Superficial Trigeminal Nerve Blocks are not More Effective than a Placebo in Abolishing Post-operative Headache Pain in Pituitary Transsphenoidal Neurosurgery: A Prospective, Randomized, Doubleblinded Clinical Trial. Rev Recent Clin Trials 2023; 18:228-237. [PMID: 36843368 PMCID: PMC10514508 DOI: 10.2174/1574887118666230227113217] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2022] [Revised: 12/01/2022] [Accepted: 12/09/2022] [Indexed: 02/28/2023]
Abstract
BACKGROUND Pituitary neurosurgery executed via the transsphenoidal endonasal approach is commonly performed for pituitary adenomas. Reasons for prolonged hospital stay include postoperative headache and protracted nausea with or without vomiting. Bilateral superficial trigeminal nerve blocks of the supra-orbital V1 and infra-orbital V2 (SION) nerves performed intra-operatively as a regional anesthetic adjunct to general anesthesia were hypothesized to decrease 6 hours postoperative morphine PCA (patient-controlled analgesia) use by patients. METHODS Forty-nine patients, following induction of general anesthesia for their transsphenoidal surgery, were prospectively randomized in a double-blinded fashion to receive additional regional anesthesia as either a block (0.5% ropivacaine with epi 1:200,000) or placebo/sham (0.9% normal saline). The primary endpoint of the study was systemic morphine PCA opioid consumption by the two groups in the first 6-hours postoperatively. The secondary endpoints included (1) pain exposure experienced postoperatively, (2) incidence of postoperative nausea and vomiting, and (3) time to eligibility for PACU discharge. RESULTS Of the 49 patients that were enrolled, 3 patients were excluded due to protocol violations. Ultimately, there was no statistically significant difference between morphine PCA use in the 6 hours postoperatively between the block and placebo/sham groups. There was, however, a slight visual tendency in the block group for higher pain scores, morphine use p=0.046, and delayed PACU discharge. False discovery rate corrected comparisons at each time point and then revealed no statistically significant difference between the two groups. There were no differences between the two groups for secondary endpoints. CONCLUSION It was found that a 6-hour postoperative headache after endoscopic trans-sphenoidal pituitary surgery likely has a more complicated mechanism involving more than the superficial trigeminovascular system and perhaps is neuro-modulated by other brain nuclei.
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Affiliation(s)
- Una Srejic
- Deparment of Anesthesiology and Pain Management, University of California, San Diego (UCSD) Medical Centre, San Diego, CA, USA
| | - Erik Litonius
- Department of Anesthesiology, Helsinki University Central Hospital, Intensive Care, Emergency Medicine and Pain, Helsinki, Finland
| | - Seema Gandhi
- Department of Anesthesiology, University of California, San Francisco (UCSF) Medical Centre, San Francisco, CA, USA
| | - Pekka Talke
- Department of Anesthesiology, University of California, San Francisco (UCSF) Medical Centre, San Francisco, CA, USA
| | - Oana Maties
- Department of Anesthesiology, University of California, San Francisco (UCSF) Medical Centre, San Francisco, CA, USA
| | - Claas Siegmueller
- Department of Anesthesiology, University of California, San Francisco (UCSF) Medical Centre, San Francisco, CA, USA
| | - Avic Magsaysay
- Department of Family Comprehensive Cancer Center, University of California, San Francisco (UCSF) Medical Centre, San Francisco, CA, USA
| | - Daniel Hasen
- Department of Anesthesiology, University of California, San Francisco (UCSF) Medical Centre, San Francisco, CA, USA
| | - Sandeep Kunwar
- Department of Neurosurgery, University of California, San Francisco (UCSF) Medical Centre, San Francisco, CA, USA
| | - Rahul Seth
- Department of Facial Plastic Surgery, Head and Neck Surgery, University of California, San Francisco (UCSF) Medical Centre, San Francisco, CA, USA
| | - Lizbeth Gibson
- Department of Neurosurgery, University of California, San Francisco (UCSF) Medical Centre, San Francisco, CA, USA
| | - Philip Bickler
- Department of Anesthesiology, University of California, San Francisco (UCSF) Medical Centre, San Francisco, CA, USA
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Davis C, Samson K, Kunwar S, Desouza C, Shivaswamy V. PSUN188 Evaluating Response to GLP-1 Receptor Agonists in Patients with Type 2 Diabetes Mellitus Managed at a Veterans Affairs Hospital. J Endocr Soc 2022. [PMCID: PMC9624607 DOI: 10.1210/jendso/bvac150.778] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
Type 2 diabetes mellitus (T2DM) is a leading cause of morbidity and mortality in people of all ages worldwide. Glucagon-like peptide-1 receptor agonists (GLP-1 RA) offer an innovative and unique advancement in treatment for T2DM by not only benefiting blood glucose control but also potentially impacting other diabetes-related complications. However, clinical response to GLP-1 RA is not seen in all patient populations. Our goal was to determine the response rate of GLP-1 RA add-on therapy. We performed a retrospective study of veterans with T2DM initiated on any GLP-1 RA from January 1, 2015, to December 31, 2019, for a duration of at least 6 months to assess the response in terms of hemoglobin A1c (A1c), weight, and total daily insulin dose. Baseline characteristics of 332 patients were reviewed to evaluate response rate. Treatment response thresholds included an A1c reduction of at least 0.5%, weight loss of ≥ 3% of pretreatment body weight, and a ≥ 10% reduction in total daily insulin dose (TDD). We then classified veterans into those without a response, or with 1, 2, or all 3 responses based on data 6-12 months after initiating treatment. We considered it a complete response if all 3 categories were fulfilled. Semaglutide (n=141): 10.64% showed a response to A1c alone, 3.55% had weight reduction alone, and 2.84% had insulin reduction alone. 7.09% showed A1c and weight response, 24.82% had A1c and insulin response, and 13.48% had weight and insulin response. A complete response was seen in 33.33% of veterans. Liraglutide (n=131): 18.32% showed a response to A1c alone, 4.58% had weight reduction alone, and 11.45% had insulin reduction alone. 6.11% showed A1c and weight response, 19.08% had A1c and insulin response, and 8.40% had weight and insulin response. A complete response was seen in 25.19% of veterans. Dulaglutide (n=57): 22.81% showed a response to A1c alone, 3.51% had weight reduction alone, and 12.28% had insulin reduction alone. 8.77% showed A1c and weight response, 26.32% had A1c and insulin response, and 1.75% had weight and insulin response. A complete response was seen in 15.79% of veterans. In conclusion, semaglutide's most common response, in 33.33% of patients, was having a complete response, followed by a reduction in A1c and insulin reduction for 24.82% of patients, and then weight and insulin reduction for 13.48% of patients. Liraglutide's most common response, in 25.19% of patients, was having a complete response, followed by a reduction in A1c and insulin dose for 19.08% of patients, and then reduction in A1c alone for 18.32% of patients. Unlike the others, dulaglutide's most common response was not a complete response, but rather A1c and insulin reduction, for 26.32% patients. Dulaglutide also had 22.81% of patients respond with A1c alone. Presentation: Sunday, June 12, 2022 12:30 p.m. - 2:30 p.m.
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Osorio RC, Pereira MP, Oh T, Joshi RS, Haddad AF, Pereira KM, Donohue KC, Peeran Z, Carson W, Badani A, Wang EJ, Sudhir S, Chandra A, Jain S, Beniwal A, Gurrola J, El-Sayed IH, Blevins LS, Theodosopoulos PV, Kunwar S, Aghi MK. Correlation between tumor volume and serum prolactin and its effect on surgical outcomes in a cohort of 219 prolactinoma patients. J Neurosurg 2022:1-11. [PMID: 36242577 DOI: 10.3171/2022.8.jns221890] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2022] [Accepted: 08/29/2022] [Indexed: 03/12/2023]
Abstract
OBJECTIVE Prolactinoma is the most common pituitary adenoma and can be managed medically or surgically. The authors assessed the correlation between tumor volume and prolactin level and its effect on surgical outcomes. METHODS The authors reviewed 219 patients who underwent transsphenoidal prolactinoma resection at a single institution from 2012 to 2019. Outcomes were compared between patients with and without biochemical remission. Tumor volumes were quantified with BrainLab Smartbrush. Correlation analysis and linear regression were used to examine the association between tumor volume and serum prolactin level. Volume-adjusted prolactin level was defined as serum prolactin level divided by tumor volume. The authors utilized receiver operating characteristic (ROC) curve analysis to determine the thresholds for predicting biochemical remission status. RESULTS The mean tumor volume was 5.66 cm3, and the mean preoperative prolactin level was 752.3 µg/L. Men had larger prolactinomas than women (mean volume 11.32 vs 2.54 cm3; p < 0.001), and women had a greater volume-adjusted prolactin level (mean 412.5 vs 175.9 µg/L/cm3, p < 0.001). In total, 66.7% of surgical patients achieved biochemical remission 6 weeks after surgery, whereas a similar cohort of medically treated patients during the same time frame demonstrated a 69.4% remission rate. Pearson correlation and linear regression analysis revealed a strong association between preoperative tumor volume and prolactin levels, with an increase in serum prolactin level of 101.31 µg/L per 1-cm3 increase in tumor volume (p < 0.001). This held true for men (R = 0.601, p < 0.001) and women (R = 0.935, p < 0.001), with women demonstrating a greater increase in prolactin level per 1-cm3 increase in volume (185.70 vs 79.77 µg/L, p < 0.001). Patients who achieved remission exhibited a 66.08-µg/L increase in preoperative prolactin level per 1 cm3 of preoperative tumor volume (p < 0.001), which was less than the 111.46-µg/L increase per 1 cm3 in patients without remission (p < 0.001). Patients who failed to achieve remission had residual tumors with a 77.77-µg/L increase in prolactin per 1 cm3 of remaining tumor volume after resection (p < 0.001). ROC curve analysis revealed significant thresholds that optimally predicted lack of postoperative remission on the basis of preoperative prolactin and tumor volume. These thresholds were rendered nonsignificant in patients with documented Knosp grade ≥ 3. CONCLUSIONS Although the authors found a correlation between prolactinoma volume and serum prolactin level, patients without remission had a greater increase in serum prolactin level per increase in preoperative tumor volume than those who achieved remission, suggesting unique tumor composition. The authors also identified prolactin and tumor volume thresholds that optimally predicted biochemical remission status. The authors hope that their results can be used to identify prolactinomas for which surgery could achieve remission as an alternative to medical management.
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Affiliation(s)
- Robert C Osorio
- 1School of Medicine, University of California, San Francisco, California
| | | | - Taemin Oh
- 3Department of Neurological Surgery, University of Utah, Salt Lake City, Utah
| | - Rushikesh S Joshi
- 4Department of Neurological Surgery, University of Michigan, Ann Arbor, Michigan
| | | | - Kaitlyn M Pereira
- 6Emergency Medicine, Medical University of South Carolina College of Medicine, Charleston, South Carolina
| | - Kevin C Donohue
- 1School of Medicine, University of California, San Francisco, California
| | - Zain Peeran
- 1School of Medicine, University of California, San Francisco, California
| | | | | | - Elaina J Wang
- 7Department of Neurological Surgery, Brown University, Providence, Rhode Island
| | | | - Ankush Chandra
- 8Department of Neurological Surgery, University of Texas Health Sciences Center at Houston, Texas
| | | | | | - José Gurrola
- 9Otolaryngology Head and Neck Surgery, University of California, San Francisco, California
| | - Ivan H El-Sayed
- 9Otolaryngology Head and Neck Surgery, University of California, San Francisco, California
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Small E, Gardner L, Maharjan R, Starrs M, Cleaver L, Leamon A, Kunwar S, Joshi N, Votta K, Marvel J. 30 Current Understanding and Relevant Trends in Altitude Illness in Nepal (CURTAIN). Ann Emerg Med 2022. [DOI: 10.1016/j.annemergmed.2022.08.053] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Cummins DD, Morshed RA, Tihan T, Kunwar S. Calcifying pseudoneoplasm of the neuraxis within the sellar region: illustrative case. Journal of Neurosurgery: Case Lessons 2022; 3:CASE2286. [PMID: 36303491 PMCID: PMC9379716 DOI: 10.3171/case2286] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/17/2022] [Accepted: 02/25/2022] [Indexed: 11/25/2022]
Abstract
BACKGROUND There are numerous atypical lesions of the sellar and suprasellar region that are often mistaken for pituitary adenomas. It is important to consider rare mimics of more common pathologies in this region. OBSERVATIONS The authors detail the case of a 37-year-old woman with hypopituitarism who was found to have an atypical sellar mass with slow growth on interval imaging. The lesion was debulked via a microscopic endonasal transsphenoidal approach and found to be a calcifying pseudoneoplasm of the neuraxis (CAPNON). LESSONS CAPNON is a rare disease entity that may affect the sellar region. CAPNON should be on the differential diagnosis for sellar masses that are associated with T1 and T2 hypointensity on magnetic resonance imaging with minimal enhancement. Although CAPNON is not at risk for malignant progression, these benign lesions can continue to grow after a subtotal resection and require follow-up.
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Affiliation(s)
| | | | - Tarik Tihan
- Pathology, University of California, San Francisco, San Francisco, California
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Silverstein JW, Block J, Smith ML, Bomback DA, Sanderson S, Paul J, Ball H, Ellis JA, Goldstein M, Kramer DL, Arutyunyan G, Marcus J, Mermelstein S, Slosar P, Goldthwaite N, Lee SI, Reynolds J, Riordan M, Pirnia N, Kunwar S, Abbi G, Bizzini B, Gupta S, Porter D, Mermelstein LE. Femoral nerve neuromonitoring for lateral lumbar interbody fusion surgery. Spine J 2022; 22:296-304. [PMID: 34343664 DOI: 10.1016/j.spinee.2021.07.017] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/01/2021] [Revised: 06/26/2021] [Accepted: 07/26/2021] [Indexed: 02/03/2023]
Abstract
BACKGROUND CONTEXT The transpsoas lateral lumbar interbody fusion (LLIF) technique is an effective alternative to traditional anterior and posterior approaches to the lumbar spine; however, nerve injuries are the most reported postoperative complication. Commonly used strategies to avoid nerve injury (eg, limiting retraction duration) have not been effective in detecting or preventing femoral nerve injuries. PURPOSE To evaluate the efficacy of emerging intraoperative femoral nerve monitoring techniques and the importance of employing prompt surgical countermeasures when degraded femoral nerve function is detected. STUDY DESIGN/SETTING We present the results from a retrospective analysis of a multi-center study conducted over the course of 3 years. PATIENT SAMPLE One hundred and seventy-two lateral lumbar interbody fusion procedures were reviewed. OUTCOME MEASURES Intraoperative femoral nerve monitoring data was correlated to immediate postoperative neurologic examinations. METHODS Femoral nerve evoked potentials (FNEP) including saphenous nerve somatosensory evoked potentials (snSSEP) and motor evoked potentials with quadriceps recordings were used to detect evidence of degraded femoral nerve function during the time of surgical retraction. RESULTS In 89% (n=153) of the surgeries, there were no surgeon alerts as the FNEP response amplitudes remained relatively unchanged throughout the surgery (negative group). The positive group included 11% of the cases (n=19) where the surgeon was alerted to a deterioration of the FNEP amplitudes during surgical retraction. Prompt surgical countermeasures to an FNEP alert included loosening, adjusting, or removing surgical retraction, and/or requesting an increase in blood pressure from the anesthesiologist. All the cases where prompt surgical countermeasures were employed resulted in recovery of the degraded FNEP amplitudes and no postoperative femoral nerve injuries. In two cases, the surgeons were given verbal alerts of degraded FNEPs but did not employ prompt surgical countermeasures. In both cases, the degraded FNEP amplitudes did not recover by the time of surgical closure, and both patients exhibited postoperative signs of sensorimotor femoral nerve injury including anterior thigh numbness and weakened knee extension. CONCLUSIONS Multimodal femoral nerve monitoring can provide surgeons with a timely alert to hyperacute femoral nerve conduction failure, enabling prompt surgical countermeasures to be employed that can mitigate or avoid femoral nerve injury. Our data also suggests that the common strategy of limiting retraction duration may not be effective in preventing iatrogenic femoral nerve injuries.
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Affiliation(s)
- Justin W Silverstein
- Neuro Protective Solutions, New York, NY 11788, USA; Northwell Health Lenox Hill Hospital, New York, NY, USA; Northwell Health Huntington Hospital, Huntington, NY, USA.
| | - Jon Block
- ION Intraoperative Neurophysiology, Orinda, CA, USA
| | - Michael L Smith
- Rothman Orthopedic Institute, New York, NY, USA; Northwell Health Lenox Hill Hospital, New York, NY, USA
| | - David A Bomback
- Connecticut Neck and Back Specialists, Danbury, CT, USA; Nuvance Health, Danbury, CT, USA
| | - Scott Sanderson
- Elite Brain and Spine of Connecticut, Danbury CT, USA; Nuvance Health, Danbury, CT, USA
| | - Justin Paul
- OrthoConnecticut, Danbury CT, USA; Nuvance Health, Danbury, CT, USA
| | - Hieu Ball
- San Ramone Regional Medical Center, San Ramon, CA, USA
| | - Jason A Ellis
- Northwell Health Lenox Hill Hospital, New York, NY, USA
| | - Matthew Goldstein
- Orthopedic Associates of Manhasset, Great Neck, NY, USA; St. Francis Hospital, Roslyn, NY, USA
| | - David L Kramer
- Connecticut Neck and Back Specialists, Danbury, CT, USA; Nuvance Health, Danbury, CT, USA
| | - Grigoriy Arutyunyan
- Rothman Orthopedic Institute, New York, NY, USA; Northwell Health Lenox Hill Hospital, New York, NY, USA
| | - Joshua Marcus
- Elite Brain and Spine of Connecticut, Danbury CT, USA; Nuvance Health, Danbury, CT, USA
| | - Sara Mermelstein
- New York Institute of Technology College of Osteopathic Medicine, Old Westbury, NY, USA
| | | | | | | | | | | | | | | | | | | | - Sarita Gupta
- ION Intraoperative Neurophysiology, Orinda, CA, USA
| | | | - Laurence E Mermelstein
- Long Island Spine Specialists, Long Island, NY, USA; Northwell Health Huntington Hospital, Huntington, NY, USA
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Joshi RS, Pereira MP, Osorio RC, Oh T, Haddad AF, Pereira KM, Donohue KC, Peeran Z, Sudhir S, Jain S, Beniwal A, Chandra A, Han SJ, Rolston JD, Theodosopoulos PV, Kunwar S, Blevins LS, Aghi MK. Identifying risk factors for postoperative diabetes insipidus in more than 2500 patients undergoing transsphenoidal surgery: a single-institution experience. J Neurosurg 2022; 137:1-11. [PMID: 35090129 DOI: 10.3171/2021.11.jns211260] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2021] [Accepted: 11/22/2021] [Indexed: 01/17/2023]
Abstract
OBJECTIVE Diabetes insipidus (DI) following transsphenoidal surgery can adversely impact quality of life and be difficult to manage. This study sought to characterize pre- and perioperative risk factors that may predispose patients to DI after pituitary surgery. METHODS A retrospective review of patients treated at a single institution from 2007 to 2019 was conducted. DI was defined as postoperative sodium > 145 mEq/L and urine output > 300 ml/hr and/or postoperative desmopressin (ddAVP) use. DI was further characterized as transient or permanent. Uni- and multivariate analyses were performed to determine variables associated with postoperative DI. RESULTS The authors identified 2529 patients who underwent transsphenoidal surgery at their institution. Overall, DI was observed in 270 (10.7%) of the 2529 patients, with 114 (4.5%) having permanent DI and 156 (6.2%) with transient symptoms. By pathology type, DI occurred in 31 (46.3%) of 67 craniopharyngiomas, 10 (14.3%) of 70 apoplexies, 46 (14.3%) of 322 Rathke's cleft cysts, 77 (7.7%) of 1004 nonfunctioning pituitary adenomas (NFPAs), and 62 (7.6%) of 811 functioning pituitary adenomas (FPAs). Final lesion pathology significantly affected DI rates (p < 0.001). Multivariate analysis across pathologies showed that younger age (odds ratio [OR] 0.97, p < 0.001), intraoperative CSF encounter (OR 2.74, p < 0.001), craniopharyngioma diagnosis (OR 8.22, p = 0.007), and postoperative hyponatremia (OR 1.50, p = 0.049) increased the risk of DI. Because surgery for each pathology created specific risk factors for DI, the analysis was then limited to the 1815 pituitary adenomas (PAs) in the series, comprising 1004 NFPAs and 811 FPAs. For PAs, younger age (PA: OR 0.97, p < 0.001; NFPA: OR 0.97, p < 0.001; FPA: OR 0.97, p = 0.028) and intraoperative CSF encounter (PA: OR 2.99, p < 0.001; NFPA: OR 2.93, p < 0.001; FPA: OR 3.06, p < 0.001) increased DI rates in multivariate analysis. Among all PAs, patients with DI experienced peak sodium levels later than those without DI (postoperative day 11 vs 2). Increasing tumor diameter increased the risk of DI in FPAs (OR 1.52, p = 0.008), but not in NFPAs (p = 0.564). CONCLUSIONS In more than 2500 patients treated at a single institution, intraoperative CSF encounter, craniopharyngioma diagnosis, and young age all increased the risk of postoperative DI. Patients with postoperative hyponatremia exhibited higher rates of DI, suggesting possible bi- or triphasic patterns to DI. Greater vigilance should be maintained in patients meeting these criteria following transsphenoidal surgery to ensure early recognition and treatment of DI.
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Affiliation(s)
- Rushikesh S Joshi
- 1School of Medicine, University of California, San Diego, California
| | | | | | - Taemin Oh
- 3Department of Neurological Surgery, University of California, San Francisco, California
| | | | - Kaitlyn M Pereira
- 4University of South Florida Morsani College of Medicine, Tampa, Florida
| | | | - Zain Peeran
- 3Department of Neurological Surgery, University of California, San Francisco, California
| | - Sweta Sudhir
- 3Department of Neurological Surgery, University of California, San Francisco, California
| | - Saket Jain
- 3Department of Neurological Surgery, University of California, San Francisco, California
| | - Angad Beniwal
- 3Department of Neurological Surgery, University of California, San Francisco, California
| | - Ankush Chandra
- 5Department of Neurological Surgery, University of Texas at Houston, Texas
| | - Seunggu J Han
- 6Natividad Neurosurgery, Natividad Medical Center, Salinas, California; and
| | - John D Rolston
- 7Department of Neurological Surgery, University of Utah, Salt Lake City, Utah
| | | | - Sandeep Kunwar
- 3Department of Neurological Surgery, University of California, San Francisco, California
| | - Lewis S Blevins
- 3Department of Neurological Surgery, University of California, San Francisco, California
| | - Manish K Aghi
- 3Department of Neurological Surgery, University of California, San Francisco, California
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Osorio RC, Pereira MP, Joshi RS, Donohue KC, Sneed P, Braunstein S, Theodosopoulos PV, El-Sayed IH, Gurrola J, Kunwar S, Blevins LS, Aghi MK. Socioeconomic predictors of case presentations and outcomes in 225 nonfunctional pituitary adenoma resections. J Neurosurg 2021:1-12. [PMID: 34598141 DOI: 10.3171/2021.4.jns21907] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2021] [Accepted: 04/28/2021] [Indexed: 11/06/2022]
Abstract
OBJECTIVE Clinical presentations and outcomes of nonfunctional pituitary adenoma (NFPA) resections can vary widely, and very little prior research has analyzed this variance through a socioeconomic lens. This study sought to determine whether socioeconomic status (SES) influences NFPA presentations and postoperative outcomes, as these associations could aid physicians in understanding case prognoses and complications. METHODS The authors retrospectively analyzed 225 NFPA resections from 2012 to 2019 at their institution. Race, ethnicity, insurance status, estimated income, and having a primary care provider (PCP) were collected as 5 markers of SES. These markers were correlated with presenting tumor burden, presenting symptoms, surgical outcomes, and long-term clinical outcomes. RESULTS All 5 examined SES markers influenced variance in patient presentation or outcome. Insurance status's effects on patient presentations disappeared when examining only patients with PCPs. Having a PCP was associated with significantly smaller tumor size at diagnosis (effect size = 0.404, p < 0.0001). After surgery, patients with PCPs had shorter postoperative hospital lengths of stay (p = 0.043) and lower rates of readmission within 30 days of discharge (OR 0.256, p = 0.047). Despite continuing follow-up for longer durations (p = 0.0004), patients with PCPs also had lower rates of tumor recurrence (p < 0.0001). Higher estimated income was similarly associated with longer follow-up (p = 0.002) and lower rates of tumor recurrence (p = 0.013). Among patients with PCPs, income was not associated with recurrence. CONCLUSIONS This study found that while all 5 variables (race, ethnicity, insurance, PCP status, and estimated income) affected NFPA presentations and outcomes, having a PCP was the single most important of these socioeconomic factors, impacting hospital lengths of stay, readmission rates, follow-up adherence, and tumor recurrence. Having a PCP even protected low-income patients from experiencing increased rates of tumor recurrence. These protective findings suggest that addressing socioeconomic disparities may lead to better NFPA presentations and outcomes.
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Affiliation(s)
- Robert C Osorio
- 1School of Medicine, University of California, San Francisco
| | | | | | - Kevin C Donohue
- 1School of Medicine, University of California, San Francisco
| | - Patricia Sneed
- 3Department of Radiation Oncology, University of California, San Francisco
| | - Steve Braunstein
- 3Department of Radiation Oncology, University of California, San Francisco
| | | | - Ivan H El-Sayed
- 5Department of Otolaryngology Head and Neck Surgery, University of California, San Francisco, California
| | - José Gurrola
- 5Department of Otolaryngology Head and Neck Surgery, University of California, San Francisco, California
| | - Sandeep Kunwar
- 4Department of Neurological Surgery, University of California, San Francisco; and
| | - Lewis S Blevins
- 4Department of Neurological Surgery, University of California, San Francisco; and
| | - Manish K Aghi
- 4Department of Neurological Surgery, University of California, San Francisco; and
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11
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Haddad AF, Young JS, Oh T, Pereira MP, Joshi RS, Pereira KM, Osorio RC, Donohue KC, Peeran Z, Sudhir S, Jain S, Beniwal A, Chopra AS, Sandhu NS, Theodosopoulos PV, Kunwar S, El-Sayed IH, Gurrola J, Blevins LS, Aghi MK. Clinical characteristics and outcomes of null-cell versus silent gonadotroph adenomas in a series of 1166 pituitary adenomas from a single institution. Neurosurg Focus 2021; 48:E13. [PMID: 32480370 DOI: 10.3171/2020.3.focus20114] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2020] [Accepted: 03/04/2020] [Indexed: 11/06/2022]
Abstract
OBJECTIVE Nonfunctioning pituitary adenomas present without biochemical or clinical signs of hormone excess and are the second most common type of pituitary adenomas. The 2017 WHO classification scheme of pituitary adenomas differentiates null-cell adenomas (NCAs) and silent gonadotroph adenomas (SGAs). The present study sought to highlight the differences in patient characteristics and clinical outcomes between NCAs and SGAs. METHODS The records of 1166 patients who underwent transsphenoidal surgery for pituitary adenoma between 2012 and 2019 at a single institution were retrospectively reviewed. Patient demographics and clinical outcomes were collected. RESULTS Of the overall pituitary adenoma cohort, 12.8% (n = 149) were SGAs and 9.2% (n = 107) NCAs. NCAs were significantly more common in female patients than SGAs (61.7% vs 26.8%, p < 0.001). There were no differences in patient demographics, initial tumor size, or perioperative and short-term clinical outcomes. There was no significant difference in the amount of follow-up between patients with NCAs and those with SGAs (33.8 months vs 29.1 months, p = 0.237). Patients with NCAs had significantly higher recurrence (p = 0.021), adjuvant radiation therapy usage (p = 0.002), and postoperative diabetes insipidus (p = 0.028). NCA pathology was independently associated with tumor recurrence (HR 3.64, 95% CI 1.07-12.30; p = 0.038), as were cavernous sinus invasion (HR 3.97, 95% CI 1.04-15.14; p = 0.043) and anteroposterior dimension of the tumor (HR 2.23, 95% CI 1.09-4.59; p = 0.030). CONCLUSIONS This study supports the definition of NCAs and SGAs as separate subgroups of nonfunctioning pituitary adenomas, and it highlights significant differences in long-term clinical outcomes, including tumor recurrence and the associated need for adjuvant radiation therapy, as well as postoperative diabetes insipidus. The authors also provide insight into independent risk factors for these outcomes in the adenoma population studied, providing clinicians with additional predictors of patient outcomes. Follow-up studies will hopefully uncover mechanisms of biological aggressiveness in NCAs and associated molecular targets.
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Affiliation(s)
| | - Jacob S Young
- 3Department of Neurological Surgery, University of California, San Francisco, California
| | - Taemin Oh
- 3Department of Neurological Surgery, University of California, San Francisco, California
| | | | | | - Kaitlyn M Pereira
- 4University of South Florida Morsani College of Medicine, Tampa, Florida; and
| | - Robert C Osorio
- 1School of Medicine, University of California, San Francisco
| | - Kevin C Donohue
- 1School of Medicine, University of California, San Francisco
| | - Zain Peeran
- 3Department of Neurological Surgery, University of California, San Francisco, California
| | - Sweta Sudhir
- 3Department of Neurological Surgery, University of California, San Francisco, California
| | - Saket Jain
- 3Department of Neurological Surgery, University of California, San Francisco, California
| | - Angad Beniwal
- 3Department of Neurological Surgery, University of California, San Francisco, California
| | - Ashley S Chopra
- 3Department of Neurological Surgery, University of California, San Francisco, California
| | - Narpal S Sandhu
- 3Department of Neurological Surgery, University of California, San Francisco, California
| | | | - Sandeep Kunwar
- 3Department of Neurological Surgery, University of California, San Francisco, California
| | - Ivan H El-Sayed
- 5Department of Otolaryngology-Head and Neck Surgery, University of California, San Francisco, California
| | - José Gurrola
- 5Department of Otolaryngology-Head and Neck Surgery, University of California, San Francisco, California
| | - Lewis S Blevins
- 3Department of Neurological Surgery, University of California, San Francisco, California
| | - Manish K Aghi
- 3Department of Neurological Surgery, University of California, San Francisco, California
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12
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Young JS, Oh T, Arora T, Blevins LS, Aghi MK, El-Sayed IH, Kunwar S, Theodosopoulos PV. Letter: COVID Conundrum: Postoperative COVID-19 Infections Following Endonasal Transsphenoidal Pituitary Surgery. Neurosurgery 2021; 88:E571-E572. [PMID: 33693893 PMCID: PMC7989194 DOI: 10.1093/neuros/nyab054] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Affiliation(s)
- Jacob S Young
- Department of Neurological Surgery University of California, San Francisco San Francisco, California, USA
| | - Taemin Oh
- Department of Neurological Surgery University of California, San Francisco San Francisco, California, USA
| | - Tarun Arora
- Department of Neurological Surgery University of California, San Francisco San Francisco, California, USA
| | - Lewis S Blevins
- Department of Neurological Surgery University of California, San Francisco San Francisco, California, USA
| | - Manish K Aghi
- Department of Neurological Surgery University of California, San Francisco San Francisco, California, USA
| | - Ivan H El-Sayed
- Department of Otolaryngology-Head & Neck Surgery University of California, San Francisco San Francisco, California, USA
| | - Sandeep Kunwar
- Department of Neurological Surgery University of California, San Francisco San Francisco, California, USA
| | - Philip V Theodosopoulos
- Department of Neurological Surgery University of California, San Francisco San Francisco, California, USA
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13
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Ammanuel SG, Edwards CS, Chan AK, Mummaneni PV, Kidane J, Vargas E, D’Souza S, Nichols AD, Sankaran S, Abla AA, Aghi MK, Chang EF, Hervey-Jumper SL, Kunwar S, Larson PS, Lawton MT, Starr PA, Theodosopoulos PV, Berger MS, McDermott MW. Are preoperative chlorhexidine gluconate showers associated with a reduction in surgical site infection following craniotomy? A retrospective cohort analysis of 3126 surgical procedures. J Neurosurg 2021; 135:1889-1897. [PMID: 33930864 PMCID: PMC9448162 DOI: 10.3171/2020.10.jns201255] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2020] [Accepted: 10/01/2020] [Indexed: 11/06/2022]
Abstract
OBJECTIVE Surgical site infection (SSI) is a complication linked to increased costs and length of hospital stay. Prevention of SSI is important to reduce its burden on individual patients and the healthcare system. The authors aimed to assess the efficacy of preoperative chlorhexidine gluconate (CHG) showers on SSI rates following cranial surgery. METHODS In November 2013, a preoperative CHG shower protocol was implemented at the authors' institution. A total of 3126 surgical procedures were analyzed, encompassing a time frame from April 2012 to April 2016. Cohorts before and after implementation of the CHG shower protocol were evaluated for differences in SSI rates. RESULTS The overall SSI rate was 0.6%. No significant differences (p = 0.11) were observed between the rate of SSI of the 892 patients in the preimplementation cohort (0.2%) and that of the 2234 patients in the postimplementation cohort (0.8%). Following multivariable analysis, implementation of preoperative CHG showers was not associated with decreased SSI (adjusted OR 2.96, 95% CI 0.67-13.1; p = 0.15). CONCLUSIONS This is the largest study, according to sample size, to examine the association between CHG showers and SSI following craniotomy. CHG showers did not significantly alter the risk of SSI after a cranial procedure.
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Affiliation(s)
- Simon G. Ammanuel
- Department of Neurological Surgery, University of California, San Francisco, California
| | - Caleb S. Edwards
- Department of Neurological Surgery, University of California, San Francisco, California
| | - Andrew K. Chan
- Department of Neurological Surgery, University of California, San Francisco, California
| | - Praveen V. Mummaneni
- Department of Neurological Surgery, University of California, San Francisco, California
| | - Joseph Kidane
- Department of Neurological Surgery, University of California, San Francisco, California
| | - Enrique Vargas
- Department of Neurological Surgery, University of California, San Francisco, California
| | - Sarah D’Souza
- Department of Neurological Surgery, University of California, San Francisco, California
| | - Amy D. Nichols
- Department of Hospital Epidemiology and Infection Control, University of California, San Francisco, California
| | - Sujatha Sankaran
- Department of Hospital Medicine, University of California, San Francisco, California
| | - Adib A. Abla
- Department of Neurological Surgery, University of California, San Francisco, California
| | - Manish K. Aghi
- Department of Neurological Surgery, University of California, San Francisco, California
| | - Edward F. Chang
- Department of Neurological Surgery, University of California, San Francisco, California
| | | | - Sandeep Kunwar
- Department of Neurological Surgery, University of California, San Francisco, California
| | - Paul S. Larson
- Department of Neurological Surgery, University of California, San Francisco, California
| | - Michael T. Lawton
- Department of Neurological Surgery, University of California, San Francisco, California
| | - Philip A. Starr
- Department of Neurological Surgery, University of California, San Francisco, California
| | | | - Mitchel S. Berger
- Department of Neurological Surgery, University of California, San Francisco, California
| | - Michael W. McDermott
- Department of Neurological Surgery, University of California, San Francisco, California
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14
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Pereira M, Oh T, Joshi R, Haddad A, Pereira K, Osorio R, Donohue K, Peeran Z, Sudhir S, Jain S, Beniwal A, Gurrola J, El-Sayed I, Blevins L, Theodosopoulos P, Kunwar S, Aghi M. NCOG-51. CORRELATION BETWEEN TUMOR VOLUME AND SERUM PROLACTIN AND IMPACT OF TUMOR CELLULAR DENSITY ON PROLACTINOMA SURGICAL OUTCOMES IN A COHORT OF 181 PATIENTS. Neuro Oncol 2020. [DOI: 10.1093/neuonc/noaa215.589] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Abstract
INTRODUCTION
Prolactinomas are common pituitary adenomas managed medically or surgically.
METHODS
Reviewed 181 prolactinomas resected transsphenoidally 2012-2019. Tumor volumes were quantified using BrainLab Smartbrush. Pearson correlation analysis and linear regression were used to identify associations between tumor volumes and serum prolactin. Tumor density was defined as serum prolactin divided by tumor volume.
RESULTS
Mean tumor volume was 6.33cm3 and mean pre-op prolactin was 803.4ug/L, with men having larger (12.11 vs 2.93cm3;p< 0.001) and women having denser (173.9 vs 107.6ug/L/cm3;p=0.011) prolactinomas. Pearson correlation (R=0.688;p< 0.001) and linear regression revealed a strong association between pre-op volume and prolactin levels, with 96.9g/L increase in prolactin/cm3 increase in volume (p< 0.001); this holds true for men (R=0.584;p< 0.001) and women (R=0.939;p< 0.001), with women demonstrating greater prolactin/cm3 tumor density (186.5 vs 75.0ug/L;p< 0.001). MiB index did not correlate with pre-op volume (p=0.449) or pre-op prolactin (p=0.452). Logistic regression showed decreased biochemical remission with increasing pre-op volume (OR=0.891;p< 0.001). Increased MiB index (p=0.971) and p53 (p=0.525) staining did not affect remission rates. Positive PIT-1 staining was associated with higher remission rates (OR=2.508;p=0.005). Patients without remission had denser tumors (149.9 vs. 100.6ug/L/cm3;p=0.013), with Pearson correlation yielding R=0.736 between pre-op volume and pre-op prolactin (p< 0.001), and R=0.476 between residual volume and post-op prolactin (p< 0.001). Patients without remission exhibited 142.9ug/L increase in prolactin/cm3 of pre-op volume (p< 0.001), higher than the 58.9ug/L increase in prolactin/cm3 in patients with remission (p< 0.001). Patients without remission had residual tumors with 68.4ug/L increase in prolactin/cm3 of remaining volume after resection (p< 0.001).
CONCLUSION
Our analysis revealed significant correlation between prolactinoma volume and serum prolactin levels. Patients without remission had greater tumor cellular density than those with remission. The volume-prolactin correlation persisted post-operatively, although surgery reduced tumor density. These results could identify prolactinomas for which surgery could achieve biochemical remission.
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Affiliation(s)
- Matheus Pereira
- University of California, San Francisco, San Francisco, CA, USA
| | - Taemin Oh
- University of California, San Francisco, San Francisco, CA, USA
| | - Rushikesh Joshi
- University of California, San Francisco, San Francisco, CA, USA
| | | | | | - Robert Osorio
- University of California, San Francisco, San Francisco, CA, USA
| | - Kevin Donohue
- University of California, San Francisco, San Francisco, CA, USA
| | - Zain Peeran
- University of California, San Francisco, San Francisco, CA, USA
| | - Sweta Sudhir
- University of California, San Francisco, San Francisco, CA, USA
| | - Saket Jain
- University of California, San Francisco, San Francisco, CA, USA
| | - Angad Beniwal
- University of California, San Francisco, San Francisco, CA, USA
| | - José Gurrola
- University of California, San Francisco, San Francisco, CA, USA
| | - Ivan El-Sayed
- University of California, San Francisco, San Francisco, CA, USA
| | - Lewis Blevins
- University of California, San Francisco, San Francisco, CA, USA
| | | | - Sandeep Kunwar
- University of California, San Francisco, San Francisco, CA, USA
| | - Manish Aghi
- University of California, San Francisco, San Francisco, CA, USA
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15
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Pereira M, Oh T, Joshi R, Haddad A, Pereira K, Osorio R, Donohue K, Peeran Z, Sudhir S, Jain S, Beniwal A, Gurrola J, El-Sayed I, Blevins L, Theodosopoulos P, Kunwar S, Aghi M. NCOG-54. SAFETY OF TRANSSPHENOIDAL SURGERY FOR NONFUNCTIONING PITUITARY ADENOMA IN ELDERLY PATIENTS. Neuro Oncol 2020. [DOI: 10.1093/neuonc/noaa215.592] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
INTRODUCTION
Life expectancy has increased over the past century, shifting the demographic distribution towards older age groups. Elderly patients comprise up to 14% of patients with pituitary tumors, with most lesions being nonfunctioning adenomas (NFPAs). Here, we compare clinical and surgical outcomes and post-operative complications between non-elderly adult (age ≥ 18 years and ≤ 65 years) and elderly (age > 65 years) NFPA patients.
METHODS
Retrospective review of 908 patients undergoing transsphenoidal surgery for NFPA at a single institution from 2007-2019.
RESULTS
Elderly patients represented 32.4% of patients. Both groups were similar in gender (57.3% vs 60.5% male;P=0.4), tumor size (2.56 vs 2.46 cm;P=0.2), and cavernous sinus invasion (35.8% vs 33.7%;P=0.6). Regarding post-operative outcomes, length of stay (1 vs 2 days; P=0.5), extent of resection (59.8% vs 64.8% GTR;P=0.2), CSF leak requiring surgical revision (4.3% vs 1.4%;P=0.06), 30-day readmission (8.1% vs 7.3%;P=0.7), infection (3.1% vs 2.0%;P=0.5), and new hypopituitarism (13.9% vs 12.0%;P=0.3) were similar between both groups. Elderly patients were less likely to have adjuvant radiation (8.7% vs 16.3%;P=0.009), future re-operation (3.8% vs 9.5%;P=0.003), and post-operative diabetes insipidus (DI) (3.7% vs 9.4%;P=0.002), and more likely to have post-operative hyponatremia (26.7% vs 16.4%;P< 0.001) and new cranial nerve deficit (1.9% vs 0.0%;P=0.01). Elderly patients’ post-operative sodium peaked and troughed on POD3 (mean=138.7 mEq/L) and POD9 (mean=130.8 mEq/L), respectively, compared to non-elderly patients (peak POD2 mean=139.9 mEq/L, trough POD8 mean=131.3 mEq/L).
CONCLUSION
Our analysis revealed that elderly patients experienced more post-operative hyponatremia, while non-elderly patients experienced more post-operative DI. Elderly patients also experience later peak and trough in serum sodium, suggesting age-related differences in stalk-related morbidities of NFPA resection. Overall, our results show that transsphenoidal surgery for NFPA in elderly patients is safe with low complication rates. We hope our results will guide discussions with elderly patients regarding possible risks and outcomes.
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Affiliation(s)
- Matheus Pereira
- University of California, San Francisco, San Francisco, CA, USA
| | - Taemin Oh
- University of California, San Francisco, San Francisco, CA, USA
| | - Rushikesh Joshi
- University of California, San Francisco, San Francisco, CA, USA
| | | | | | - Robert Osorio
- University of California, San Francisco, San Francisco, CA, USA
| | - Kevin Donohue
- University of California, San Francisco, San Francisco, CA, USA
| | - Zain Peeran
- University of California, San Francisco, San Francisco, CA, USA
| | - Sweta Sudhir
- University of California, San Francisco, San Francisco, CA, USA
| | - Saket Jain
- University of California, San Francisco, San Francisco, CA, USA
| | - Angad Beniwal
- University of California, San Francisco, San Francisco, CA, USA
| | - José Gurrola
- University of California, San Francisco, San Francisco, CA, USA
| | - Ivan El-Sayed
- University of California, San Francisco, San Francisco, CA, USA
| | - Lewis Blevins
- University of California, San Francisco, San Francisco, CA, USA
| | | | - Sandeep Kunwar
- University of California, San Francisco, San Francisco, CA, USA
| | - Manish Aghi
- University of California, San Francisco, San Francisco, CA, USA
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16
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Pereira MP, Oh T, Joshi RS, Haddad AF, Pereira KM, Osorio RC, Donohue KC, Peeran Z, Sudhir S, Jain S, Beniwal A, Gurrola J, El-Sayed IH, Blevins LS, Theodosopoulos PV, Kunwar S, Aghi MK. Clinical characteristics and outcomes in elderly patients undergoing transsphenoidal surgery for nonfunctioning pituitary adenoma. Neurosurg Focus 2020; 49:E19. [DOI: 10.3171/2020.7.focus20524] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2020] [Accepted: 07/20/2020] [Indexed: 11/06/2022]
Abstract
OBJECTIVELife expectancy has increased over the past century, causing a shift in the demographic distribution toward older age groups. Elderly patients comprise up to 14% of all patients with pituitary tumors, with most lesions being nonfunctioning pituitary adenomas (NFPAs). Here, the authors evaluated demographics, outcomes, and postoperative complications between nonelderly adult and elderly NFPA patients.METHODSA retrospective review of 908 patients undergoing transsphenoidal surgery (TSS) for NFPA at a single institution from 2007 to 2019 was conducted. Clinical and surgical outcomes and postoperative complications were compared between nonelderly adult (age ≥ 18 and ≤ 65 years) and elderly patients (age > 65 years).RESULTSThere were 614 and 294 patients in the nonelderly and elderly groups, respectively. Both groups were similar in sex (57.3% vs 60.5% males; p = 0.4), tumor size (2.56 vs 2.46 cm; p = 0.2), and cavernous sinus invasion (35.8% vs 33.7%; p = 0.6). Regarding postoperative outcomes, length of stay (1 vs 2 days; p = 0.5), extent of resection (59.8% vs 64.8% gross-total resection; p = 0.2), CSF leak requiring surgical revision (4.3% vs 1.4%; p = 0.06), 30-day readmission (8.1% vs 7.3%; p = 0.7), infection (3.1% vs 2.0%; p = 0.5), and new hypopituitarism (13.9% vs 12.0%; p = 0.3) were similar between both groups. Elderly patients were less likely to receive adjuvant radiation (8.7% vs 16.3%; p = 0.009), undergo future reoperation (3.8% vs 9.5%; p = 0.003), and experience postoperative diabetes insipidus (DI) (3.7% vs 9.4%; p = 0.002), and more likely to have postoperative hyponatremia (26.7% vs 16.4%; p < 0.001) and new cranial nerve deficit (1.9% vs 0.0%; p = 0.01). Subanalysis of elderly patients showed that patients with higher Charlson Comorbidity Index scores had comparable outcomes other than higher DI rates (8.1% vs 0.0%; p = 0.006). Elderly patients’ postoperative sodium peaked and troughed on postoperative day 3 (POD3) (mean 138.7 mEq/L) and POD9 (mean 130.8 mEq/L), respectively, compared with nonelderly patients (peak POD2: mean 139.9 mEq/L; trough POD8: mean 131.3 mEq/L).CONCLUSIONSThe authors’ analysis revealed that TSS for NFPA in elderly patients is safe with low complication rates. In this cohort, more elderly patients experienced postoperative hyponatremia, while more nonelderly patients experienced postoperative DI. These findings, combined with the observation of higher DI in patients with more comorbidities and elderly patients experiencing later peaks and troughs in serum sodium, suggest age-related differences in sodium regulation after NFPA resection. The authors hope that their results will help guide discussions with elderly patients regarding risks and outcomes of TSS.
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Affiliation(s)
| | - Taemin Oh
- Departments of 2Neurological Surgery and
| | | | | | - Kaitlyn M. Pereira
- 3University of South Florida Morsani College of Medicine, Tampa, Florida
| | | | | | | | | | - Saket Jain
- Departments of 2Neurological Surgery and
| | | | - José Gurrola
- 4Otolaryngology–Head and Neck Surgery, University of California, San Francisco, California; and
| | - Ivan H. El-Sayed
- 4Otolaryngology–Head and Neck Surgery, University of California, San Francisco, California; and
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17
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Adhikari S, Khadka S, Sapkota S, Sharma BR, Ghimire A, Chalise M, Gurung D, Kunwar S. Multi-drug Resistant and Extended Spectrum β-lactamase Producing Salmonella Species Isolated from Fresh Chicken Liver Samples. Kathmandu Univ Med J (KUMJ) 2020; 18:23-27. [PMID: 33582683] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
Background Emergence of antibiotic resistance among microbes contaminating the fresh meat products is a global public health concern as they can be easily transmitted to humans through their consumption and contact. Objective The current study was conducted to determine the distribution of antimicrobial resistance among Salmonella species isolated from fresh chicken liver samples with special emphasis on extended spectrum beta-lactamase (ESBL) production. Method A total of 200 fresh chicken liver samples were cultivated for the isolation of Salmonella and further subcultivated to detect extended spectrum beta-lactamase production among them. Antimicrobial susceptibility testing (AST) was done by disk diffusion method using a panel of 7 antimicrobials. Result Out of 200 samples analyzed, 61 (30.5%) samples harbored Salmonella species out of which 15 (7.5%) samples showed the presence of Salmonella Typhi. A significant association was noted in the incidence of Salmonella with various factors pertaining to the butchers, such as age, sex, literacy rate, practices of washing knives and chopping board, wearing aprons and gloves and type of water used (p < 0.05). Salmonella isolates were highly sensitive to amikacin (82.0%) and least sensitive to tetracycline (3.3%). All the isolates were resistant to colistin. Sixty (98.4%) isolates were identified as multi-drug resistant (MDR). The total number of extended spectrum betalactamase producers reported among Salmonella isolates was 29 (47.5%). Conclusion The results indicate that the fresh chicken liver samples sold in Bharatpur Metropolis are reservoirs of multi-drug resistant Salmonella, including extended spectrum betalactamase producers, that could potentially be transmitted to the humans by direct contact or through inadequate cooking.
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Affiliation(s)
- S Adhikari
- Department of Microbiology, Birendra Multiple Campus, Tribhuvan University, Bharatpur, Chitwan, 44200, Nepal
| | - S Khadka
- Department of Microbiology, Birendra Multiple Campus, Tribhuvan University, Bharatpur, Chitwan, 44200, Nepal. Department of Biochemistry and Molecular Biology, School of Life Sciences, Central China Normal University, Wuhan, Hubei, 430079, P.R. China
| | - S Sapkota
- Department of Microbiology, Birendra Multiple Campus, Tribhuvan University, Bharatpur, Chitwan, 44200, Nepal. State Key Laboratory of Respiratory Disease, Guangzhou Institutes of Biomedicine and Health, Chinese Academy of Sciences, Guangzhou 510530, P.R. China
| | - B R Sharma
- Department of Microbiology, Birendra Multiple Campus, Tribhuvan University, Bharatpur, Chitwan, 44200, Nepal
| | - A Ghimire
- Department of Microbiology, Birendra Multiple Campus, Tribhuvan University, Bharatpur, Chitwan, 44200, Nepal
| | - M Chalise
- Department of Microbiology, Birendra Multiple Campus, Tribhuvan University, Bharatpur, Chitwan, 44200, Nepal
| | - D Gurung
- Department of Microbiology, Birendra Multiple Campus, Tribhuvan University, Bharatpur, Chitwan, 44200, Nepal
| | - S Kunwar
- Department of Microbiology, Birendra Multiple Campus, Tribhuvan University, Bharatpur, Chitwan, 44200, Nepal
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Kunwar S, Parekh JD, Chilukuri RS, Andukuri VA. Necrotizing Autoimmune myopathy: A case report on statin induced rhabdomyolysis requiring immunosuppressive therapy. Drug Discov Ther 2019; 12:315-317. [PMID: 30464165 DOI: 10.5582/ddt.2018.01049] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Statins can cause a wide spectrum of muscular adverse effects ranging from asymptomatic elevation of Creatine Kinase (CK), myalgia and exercise intolerance to rhabdomyolysis. Most of these effects generally resolve on stopping the medication. However, statins can be associated with a unique autoimmune myopathy wherein symptoms persist or even progress after statin discontinuation and require immunosuppressive therapy. The case presented is a 60-year-old woman who was on statin treatment for a period of 2 years. She developed muscle weakness with a limb girdle distribution. She had persistent elevation of CK even after discontinuation of statin therapy. EMG done revealed irritable myopathy and muscle biopsy showed necrosis without inflammation. She subsequently tested positive for anti-3-hydroxy-3-methylglutaryl-coenzyme A (anti-HMG CoA) antibody which is found to be present in patients with statin-associated necrotizing autoimmune myopathy. Patient was started on steroid without much improvement in her symptoms. After a month of follow up, her upper extremity strength was back but lower extremity continued to be weak which prompted us to start her on Methotrexate and Azathioprine. Like our patient, there are rare subgroup of patients with an immune-mediated necrotizing myopathy that does not improve after discontinuation of the drug and requires aggressive treatment with immunosuppressive agents. Awareness and early recognition of this disease is very important in patients who continue to have CK elevation and weakness after discontinuation of statin therapy.
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Affiliation(s)
- Sandeep Kunwar
- Department of Internal Medicine, Creighton University School of Medicine
| | - Jai D Parekh
- Department of Internal Medicine, Creighton University School of Medicine
| | | | - Venkata A Andukuri
- Department of Internal Medicine, Creighton University School of Medicine
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Rick J, Jahangiri A, Flanigan PM, Chandra A, Kunwar S, Blevins L, Aghi MK. Growth hormone and prolactin-staining tumors causing acromegaly: a retrospective review of clinical presentations and surgical outcomes. J Neurosurg 2019; 131:147-153. [PMID: 30215558 DOI: 10.3171/2018.4.jns18230] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2018] [Accepted: 04/05/2018] [Indexed: 11/06/2022]
Abstract
OBJECTIVE Acromegaly results in disfiguring growth and numerous medical complications. This disease is typically caused by growth hormone (GH)-secreting pituitary adenomas, which are treated first by resection, followed by radiation and/or medical therapy if needed. A subset of acromegalics have dual-staining pituitary adenomas (DSPAs), which stain for GH and prolactin. Presentations and treatment outcomes for acromegalics with DSPAs are not well understood. METHODS The authors retrospectively reviewed the records of more than 5 years of pituitary adenomas resected at their institution. Data were collected on variables related to clinical presentation, tumor pathology, radiological size, and disease recurrence. The Fisher's exact test, ANOVA, Student t-test, chi-square test, and Cox proportional hazards and multiple logistic regression were used to measure statistical significance. RESULTS Of 593 patients with pituitary adenoma, 91 presented with acromegaly. Of these 91 patients, 69 (76%) had tumors that stained for GH only (single-staining somatotrophic adenomas [SSAs]), while 22 (24%) had tumors that stained for GH and prolactin (DSPAs). Patients with DSPAs were more likely to present with decreased libido (p = 0.012), signs of acromegalic growth (p = 0.0001), hyperhidrosis (p = 0.0001), and headaches (p = 0.043) than patients with SSAs. DSPAs presented with significantly higher serum prolactin (60.7 vs 10.0 µg/L, p = 0.0002) and insulin-like growth factor-1 (IGF-1) (803.6 vs 480.0 ng/ml, p = 0.0001), and were more likely to have IGF-1 levels > 650 ng/ml (n = 13 [81.3%] vs n = 6 [21.4%], p = 0.0001) than patients with SSAs despite similar sizes (1.8 vs 1.7 cm, p = 0.5). Patients with DSPAs under 35 years of age were more likely to have a recurrence (n = 4 [50.0%] vs n = 3 [11.1%], p = 0.01) than patients with SSAs under the age of 35. DSPA patients were less likely to achieve remission with surgery than SSA patients (n = 2 [20%] vs n = 19 [68%], p = 0.01). Univariate analysis identified single-staining tumors (p = 0.02), gross-total resection (p = 0.02), and tumor diameter (p = 0.05) as predictors of surgical remission. Multiple logistic regression demonstrated that SSAs (p = 0.04) were independently associated with surgical remission of acromegaly. Kaplan-Meier analysis revealed that DSPAs had more time until disease remission (p = 0.033). CONCLUSIONS Acromegalics with tumors that stain for prolactin and GH, which represented almost a quarter of acromegalics in this cohort, had more aggressive clinical presentations and postoperative outcomes than SSAs. Prolactin staining provides useful information for acromegalics undergoing pituitary surgery.
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Affiliation(s)
- Jonathan Rick
- 1Department of Neurosurgery, University of California, San Francisco, California
| | - Arman Jahangiri
- 1Department of Neurosurgery, University of California, San Francisco, California
| | | | - Ankush Chandra
- 3Wayne State University School of Medicine, Detroit, Michigan
| | - Sandeep Kunwar
- 1Department of Neurosurgery, University of California, San Francisco, California
| | - Lewis Blevins
- 1Department of Neurosurgery, University of California, San Francisco, California
| | - Manish K Aghi
- 1Department of Neurosurgery, University of California, San Francisco, California
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Aartsen M, Ackermann M, Adams J, Aguilar J, Ahlers M, Ahrens M, Altmann D, Andeen K, Anderson T, Ansseau I, Anton G, Argüelles C, Auffenberg J, Axani S, Backes P, Bagherpour H, Bai X, Barbano A, Barron J, Barwick S, Baum V, Bay R, Beatty J, Becker KH, Becker Tjus J, BenZvi S, Berley D, Bernardini E, Besson D, Binder G, Bindig D, Blaufuss E, Blot S, Bohm C, Börner M, Böser S, Botner O, Bourbeau E, Bourbeau J, Bradascio F, Braun J, Bretz HP, Bron S, Brostean-Kaiser J, Burgman A, Busse R, Carver T, Chen C, Cheung E, Chirkin D, Clark K, Classen L, Collin G, Conrad J, Coppin P, Correa P, Cowen D, Cross R, Dave P, de André J, De Clercq C, DeLaunay J, Dembinski H, Deoskar K, De Ridder S, Desiati P, de Vries K, de Wasseige G, de With M, DeYoung T, Díaz-Vélez J, Dujmovic H, Dunkman M, Dvorak E, Eberhardt B, Ehrhardt T, Eller P, Evenson P, Fahey S, Fazely A, Felde J, Filimonov K, Finley C, Franckowiak A, Friedman E, Fritz A, Gaisser T, Gallagher J, Ganster E, Garrappa S, Gerhardt L, Ghorbani K, Giang W, Glauch T, Glüsenkamp T, Goldschmidt A, Gonzalez J, Grant D, Griffith Z, Gündüz M, Haack C, Hallgren A, Halve L, Halzen F, Hanson K, Hebecker D, Heereman D, Helbing K, Hellauer R, Henningsen F, Hickford S, Hignight J, Hill G, Hoffman K, Hoffmann R, Hoinka T, Hokanson-Fasig B, Hoshina K, Huang F, Huber M, Hultqvist K, Hünnefeld M, Hussain R, In S, Iovine N, Ishihara A, Jacobi E, Japaridze G, Jeong M, Jero K, Jones B, Kalaczynski P, Kang W, Kappes A, Kappesser D, Karg T, Karl M, Karle A, Katz U, Kauer M, Keivani A, Kelley J, Kheirandish A, Kim J, Kintscher T, Kiryluk J, Kittler T, Klein S, Koirala R, Kolanoski H, Köpke L, Kopper C, Kopper S, Koskinen D, Kowalski M, Krings K, Krückl G, Kunwar S, Kurahashi N, Kyriacou A, Labare M, Lanfranchi J, Larson M, Lauber F, Lazar J, Leonard K, Leuermann M, Liu Q, Lohfink E, Lozano Mariscal C, Lu L, Lünemann J, Luszczak W, Madsen J, Maggi G, Mahn K, Makino Y, Mallot K, Mancina S, Mariş I, Maruyama R, Mase K, Maunu R, Meagher K, Medici M, Medina A, Meier M, Meighen-Berger S, Menne T, Merino G, Meures T, Miarecki S, Micallef J, Momenté G, Montaruli T, Moore R, Moulai M, Nagai R, Nahnhauer R, Nakarmi P, Naumann U, Neer G, Niederhausen H, Nowicki S, Nygren D, Obertacke Pollmann A, Olivas A, O’Murchadha A, O’Sullivan E, Palczewski T, Pandya H, Pankova D, Park N, Peiffer P, Pérez de los Heros C, Pieloth D, Pinat E, Pizzuto A, Plum M, Price P, Przybylski G, Raab C, Raissi A, Rameez M, Rauch L, Rawlins K, Rea I, Reimann R, Relethford B, Renzi G, Resconi E, Rhode W, Richman M, Robertson S, Rongen M, Rott C, Ruhe T, Ryckbosch D, Rysewyk D, Safa I, Sanchez Herrera S, Sandrock A, Sandroos J, Santander M, Sarkar S, Sarkar S, Satalecka K, Schaufel M, Schlunder P, Schmidt T, Schneider A, Schneider J, Schumacher L, Sclafani S, Seckel D, Seunarine S, Silva M, Snihur R, Soedingrekso J, Soldin D, Song M, Spiczak G, Spiering C, Stachurska J, Stamatikos M, Stanev T, Stasik A, Stein R, Stettner J, Steuer A, Stezelberger T, Stokstad R, Stößl A, Strotjohann N, Stuttard T, Sullivan G, Sutherland M, Taboada I, Tenholt F, Ter-Antonyan S, Terliuk A, Tilav S, Tomankova L, Tönnis C, Toscano S, Tosi D, Tselengidou M, Tung C, Turcati A, Turcotte R, Turley C, Ty B, Unger E, Unland Elorrieta M, Usner M, Vandenbroucke J, Van Driessche W, van Eijk D, van Eijndhoven N, Vanheule S, van Santen J, Vraeghe M, Walck C, Wallace A, Wallraff M, Wandkowsky N, Wandler F, Watson T, Weaver C, Weiss M, Weldert J, Wendt C, Werthebach J, Westerhoff S, Whelan B, Whitehorn N, Wiebe K, Wiebusch C, Wille L, Williams D, Wills L, Wolf M, Wood J, Wood T, Woolsey E, Woschnagg K, Wrede G, Xu D, Xu X, Xu Y, Yanez J, Yodh G, Yoshida S, Yuan T. Measurement of atmospheric tau neutrino appearance with IceCube DeepCore. Int J Clin Exp Med 2019. [DOI: 10.1103/physrevd.99.032007] [Citation(s) in RCA: 34] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
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Aartsen M, Ackermann M, Adams J, Aguilar J, Ahlers M, Ahrens M, Al Samarai I, Altmann D, Andeen K, Anderson T, Ansseau I, Anton G, Argüelles C, Auffenberg J, Axani S, Backes P, Bagherpour H, Bai X, Barbano A, Barron J, Barwick S, Baum V, Bay R, Beatty J, Becker Tjus J, Becker KH, BenZvi S, Berley D, Bernardini E, Besson D, Binder G, Bindig D, Blaufuss E, Blot S, Bohm C, Börner M, Bos F, Böser S, Botner O, Bourbeau E, Bourbeau J, Bradascio F, Braun J, Brenzke M, Bretz HP, Bron S, Brostean-Kaiser J, Burgman A, Busse R, Carver T, Cheung E, Chirkin D, Clark K, Classen L, Collin G, Conrad J, Coppin P, Correa P, Cowen D, Cross R, Dave P, Day M, de André J, De Clercq C, DeLaunay J, Dembinski H, Deoskar K, De Ridder S, Desiati P, de Vries K, de Wasseige G, de With M, DeYoung T, Díaz-Vélez J, di Lorenzo V, Dujmovic H, Dumm J, Dunkman M, Dvorak E, Eberhardt B, Ehrhardt T, Eichmann B, Eller P, Evenson P, Fahey S, Fazely A, Felde J, Filimonov K, Finley C, Franckowiak A, Friedman E, Fritz A, Gaisser T, Gallagher J, Ganster E, Garrappa S, Gerhardt L, Ghorbani K, Giang W, Glauch T, Glüsenkamp T, Goldschmidt A, Gonzalez J, Grant D, Griffith Z, Haack C, Hallgren A, Halve L, Halzen F, Hanson K, Hebecker D, Heereman D, Helbing K, Hellauer R, Hickford S, Hignight J, Hill G, Hoffman K, Hoffmann R, Hoinka T, Hokanson-Fasig B, Hoshina K, Huang F, Huber M, Hultqvist K, Hünnefeld M, Hussain R, In S, Iovine N, Ishihara A, Jacobi E, Japaridze G, Jeong M, Jero K, Jones B, Kalaczynski P, Kang W, Kappes A, Kappesser D, Karg T, Karle A, Katz U, Kauer M, Keivani A, Kelley J, Kheirandish A, Kim J, Kintscher T, Kiryluk J, Kittler T, Klein S, Koirala R, Kolanoski H, Köpke L, Kopper C, Kopper S, Koschinsky J, Koskinen D, Kowalski M, Krings K, Kroll M, Krückl G, Kunwar S, Kurahashi N, Kyriacou A, Labare M, Lanfranchi J, Larson M, Lauber F, Leonard K, Leuermann M, Liu Q, Lohfink E, Lozano Mariscal C, Lu L, Lünemann J, Luszczak W, Madsen J, Maggi G, Mahn K, Makino Y, Mancina S, Mariş I, Maruyama R, Mase K, Maunu R, Meagher K, Medici M, Meier M, Menne T, Merino G, Meures T, Miarecki S, Micallef J, Momenté G, Montaruli T, Moore R, Moulai M, Nagai R, Nahnhauer R, Nakarmi P, Naumann U, Neer G, Niederhausen H, Nowicki S, Nygren D, Obertacke Pollmann A, Olivas A, O’Murchadha A, O’Sullivan E, Palczewski T, Pandya H, Pankova D, Peiffer P, Pepper J, Pérez de los Heros C, Pieloth D, Pinat E, Pizzuto A, Plum M, Price P, Przybylski G, Raab C, Rameez M, Rauch L, Rawlins K, Rea I, Reimann R, Relethford B, Renzi G, Resconi E, Rhode W, Richman M, Robertson S, Rongen M, Rott C, Ruhe T, Ryckbosch D, Rysewyk D, Safa I, Sanchez Herrera S, Sandrock A, Sandroos J, Santander M, Sarkar S, Sarkar S, Satalecka K, Schaufel M, Schlunder P, Schmidt T, Schneider A, Schneider J, Schöneberg S, Schumacher L, Sclafani S, Seckel D, Seunarine S, Soedingrekso J, Soldin D, Song M, Spiczak G, Spiering C, Stachurska J, Stamatikos M, Stanev T, Stasik A, Stein R, Stettner J, Steuer A, Stezelberger T, Stokstad R, Stößl A, Strotjohann N, Stuttard T, Sullivan G, Sutherland M, Taboada I, Tenholt F, Ter-Antonyan S, Terliuk A, Tilav S, Toale P, Tobin M, Tönnis C, Toscano S, Tosi D, Tselengidou M, Tung C, Turcati A, Turley C, Ty B, Unger E, Unland Elorrieta M, Usner M, Vandenbroucke J, Van Driessche W, van Eijk D, van Eijndhoven N, Vanheule S, van Santen J, Vraeghe M, Walck C, Wallace A, Wallraff M, Wandler F, Wandkowsky N, Watson T, Waza A, Weaver C, Weiss M, Wendt C, Werthebach J, Westerhoff S, Whelan B, Whitehorn N, Wiebe K, Wiebusch C, Wille L, Williams D, Wills L, Wolf M, Wood J, Wood T, Woolsey E, Woschnagg K, Wrede G, Xu D, Xu X, Xu Y, Yanez J, Yodh G, Yoshida S, Yuan T. Measurements using the inelasticity distribution of multi-TeV neutrino interactions in IceCube. Int J Clin Exp Med 2019. [DOI: 10.1103/physrevd.99.032004] [Citation(s) in RCA: 37] [Impact Index Per Article: 7.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
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Aartsen MG, Ackermann M, Adams J, Aguilar JA, Ahlers M, Ahrens M, Al Samarai I, Altmann D, Andeen K, Anderson T, Ansseau I, Anton G, Argüelles C, Auffenberg J, Axani S, Backes P, Bagherpour H, Bai X, Barbano A, Barron JP, Barwick SW, Baum V, Bay R, Beatty JJ, Becker Tjus J, Becker KH, BenZvi S, Berley D, Bernardini E, Besson DZ, Binder G, Bindig D, Blaufuss E, Blot S, Bohm C, Börner M, Bos F, Böser S, Botner O, Bourbeau E, Bourbeau J, Bradascio F, Braun J, Brenzke M, Bretz HP, Bron S, Brostean-Kaiser J, Burgman A, Busse RS, Carver T, Cheung E, Chirkin D, Christov A, Clark K, Classen L, Collin GH, Conrad JM, Coppin P, Correa P, Cowen DF, Cross R, Dave P, Day M, de André JPAM, De Clercq C, DeLaunay JJ, Dembinski H, Deoskar K, De Ridder S, Desiati P, de Vries KD, de Wasseige G, de With M, DeYoung T, Díaz-Vélez JC, di Lorenzo V, Dujmovic H, Dumm JP, Dunkman M, Dvorak E, Eberhardt B, Ehrhardt T, Eichmann B, Eller P, Evans PA, Evenson PA, Fahey S, Fazely AR, Felde J, Filimonov K, Finley C, Franckowiak A, Friedman E, Fritz A, Gaisser TK, Gallagher J, Ganster E, Gerhardt L, Ghorbani K, Giang W, Glauch T, Glüsenkamp T, Goldschmidt A, Gonzalez JG, Grant D, Griffith Z, Haack C, Hallgren A, Halve L, Halzen F, Hanson K, Hebecker D, Heereman D, Helbing K, Hellauer R, Hickford S, Hignight J, Hill GC, Hoffman KD, Hoffmann R, Hoinka T, Hokanson-Fasig B, Hoshina K, Huang F, Huber M, Hultqvist K, Hünnefeld M, Hussain R, In S, Iovine N, Ishihara A, Jacobi E, Japaridze GS, Jeong M, Jero K, Jones BJP, Kalaczynski P, Kang W, Kappes A, Kappesser D, Karg T, Karle A, Katz U, Kauer M, Keivani A, Kelley JL, Kheirandish A, Kim J, Kintscher T, Kiryluk J, Kittler T, Klein SR, Koirala R, Kolanoski H, Köpke L, Kopper C, Kopper S, Koschinsky JP, Koskinen DJ, Kowalski M, Krings K, Kroll M, Krückl G, Kunwar S, Kurahashi N, Kyriacou A, Labare M, Lanfranchi JL, Larson MJ, Lauber F, Leonard K, Leuermann M, Liu QR, Lohfink E, Lozano Mariscal CJ, Lu L, Lünemann J, Luszczak W, Madsen J, Maggi G, Mahn KBM, Makino Y, Mancina S, Mariş IC, Maruyama R, Mase K, Maunu R, Meagher K, Medici M, Meier M, Menne T, Merino G, Meures T, Miarecki S, Micallef J, Momenté G, Montaruli T, Moore RW, Moulai M, Nagai R, Nahnhauer R, Nakarmi P, Naumann U, Neer G, Niederhausen H, Nowicki SC, Nygren DR, Obertacke Pollmann A, Olivas A, O'Murchadha A, Osborne JP, O'Sullivan E, Palczewski T, Pandya H, Pankova DV, Peiffer P, Pepper JA, Pérez de Los Heros C, Pieloth D, Pinat E, Pizzuto A, Plum M, Price PB, Przybylski GT, Raab C, Rameez M, Rauch L, Rawlins K, Rea IC, Reimann R, Relethford B, Renzi G, Resconi E, Rhode W, Richman M, Robertson S, Rongen M, Rott C, Ruhe T, Ryckbosch D, Rysewyk D, Safa I, Sanchez Herrera SE, Sandrock A, Sandroos J, Santander M, Sarkar S, Sarkar S, Satalecka K, Schaufel M, Schlunder P, Schmidt T, Schneider A, Schneider J, Schöneberg S, Schumacher L, Sclafani S, Seckel D, Seunarine S, Soedingrekso J, Soldin D, Song M, Spiczak GM, Spiering C, Stachurska J, Stamatikos M, Stanev T, Stasik A, Stein R, Stettner J, Steuer A, Stezelberger T, Stokstad RG, Stößl A, Strotjohann NL, Stuttard T, Sullivan GW, Sutherland M, Taboada I, Tenholt F, Ter-Antonyan S, Terliuk A, Tilav S, Toale PA, Tobin MN, Tönnis C, Toscano S, Tosi D, Tselengidou M, Tung CF, Turcati A, Turley CF, Ty B, Unger E, Unland Elorrieta MA, Usner M, Vandenbroucke J, Van Driessche W, van Eijk D, van Eijndhoven N, Vanheule S, van Santen J, Vraeghe M, Walck C, Wallace A, Wallraff M, Wandler FD, Wandkowsky N, Watson TB, Waza A, Weaver C, Weiss MJ, Wendt C, Werthebach J, Westerhoff S, Whelan BJ, Whitehorn N, Wiebe K, Wiebusch CH, Wille L, Williams DR, Wills L, Wolf M, Wood J, Wood TR, Woolsey E, Woschnagg K, Wrede G, Xu DL, Xu XW, Xu Y, Yanez JP, Yodh G, Yoshida S, Yuan T. Constraints on Minute-Scale Transient Astrophysical Neutrino Sources. Phys Rev Lett 2019; 122:051102. [PMID: 30822017 DOI: 10.1103/physrevlett.122.051102] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/27/2018] [Revised: 11/12/2018] [Indexed: 06/09/2023]
Abstract
High-energy neutrino emission has been predicted for several short-lived astrophysical transients including gamma-ray bursts (GRBs), core-collapse supernovae with choked jets, and neutron star mergers. IceCube's optical and x-ray follow-up program searches for such transient sources by looking for two or more muon neutrino candidates in directional coincidence and arriving within 100 s. The measured rate of neutrino alerts is consistent with the expected rate of chance coincidences of atmospheric background events and no likely electromagnetic counterparts have been identified in Swift follow-up observations. Here, we calculate generic bounds on the neutrino flux of short-lived transient sources. Assuming an E^{-2.5} neutrino spectrum, we find that the neutrino flux of rare sources, like long gamma-ray bursts, is constrained to <5% of the detected astrophysical flux and the energy released in neutrinos (100 GeV to 10 PeV) by a median bright GRB-like source is <10^{52.5} erg. For a harder E^{-2.13} neutrino spectrum up to 30% of the flux could be produced by GRBs and the allowed median source energy is <10^{52} erg. A hypothetical population of transient sources has to be more common than 10^{-5} Mpc^{-3} yr^{-1} (5×10^{-8} Mpc^{-3} yr^{-1} for the E^{-2.13} spectrum) to account for the complete astrophysical neutrino flux.
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Affiliation(s)
- M G Aartsen
- Department of Physics and Astronomy, University of Canterbury, Private Bag 4800, Christchurch, New Zealand
| | | | - J Adams
- Department of Physics and Astronomy, University of Canterbury, Private Bag 4800, Christchurch, New Zealand
| | - J A Aguilar
- Université Libre de Bruxelles, Science Faculty CP230, B-1050 Brussels, Belgium
| | - M Ahlers
- Niels Bohr Institute, University of Copenhagen, DK-2100 Copenhagen, Denmark
| | - M Ahrens
- Oskar Klein Centre and Department of Physics, Stockholm University, SE-10691 Stockholm, Sweden
| | - I Al Samarai
- Département de physique nucléaire et corpusculaire, Université de Genève, CH-1211 Genève, Switzerland
| | - D Altmann
- Erlangen Centre for Astroparticle Physics, Friedrich-Alexander-Universität Erlangen-Nürnberg, D-91058 Erlangen, Germany
| | - K Andeen
- Department of Physics, Marquette University, Milwaukee, Wisconsin, 53201, USA
| | - T Anderson
- Department of Physics, Pennsylvania State University, University Park, Pennsylvania 16802, USA
| | - I Ansseau
- Université Libre de Bruxelles, Science Faculty CP230, B-1050 Brussels, Belgium
| | - G Anton
- Erlangen Centre for Astroparticle Physics, Friedrich-Alexander-Universität Erlangen-Nürnberg, D-91058 Erlangen, Germany
| | - C Argüelles
- Department of Physics, Massachusetts Institute of Technology, Cambridge, Massachusetts 02139, USA
| | - J Auffenberg
- III. Physikalisches Institut, RWTH Aachen University, D-52056 Aachen, Germany
| | - S Axani
- Department of Physics, Massachusetts Institute of Technology, Cambridge, Massachusetts 02139, USA
| | - P Backes
- III. Physikalisches Institut, RWTH Aachen University, D-52056 Aachen, Germany
| | - H Bagherpour
- Department of Physics and Astronomy, University of Canterbury, Private Bag 4800, Christchurch, New Zealand
| | - X Bai
- Physics Department, South Dakota School of Mines and Technology, Rapid City, South Dakota 57701, USA
| | - A Barbano
- Département de physique nucléaire et corpusculaire, Université de Genève, CH-1211 Genève, Switzerland
| | - J P Barron
- Department of Physics, University of Alberta, Edmonton, Alberta, Canada T6G 2E1
| | - S W Barwick
- Department of Physics and Astronomy, University of California, Irvine, California 92697, USA
| | - V Baum
- Institute of Physics, University of Mainz, Staudinger Weg 7, D-55099 Mainz, Germany
| | - R Bay
- Department of Physics, University of California, Berkeley, California 94720, USA
| | - J J Beatty
- Department of Physics and Center for Cosmology and Astro-Particle Physics, Ohio State University, Columbus, Ohio 43210, USA
- Department of Astronomy, Ohio State University, Columbus, Ohio 43210, USA
| | - J Becker Tjus
- Fakultät für Physik & Astronomie, Ruhr-Universität Bochum, D-44780 Bochum, Germany
| | - K-H Becker
- Department of Physics, University of Wuppertal, D-42119 Wuppertal, Germany
| | - S BenZvi
- Department of Physics and Astronomy, University of Rochester, Rochester, New York 14627, USA
| | - D Berley
- Department of Physics, University of Maryland, College Park, Maryland 20742, USA
| | | | - D Z Besson
- Department of Physics and Astronomy, University of Kansas, Lawrence, Kansas 66045, USA
| | - G Binder
- Department of Physics, University of California, Berkeley, California 94720, USA
- Lawrence Berkeley National Laboratory, Berkeley, California 94720, USA
| | - D Bindig
- Department of Physics, University of Wuppertal, D-42119 Wuppertal, Germany
| | - E Blaufuss
- Department of Physics, University of Maryland, College Park, Maryland 20742, USA
| | - S Blot
- DESY, D-15738 Zeuthen, Germany
| | - C Bohm
- Oskar Klein Centre and Department of Physics, Stockholm University, SE-10691 Stockholm, Sweden
| | - M Börner
- Department of Physics, TU Dortmund University, D-44221 Dortmund, Germany
| | - F Bos
- Fakultät für Physik & Astronomie, Ruhr-Universität Bochum, D-44780 Bochum, Germany
| | - S Böser
- Institute of Physics, University of Mainz, Staudinger Weg 7, D-55099 Mainz, Germany
| | - O Botner
- Department of Physics and Astronomy, Uppsala University, Box 516, S-75120 Uppsala, Sweden
| | - E Bourbeau
- Niels Bohr Institute, University of Copenhagen, DK-2100 Copenhagen, Denmark
| | - J Bourbeau
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | | | - J Braun
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - M Brenzke
- III. Physikalisches Institut, RWTH Aachen University, D-52056 Aachen, Germany
| | | | - S Bron
- Département de physique nucléaire et corpusculaire, Université de Genève, CH-1211 Genève, Switzerland
| | | | - A Burgman
- Department of Physics and Astronomy, Uppsala University, Box 516, S-75120 Uppsala, Sweden
| | - R S Busse
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - T Carver
- Département de physique nucléaire et corpusculaire, Université de Genève, CH-1211 Genève, Switzerland
| | - E Cheung
- Department of Physics, University of Maryland, College Park, Maryland 20742, USA
| | - D Chirkin
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - A Christov
- Département de physique nucléaire et corpusculaire, Université de Genève, CH-1211 Genève, Switzerland
| | - K Clark
- SNOLAB, 1039 Regional Road 24, Creighton Mine 9, Lively, Ontario, Canada P3Y 1N2
| | - L Classen
- Institut für Kernphysik, Westfälische Wilhelms-Universität Münster, D-48149 Münster, Germany
| | - G H Collin
- Department of Physics, Massachusetts Institute of Technology, Cambridge, Massachusetts 02139, USA
| | - J M Conrad
- Department of Physics, Massachusetts Institute of Technology, Cambridge, Massachusetts 02139, USA
| | - P Coppin
- Vrije Universiteit Brussel (VUB), Dienst ELEM, B-1050 Brussels, Belgium
| | - P Correa
- Vrije Universiteit Brussel (VUB), Dienst ELEM, B-1050 Brussels, Belgium
| | - D F Cowen
- Department of Astronomy and Astrophysics, Pennsylvania State University, University Park, Pennsylvania 16802, USA
- Department of Physics, Pennsylvania State University, University Park, Pennsylvania 16802, USA
| | - R Cross
- Department of Physics and Astronomy, University of Rochester, Rochester, New York 14627, USA
| | - P Dave
- School of Physics and Center for Relativistic Astrophysics, Georgia Institute of Technology, Atlanta, Georgia 30332, USA
| | - M Day
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - J P A M de André
- Department of Physics and Astronomy, Michigan State University, East Lansing, Michigan 48824, USA
| | - C De Clercq
- Vrije Universiteit Brussel (VUB), Dienst ELEM, B-1050 Brussels, Belgium
| | - J J DeLaunay
- Department of Physics, Pennsylvania State University, University Park, Pennsylvania 16802, USA
| | - H Dembinski
- Bartol Research Institute and Department of Physics and Astronomy, University of Delaware, Newark, Delaware 19716, USA
| | - K Deoskar
- Oskar Klein Centre and Department of Physics, Stockholm University, SE-10691 Stockholm, Sweden
| | - S De Ridder
- Department of Physics and Astronomy, University of Gent, B-9000 Gent, Belgium
| | - P Desiati
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - K D de Vries
- Vrije Universiteit Brussel (VUB), Dienst ELEM, B-1050 Brussels, Belgium
| | - G de Wasseige
- Vrije Universiteit Brussel (VUB), Dienst ELEM, B-1050 Brussels, Belgium
| | - M de With
- Institut für Physik, Humboldt-Universität zu Berlin, D-12489 Berlin, Germany
| | - T DeYoung
- Department of Physics and Astronomy, Michigan State University, East Lansing, Michigan 48824, USA
| | - J C Díaz-Vélez
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - V di Lorenzo
- Institute of Physics, University of Mainz, Staudinger Weg 7, D-55099 Mainz, Germany
| | - H Dujmovic
- Department of Physics, Sungkyunkwan University, Suwon 440-746, Korea
| | - J P Dumm
- Oskar Klein Centre and Department of Physics, Stockholm University, SE-10691 Stockholm, Sweden
| | - M Dunkman
- Department of Physics, Pennsylvania State University, University Park, Pennsylvania 16802, USA
| | - E Dvorak
- Physics Department, South Dakota School of Mines and Technology, Rapid City, South Dakota 57701, USA
| | - B Eberhardt
- Institute of Physics, University of Mainz, Staudinger Weg 7, D-55099 Mainz, Germany
| | - T Ehrhardt
- Institute of Physics, University of Mainz, Staudinger Weg 7, D-55099 Mainz, Germany
| | - B Eichmann
- Fakultät für Physik & Astronomie, Ruhr-Universität Bochum, D-44780 Bochum, Germany
| | - P Eller
- Department of Physics, Pennsylvania State University, University Park, Pennsylvania 16802, USA
| | - P A Evans
- Department of Physics and Astronomy, University of Leicester, Leicester LE1 7RH, United Kingdom
| | - P A Evenson
- Bartol Research Institute and Department of Physics and Astronomy, University of Delaware, Newark, Delaware 19716, USA
| | - S Fahey
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - A R Fazely
- Department of Physics, Southern University, Baton Rouge, Louisiana 70813, USA
| | - J Felde
- Department of Physics, University of Maryland, College Park, Maryland 20742, USA
| | - K Filimonov
- Department of Physics, University of California, Berkeley, California 94720, USA
| | - C Finley
- Oskar Klein Centre and Department of Physics, Stockholm University, SE-10691 Stockholm, Sweden
| | | | - E Friedman
- Department of Physics, University of Maryland, College Park, Maryland 20742, USA
| | - A Fritz
- Institute of Physics, University of Mainz, Staudinger Weg 7, D-55099 Mainz, Germany
| | - T K Gaisser
- Bartol Research Institute and Department of Physics and Astronomy, University of Delaware, Newark, Delaware 19716, USA
| | - J Gallagher
- Department of Astronomy, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - E Ganster
- III. Physikalisches Institut, RWTH Aachen University, D-52056 Aachen, Germany
| | - L Gerhardt
- Lawrence Berkeley National Laboratory, Berkeley, California 94720, USA
| | - K Ghorbani
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - W Giang
- Department of Physics, University of Alberta, Edmonton, Alberta, Canada T6G 2E1
| | - T Glauch
- Physik-department, Technische Universität München, D-85748 Garching, Germany
| | - T Glüsenkamp
- Erlangen Centre for Astroparticle Physics, Friedrich-Alexander-Universität Erlangen-Nürnberg, D-91058 Erlangen, Germany
| | - A Goldschmidt
- Lawrence Berkeley National Laboratory, Berkeley, California 94720, USA
| | - J G Gonzalez
- Bartol Research Institute and Department of Physics and Astronomy, University of Delaware, Newark, Delaware 19716, USA
| | - D Grant
- Department of Physics, University of Alberta, Edmonton, Alberta, Canada T6G 2E1
| | - Z Griffith
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - C Haack
- III. Physikalisches Institut, RWTH Aachen University, D-52056 Aachen, Germany
| | - A Hallgren
- Department of Physics and Astronomy, Uppsala University, Box 516, S-75120 Uppsala, Sweden
| | - L Halve
- III. Physikalisches Institut, RWTH Aachen University, D-52056 Aachen, Germany
| | - F Halzen
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - K Hanson
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - D Hebecker
- Institut für Physik, Humboldt-Universität zu Berlin, D-12489 Berlin, Germany
| | - D Heereman
- Université Libre de Bruxelles, Science Faculty CP230, B-1050 Brussels, Belgium
| | - K Helbing
- Department of Physics, University of Wuppertal, D-42119 Wuppertal, Germany
| | - R Hellauer
- Department of Physics, University of Maryland, College Park, Maryland 20742, USA
| | - S Hickford
- Department of Physics, University of Wuppertal, D-42119 Wuppertal, Germany
| | - J Hignight
- Department of Physics and Astronomy, Michigan State University, East Lansing, Michigan 48824, USA
| | - G C Hill
- Department of Physics, University of Adelaide, Adelaide, 5005, Australia
| | - K D Hoffman
- Department of Physics, University of Maryland, College Park, Maryland 20742, USA
| | - R Hoffmann
- Department of Physics, University of Wuppertal, D-42119 Wuppertal, Germany
| | - T Hoinka
- Department of Physics, TU Dortmund University, D-44221 Dortmund, Germany
| | - B Hokanson-Fasig
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - K Hoshina
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - F Huang
- Department of Physics, Pennsylvania State University, University Park, Pennsylvania 16802, USA
| | - M Huber
- Physik-department, Technische Universität München, D-85748 Garching, Germany
| | - K Hultqvist
- Oskar Klein Centre and Department of Physics, Stockholm University, SE-10691 Stockholm, Sweden
| | - M Hünnefeld
- Department of Physics, TU Dortmund University, D-44221 Dortmund, Germany
| | - R Hussain
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - S In
- Department of Physics, Sungkyunkwan University, Suwon 440-746, Korea
| | - N Iovine
- Université Libre de Bruxelles, Science Faculty CP230, B-1050 Brussels, Belgium
| | - A Ishihara
- Department of Physics and Institute for Global Prominent Research, Chiba University, Chiba 263-8522, Japan
| | | | - G S Japaridze
- CTSPS, Clark-Atlanta University, Atlanta, Georgia 30314, USA
| | - M Jeong
- Department of Physics, Sungkyunkwan University, Suwon 440-746, Korea
| | - K Jero
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - B J P Jones
- Department of Physics, University of Texas at Arlington, 502 Yates St., Science Hall Rm 108, Box 19059, Arlington, Texas 76019, USA
| | - P Kalaczynski
- III. Physikalisches Institut, RWTH Aachen University, D-52056 Aachen, Germany
| | - W Kang
- Department of Physics, Sungkyunkwan University, Suwon 440-746, Korea
| | - A Kappes
- Institut für Kernphysik, Westfälische Wilhelms-Universität Münster, D-48149 Münster, Germany
| | - D Kappesser
- Institute of Physics, University of Mainz, Staudinger Weg 7, D-55099 Mainz, Germany
| | - T Karg
- DESY, D-15738 Zeuthen, Germany
| | - A Karle
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - U Katz
- Erlangen Centre for Astroparticle Physics, Friedrich-Alexander-Universität Erlangen-Nürnberg, D-91058 Erlangen, Germany
| | - M Kauer
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - A Keivani
- Department of Physics, Pennsylvania State University, University Park, Pennsylvania 16802, USA
| | - J L Kelley
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - A Kheirandish
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - J Kim
- Department of Physics, Sungkyunkwan University, Suwon 440-746, Korea
| | | | - J Kiryluk
- Department of Physics and Astronomy, Stony Brook University, Stony Brook, New York 11794-3800, USA
| | - T Kittler
- Erlangen Centre for Astroparticle Physics, Friedrich-Alexander-Universität Erlangen-Nürnberg, D-91058 Erlangen, Germany
| | - S R Klein
- Department of Physics, University of California, Berkeley, California 94720, USA
- Lawrence Berkeley National Laboratory, Berkeley, California 94720, USA
| | - R Koirala
- Bartol Research Institute and Department of Physics and Astronomy, University of Delaware, Newark, Delaware 19716, USA
| | - H Kolanoski
- Institut für Physik, Humboldt-Universität zu Berlin, D-12489 Berlin, Germany
| | - L Köpke
- Institute of Physics, University of Mainz, Staudinger Weg 7, D-55099 Mainz, Germany
| | - C Kopper
- Department of Physics, University of Alberta, Edmonton, Alberta, Canada T6G 2E1
| | - S Kopper
- Department of Physics and Astronomy, University of Alabama, Tuscaloosa, Alabama 35487, USA
| | - J P Koschinsky
- III. Physikalisches Institut, RWTH Aachen University, D-52056 Aachen, Germany
| | - D J Koskinen
- Niels Bohr Institute, University of Copenhagen, DK-2100 Copenhagen, Denmark
| | - M Kowalski
- Institut für Physik, Humboldt-Universität zu Berlin, D-12489 Berlin, Germany
- DESY, D-15738 Zeuthen, Germany
| | - K Krings
- Physik-department, Technische Universität München, D-85748 Garching, Germany
| | - M Kroll
- Fakultät für Physik & Astronomie, Ruhr-Universität Bochum, D-44780 Bochum, Germany
| | - G Krückl
- Institute of Physics, University of Mainz, Staudinger Weg 7, D-55099 Mainz, Germany
| | | | - N Kurahashi
- Department of Physics, Drexel University, 3141 Chestnut Street, Philadelphia, Pennsylvania 19104, USA
| | - A Kyriacou
- Department of Physics, University of Adelaide, Adelaide, 5005, Australia
| | - M Labare
- Department of Physics and Astronomy, University of Gent, B-9000 Gent, Belgium
| | - J L Lanfranchi
- Department of Physics, Pennsylvania State University, University Park, Pennsylvania 16802, USA
| | - M J Larson
- Niels Bohr Institute, University of Copenhagen, DK-2100 Copenhagen, Denmark
| | - F Lauber
- Department of Physics, University of Wuppertal, D-42119 Wuppertal, Germany
| | - K Leonard
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - M Leuermann
- III. Physikalisches Institut, RWTH Aachen University, D-52056 Aachen, Germany
| | - Q R Liu
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - E Lohfink
- Institute of Physics, University of Mainz, Staudinger Weg 7, D-55099 Mainz, Germany
| | - C J Lozano Mariscal
- Institut für Kernphysik, Westfälische Wilhelms-Universität Münster, D-48149 Münster, Germany
| | - L Lu
- Department of Physics and Institute for Global Prominent Research, Chiba University, Chiba 263-8522, Japan
| | - J Lünemann
- Vrije Universiteit Brussel (VUB), Dienst ELEM, B-1050 Brussels, Belgium
| | - W Luszczak
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - J Madsen
- Department of Physics, University of Wisconsin, River Falls, Wisconsin 54022, USA
| | - G Maggi
- Vrije Universiteit Brussel (VUB), Dienst ELEM, B-1050 Brussels, Belgium
| | - K B M Mahn
- Department of Physics and Astronomy, Michigan State University, East Lansing, Michigan 48824, USA
| | - Y Makino
- Department of Physics and Institute for Global Prominent Research, Chiba University, Chiba 263-8522, Japan
| | - S Mancina
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - I C Mariş
- Université Libre de Bruxelles, Science Faculty CP230, B-1050 Brussels, Belgium
| | - R Maruyama
- Department of Physics, Yale University, New Haven, Connecticut 06520, USA
| | - K Mase
- Department of Physics and Institute for Global Prominent Research, Chiba University, Chiba 263-8522, Japan
| | - R Maunu
- Department of Physics, University of Maryland, College Park, Maryland 20742, USA
| | - K Meagher
- Université Libre de Bruxelles, Science Faculty CP230, B-1050 Brussels, Belgium
| | - M Medici
- Niels Bohr Institute, University of Copenhagen, DK-2100 Copenhagen, Denmark
| | - M Meier
- Department of Physics, TU Dortmund University, D-44221 Dortmund, Germany
| | - T Menne
- Department of Physics, TU Dortmund University, D-44221 Dortmund, Germany
| | - G Merino
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - T Meures
- Université Libre de Bruxelles, Science Faculty CP230, B-1050 Brussels, Belgium
| | - S Miarecki
- Department of Physics, University of California, Berkeley, California 94720, USA
- Lawrence Berkeley National Laboratory, Berkeley, California 94720, USA
| | - J Micallef
- Department of Physics and Astronomy, Michigan State University, East Lansing, Michigan 48824, USA
| | - G Momenté
- Institute of Physics, University of Mainz, Staudinger Weg 7, D-55099 Mainz, Germany
| | - T Montaruli
- Département de physique nucléaire et corpusculaire, Université de Genève, CH-1211 Genève, Switzerland
| | - R W Moore
- Department of Physics, University of Alberta, Edmonton, Alberta, Canada T6G 2E1
| | - M Moulai
- Department of Physics, Massachusetts Institute of Technology, Cambridge, Massachusetts 02139, USA
| | - R Nagai
- Department of Physics and Institute for Global Prominent Research, Chiba University, Chiba 263-8522, Japan
| | | | - P Nakarmi
- Department of Physics and Astronomy, University of Alabama, Tuscaloosa, Alabama 35487, USA
| | - U Naumann
- Department of Physics, University of Wuppertal, D-42119 Wuppertal, Germany
| | - G Neer
- Department of Physics and Astronomy, Michigan State University, East Lansing, Michigan 48824, USA
| | - H Niederhausen
- Department of Physics and Astronomy, Stony Brook University, Stony Brook, New York 11794-3800, USA
| | - S C Nowicki
- Department of Physics, University of Alberta, Edmonton, Alberta, Canada T6G 2E1
| | - D R Nygren
- Lawrence Berkeley National Laboratory, Berkeley, California 94720, USA
| | | | - A Olivas
- Department of Physics, University of Maryland, College Park, Maryland 20742, USA
| | - A O'Murchadha
- Université Libre de Bruxelles, Science Faculty CP230, B-1050 Brussels, Belgium
| | - J P Osborne
- Department of Physics and Astronomy, University of Leicester, Leicester LE1 7RH, United Kingdom
| | - E O'Sullivan
- Oskar Klein Centre and Department of Physics, Stockholm University, SE-10691 Stockholm, Sweden
| | - T Palczewski
- Department of Physics, University of California, Berkeley, California 94720, USA
- Lawrence Berkeley National Laboratory, Berkeley, California 94720, USA
| | - H Pandya
- Bartol Research Institute and Department of Physics and Astronomy, University of Delaware, Newark, Delaware 19716, USA
| | - D V Pankova
- Department of Physics, Pennsylvania State University, University Park, Pennsylvania 16802, USA
| | - P Peiffer
- Institute of Physics, University of Mainz, Staudinger Weg 7, D-55099 Mainz, Germany
| | - J A Pepper
- Department of Physics and Astronomy, University of Alabama, Tuscaloosa, Alabama 35487, USA
| | - C Pérez de Los Heros
- Department of Physics and Astronomy, Uppsala University, Box 516, S-75120 Uppsala, Sweden
| | - D Pieloth
- Department of Physics, TU Dortmund University, D-44221 Dortmund, Germany
| | - E Pinat
- Université Libre de Bruxelles, Science Faculty CP230, B-1050 Brussels, Belgium
| | - A Pizzuto
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - M Plum
- Department of Physics, Marquette University, Milwaukee, Wisconsin, 53201, USA
| | - P B Price
- Department of Physics, University of California, Berkeley, California 94720, USA
| | - G T Przybylski
- Lawrence Berkeley National Laboratory, Berkeley, California 94720, USA
| | - C Raab
- Université Libre de Bruxelles, Science Faculty CP230, B-1050 Brussels, Belgium
| | - M Rameez
- Niels Bohr Institute, University of Copenhagen, DK-2100 Copenhagen, Denmark
| | - L Rauch
- DESY, D-15738 Zeuthen, Germany
| | - K Rawlins
- Department of Physics and Astronomy, University of Alaska Anchorage, 3211 Providence Dr., Anchorage, Alaska 99508, USA
| | - I C Rea
- Physik-department, Technische Universität München, D-85748 Garching, Germany
| | - R Reimann
- III. Physikalisches Institut, RWTH Aachen University, D-52056 Aachen, Germany
| | - B Relethford
- Department of Physics, Drexel University, 3141 Chestnut Street, Philadelphia, Pennsylvania 19104, USA
| | - G Renzi
- Université Libre de Bruxelles, Science Faculty CP230, B-1050 Brussels, Belgium
| | - E Resconi
- Physik-department, Technische Universität München, D-85748 Garching, Germany
| | - W Rhode
- Department of Physics, TU Dortmund University, D-44221 Dortmund, Germany
| | - M Richman
- Department of Physics, Drexel University, 3141 Chestnut Street, Philadelphia, Pennsylvania 19104, USA
| | - S Robertson
- Department of Physics, University of Adelaide, Adelaide, 5005, Australia
| | - M Rongen
- III. Physikalisches Institut, RWTH Aachen University, D-52056 Aachen, Germany
| | - C Rott
- Department of Physics, Sungkyunkwan University, Suwon 440-746, Korea
| | - T Ruhe
- Department of Physics, TU Dortmund University, D-44221 Dortmund, Germany
| | - D Ryckbosch
- Department of Physics and Astronomy, University of Gent, B-9000 Gent, Belgium
| | - D Rysewyk
- Department of Physics and Astronomy, Michigan State University, East Lansing, Michigan 48824, USA
| | - I Safa
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - S E Sanchez Herrera
- Department of Physics, University of Alberta, Edmonton, Alberta, Canada T6G 2E1
| | - A Sandrock
- Department of Physics, TU Dortmund University, D-44221 Dortmund, Germany
| | - J Sandroos
- Institute of Physics, University of Mainz, Staudinger Weg 7, D-55099 Mainz, Germany
| | - M Santander
- Department of Physics and Astronomy, University of Alabama, Tuscaloosa, Alabama 35487, USA
| | - S Sarkar
- Niels Bohr Institute, University of Copenhagen, DK-2100 Copenhagen, Denmark
- Department of Physics, University of Oxford, 1 Keble Road, Oxford OX1 3NP, United Kingdom
| | - S Sarkar
- Department of Physics, University of Alberta, Edmonton, Alberta, Canada T6G 2E1
| | | | - M Schaufel
- III. Physikalisches Institut, RWTH Aachen University, D-52056 Aachen, Germany
| | - P Schlunder
- Department of Physics, TU Dortmund University, D-44221 Dortmund, Germany
| | - T Schmidt
- Department of Physics, University of Maryland, College Park, Maryland 20742, USA
| | - A Schneider
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - J Schneider
- Erlangen Centre for Astroparticle Physics, Friedrich-Alexander-Universität Erlangen-Nürnberg, D-91058 Erlangen, Germany
| | - S Schöneberg
- Fakultät für Physik & Astronomie, Ruhr-Universität Bochum, D-44780 Bochum, Germany
| | - L Schumacher
- III. Physikalisches Institut, RWTH Aachen University, D-52056 Aachen, Germany
| | - S Sclafani
- Department of Physics, Drexel University, 3141 Chestnut Street, Philadelphia, Pennsylvania 19104, USA
| | - D Seckel
- Bartol Research Institute and Department of Physics and Astronomy, University of Delaware, Newark, Delaware 19716, USA
| | - S Seunarine
- Department of Physics, University of Wisconsin, River Falls, Wisconsin 54022, USA
| | - J Soedingrekso
- Department of Physics, TU Dortmund University, D-44221 Dortmund, Germany
| | - D Soldin
- Bartol Research Institute and Department of Physics and Astronomy, University of Delaware, Newark, Delaware 19716, USA
| | - M Song
- Department of Physics, University of Maryland, College Park, Maryland 20742, USA
| | - G M Spiczak
- Department of Physics, University of Wisconsin, River Falls, Wisconsin 54022, USA
| | | | | | - M Stamatikos
- Department of Physics and Center for Cosmology and Astro-Particle Physics, Ohio State University, Columbus, Ohio 43210, USA
| | - T Stanev
- Bartol Research Institute and Department of Physics and Astronomy, University of Delaware, Newark, Delaware 19716, USA
| | | | - R Stein
- DESY, D-15738 Zeuthen, Germany
| | - J Stettner
- III. Physikalisches Institut, RWTH Aachen University, D-52056 Aachen, Germany
| | - A Steuer
- Institute of Physics, University of Mainz, Staudinger Weg 7, D-55099 Mainz, Germany
| | - T Stezelberger
- Lawrence Berkeley National Laboratory, Berkeley, California 94720, USA
| | - R G Stokstad
- Lawrence Berkeley National Laboratory, Berkeley, California 94720, USA
| | - A Stößl
- Department of Physics and Institute for Global Prominent Research, Chiba University, Chiba 263-8522, Japan
| | | | - T Stuttard
- Niels Bohr Institute, University of Copenhagen, DK-2100 Copenhagen, Denmark
| | - G W Sullivan
- Department of Physics, University of Maryland, College Park, Maryland 20742, USA
| | - M Sutherland
- Department of Physics and Center for Cosmology and Astro-Particle Physics, Ohio State University, Columbus, Ohio 43210, USA
| | - I Taboada
- School of Physics and Center for Relativistic Astrophysics, Georgia Institute of Technology, Atlanta, Georgia 30332, USA
| | - F Tenholt
- Fakultät für Physik & Astronomie, Ruhr-Universität Bochum, D-44780 Bochum, Germany
| | - S Ter-Antonyan
- Department of Physics, Southern University, Baton Rouge, Louisiana 70813, USA
| | | | - S Tilav
- Bartol Research Institute and Department of Physics and Astronomy, University of Delaware, Newark, Delaware 19716, USA
| | - P A Toale
- Department of Physics and Astronomy, University of Alabama, Tuscaloosa, Alabama 35487, USA
| | - M N Tobin
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - C Tönnis
- Department of Physics, Sungkyunkwan University, Suwon 440-746, Korea
| | - S Toscano
- Vrije Universiteit Brussel (VUB), Dienst ELEM, B-1050 Brussels, Belgium
| | - D Tosi
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - M Tselengidou
- Erlangen Centre for Astroparticle Physics, Friedrich-Alexander-Universität Erlangen-Nürnberg, D-91058 Erlangen, Germany
| | - C F Tung
- School of Physics and Center for Relativistic Astrophysics, Georgia Institute of Technology, Atlanta, Georgia 30332, USA
| | - A Turcati
- Physik-department, Technische Universität München, D-85748 Garching, Germany
| | - C F Turley
- Department of Physics, Pennsylvania State University, University Park, Pennsylvania 16802, USA
| | - B Ty
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - E Unger
- Department of Physics and Astronomy, Uppsala University, Box 516, S-75120 Uppsala, Sweden
| | - M A Unland Elorrieta
- Institut für Kernphysik, Westfälische Wilhelms-Universität Münster, D-48149 Münster, Germany
| | - M Usner
- DESY, D-15738 Zeuthen, Germany
| | - J Vandenbroucke
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - W Van Driessche
- Department of Physics and Astronomy, University of Gent, B-9000 Gent, Belgium
| | - D van Eijk
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - N van Eijndhoven
- Vrije Universiteit Brussel (VUB), Dienst ELEM, B-1050 Brussels, Belgium
| | - S Vanheule
- Department of Physics and Astronomy, University of Gent, B-9000 Gent, Belgium
| | | | - M Vraeghe
- Department of Physics and Astronomy, University of Gent, B-9000 Gent, Belgium
| | - C Walck
- Oskar Klein Centre and Department of Physics, Stockholm University, SE-10691 Stockholm, Sweden
| | - A Wallace
- Department of Physics, University of Adelaide, Adelaide, 5005, Australia
| | - M Wallraff
- III. Physikalisches Institut, RWTH Aachen University, D-52056 Aachen, Germany
| | - F D Wandler
- Department of Physics, University of Alberta, Edmonton, Alberta, Canada T6G 2E1
| | - N Wandkowsky
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - T B Watson
- Department of Physics, University of Texas at Arlington, 502 Yates St., Science Hall Rm 108, Box 19059, Arlington, Texas 76019, USA
| | - A Waza
- III. Physikalisches Institut, RWTH Aachen University, D-52056 Aachen, Germany
| | - C Weaver
- Department of Physics, University of Alberta, Edmonton, Alberta, Canada T6G 2E1
| | - M J Weiss
- Department of Physics, Pennsylvania State University, University Park, Pennsylvania 16802, USA
| | - C Wendt
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - J Werthebach
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - S Westerhoff
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - B J Whelan
- Department of Physics, University of Adelaide, Adelaide, 5005, Australia
| | - N Whitehorn
- Department of Physics and Astronomy, UCLA, Los Angeles, California 90095, USA
| | - K Wiebe
- Institute of Physics, University of Mainz, Staudinger Weg 7, D-55099 Mainz, Germany
| | - C H Wiebusch
- III. Physikalisches Institut, RWTH Aachen University, D-52056 Aachen, Germany
| | - L Wille
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - D R Williams
- Department of Physics and Astronomy, University of Alabama, Tuscaloosa, Alabama 35487, USA
| | - L Wills
- Department of Physics, Drexel University, 3141 Chestnut Street, Philadelphia, Pennsylvania 19104, USA
| | - M Wolf
- Physik-department, Technische Universität München, D-85748 Garching, Germany
| | - J Wood
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - T R Wood
- Department of Physics, University of Alberta, Edmonton, Alberta, Canada T6G 2E1
| | - E Woolsey
- Department of Physics, University of Alberta, Edmonton, Alberta, Canada T6G 2E1
| | - K Woschnagg
- Department of Physics, University of California, Berkeley, California 94720, USA
| | - G Wrede
- Erlangen Centre for Astroparticle Physics, Friedrich-Alexander-Universität Erlangen-Nürnberg, D-91058 Erlangen, Germany
| | - D L Xu
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - X W Xu
- Department of Physics, Southern University, Baton Rouge, Louisiana 70813, USA
| | - Y Xu
- Department of Physics and Astronomy, Stony Brook University, Stony Brook, New York 11794-3800, USA
| | - J P Yanez
- Department of Physics, University of Alberta, Edmonton, Alberta, Canada T6G 2E1
| | - G Yodh
- Department of Physics and Astronomy, University of California, Irvine, California 92697, USA
| | - S Yoshida
- Department of Physics and Institute for Global Prominent Research, Chiba University, Chiba 263-8522, Japan
| | - T Yuan
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
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23
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López GY, Van Ziffle J, Onodera C, Grenert JP, Yeh I, Bastian BC, Clarke J, Oberheim Bush NA, Taylor J, Chang S, Butowski N, Banerjee A, Mueller S, Kline C, Torkildson J, Samuel D, Siongco A, Raffel C, Gupta N, Kunwar S, Mummaneni P, Aghi M, Theodosopoulos P, Berger M, Phillips JJ, Pekmezci M, Tihan T, Bollen AW, Perry A, Solomon DA. The genetic landscape of gliomas arising after therapeutic radiation. Acta Neuropathol 2019; 137:139-150. [PMID: 30196423 DOI: 10.1007/s00401-018-1906-z] [Citation(s) in RCA: 48] [Impact Index Per Article: 9.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2018] [Revised: 08/31/2018] [Accepted: 09/01/2018] [Indexed: 11/26/2022]
Abstract
Radiotherapy improves survival for common childhood cancers such as medulloblastoma, leukemia, and germ cell tumors. Unfortunately, long-term survivors suffer sequelae that can include secondary neoplasia. Gliomas are common secondary neoplasms after cranial or craniospinal radiation, most often manifesting as high-grade astrocytomas with poor clinical outcomes. Here, we performed genetic profiling on a cohort of 12 gliomas arising after therapeutic radiation to determine their molecular pathogenesis and assess for differences in genomic signature compared to their spontaneous counterparts. We identified a high frequency of TP53 mutations, CDK4 amplification or CDKN2A homozygous deletion, and amplifications or rearrangements involving receptor tyrosine kinase and Ras-Raf-MAP kinase pathway genes including PDGFRA, MET, BRAF, and RRAS2. Notably, all tumors lacked alterations in IDH1, IDH2, H3F3A, HIST1H3B, HIST1H3C, TERT (including promoter region), and PTEN, which genetically define the major subtypes of diffuse gliomas in children and adults. All gliomas in this cohort had very low somatic mutation burden (less than three somatic single nucleotide variants or small indels per Mb). The ten high-grade gliomas demonstrated markedly aneuploid genomes, with significantly increased quantity of intrachromosomal copy number breakpoints and focal amplifications/homozygous deletions compared to spontaneous high-grade gliomas, likely as a result of DNA double-strand breaks induced by gamma radiation. Together, these findings demonstrate a distinct molecular pathogenesis of secondary gliomas arising after radiation therapy and identify a genomic signature that may aid in differentiating these tumors from their spontaneous counterparts.
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Affiliation(s)
- Giselle Y López
- Department of Pathology, University of California, San Francisco, CA, USA
- Department of Neurological Surgery, University of California, San Francisco, CA, USA
| | - Jessica Van Ziffle
- Department of Pathology, University of California, San Francisco, CA, USA
- Clinical Cancer Genomics Laboratory, University of California, San Francisco, CA, USA
| | - Courtney Onodera
- Department of Pathology, University of California, San Francisco, CA, USA
- Clinical Cancer Genomics Laboratory, University of California, San Francisco, CA, USA
| | - James P Grenert
- Department of Pathology, University of California, San Francisco, CA, USA
- Clinical Cancer Genomics Laboratory, University of California, San Francisco, CA, USA
| | - Iwei Yeh
- Department of Pathology, University of California, San Francisco, CA, USA
- Clinical Cancer Genomics Laboratory, University of California, San Francisco, CA, USA
- Department of Dermatology, University of California, San Francisco, CA, USA
| | - Boris C Bastian
- Department of Pathology, University of California, San Francisco, CA, USA
- Clinical Cancer Genomics Laboratory, University of California, San Francisco, CA, USA
- Department of Dermatology, University of California, San Francisco, CA, USA
| | - Jennifer Clarke
- Division of Neuro-Oncology, Department of Neurological Surgery, University of California, San Francisco, CA, USA
- Department of Neurology, University of California, San Francisco, CA, USA
| | - Nancy Ann Oberheim Bush
- Division of Neuro-Oncology, Department of Neurological Surgery, University of California, San Francisco, CA, USA
- Department of Neurology, University of California, San Francisco, CA, USA
| | - Jennie Taylor
- Division of Neuro-Oncology, Department of Neurological Surgery, University of California, San Francisco, CA, USA
- Department of Neurology, University of California, San Francisco, CA, USA
| | - Susan Chang
- Division of Neuro-Oncology, Department of Neurological Surgery, University of California, San Francisco, CA, USA
| | - Nicholas Butowski
- Division of Neuro-Oncology, Department of Neurological Surgery, University of California, San Francisco, CA, USA
| | - Anuradha Banerjee
- Division of Hematology/Oncology, Department of Pediatrics, University of California, San Francisco, CA, USA
| | - Sabine Mueller
- Department of Neurology, University of California, San Francisco, CA, USA
- Division of Hematology/Oncology, Department of Pediatrics, University of California, San Francisco, CA, USA
| | - Cassie Kline
- Department of Neurology, University of California, San Francisco, CA, USA
- Division of Hematology/Oncology, Department of Pediatrics, University of California, San Francisco, CA, USA
| | - Joseph Torkildson
- Department of Hematology/Oncology, UCSF Benioff Children's Hospital Oakland, Oakland, CA, USA
| | - David Samuel
- Department of Hematology/Oncology, Valley Children's Hospital, Madera, CA, USA
| | - Aleli Siongco
- Department of Pathology, Valley Children's Hospital, Madera, CA, USA
| | - Corey Raffel
- Department of Neurological Surgery, University of California, San Francisco, CA, USA
| | - Nalin Gupta
- Department of Neurological Surgery, University of California, San Francisco, CA, USA
- Department of Pediatrics, University of California, San Francisco, CA, USA
| | - Sandeep Kunwar
- Department of Neurological Surgery, University of California, San Francisco, CA, USA
| | - Praveen Mummaneni
- Department of Neurological Surgery, University of California, San Francisco, CA, USA
| | - Manish Aghi
- Department of Neurological Surgery, University of California, San Francisco, CA, USA
| | - Philip Theodosopoulos
- Department of Neurological Surgery, University of California, San Francisco, CA, USA
| | - Mitchel Berger
- Department of Neurological Surgery, University of California, San Francisco, CA, USA
| | - Joanna J Phillips
- Department of Pathology, University of California, San Francisco, CA, USA
- Department of Neurological Surgery, University of California, San Francisco, CA, USA
| | - Melike Pekmezci
- Department of Pathology, University of California, San Francisco, CA, USA
| | - Tarik Tihan
- Department of Pathology, University of California, San Francisco, CA, USA
| | - Andrew W Bollen
- Department of Pathology, University of California, San Francisco, CA, USA
| | - Arie Perry
- Department of Pathology, University of California, San Francisco, CA, USA
- Department of Neurological Surgery, University of California, San Francisco, CA, USA
| | - David A Solomon
- Department of Pathology, University of California, San Francisco, CA, USA.
- Clinical Cancer Genomics Laboratory, University of California, San Francisco, CA, USA.
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24
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Aartsen MG, Ackermann M, Adams J, Aguilar JA, Ahlers M, Ahrens M, Samarai IA, Altmann D, Andeen K, Anderson T, Ansseau I, Anton G, Argüelles C, Auffenberg J, Axani S, Backes P, Bagherpour H, Bai X, Barron JP, Barwick SW, Baum V, Bay R, Beatty JJ, Becker Tjus J, Becker KH, BenZvi S, Berley D, Bernardini E, Besson DZ, Binder G, Bindig D, Blaufuss E, Blot S, Bohm C, Börner M, Bos F, Böser S, Botner O, Bourbeau E, Bourbeau J, Bradascio F, Braun J, Brenzke M, Bretz HP, Bron S, Brostean-Kaiser J, Burgman A, Busse RS, Carver T, Cheung E, Chirkin D, Christov A, Clark K, Classen L, Collin GH, Conrad JM, Coppin P, Correa P, Cowen DF, Cross R, Dave P, Day M, de André JPAM, De Clercq C, DeLaunay JJ, Dembinski H, De Ridder S, Desiati P, de Vries KD, de Wasseige G, de With M, DeYoung T, Díaz-Vélez JC, di Lorenzo V, Dujmovic H, Dumm JP, Dunkman M, Dvorak E, Eberhardt B, Ehrhardt T, Eichmann B, Eller P, Evenson PA, Fahey S, Fazely AR, Felde J, Filimonov K, Finley C, Flis S, Franckowiak A, Friedman E, Fritz A, Gaisser TK, Gallagher J, Ganster E, Gerhardt L, Ghorbani K, Giang W, Glauch T, Glüsenkamp T, Goldschmidt A, Gonzalez JG, Grant D, Griffith Z, Haack C, Hallgren A, Halve L, Halzen F, Hanson K, Hebecker D, Heereman D, Helbing K, Hellauer R, Hickford S, Hignight J, Hill GC, Hoffman KD, Hoffmann R, Hoinka T, Hokanson-Fasig B, Hoshina K, Huang F, Huber M, Hultqvist K, Hünnefeld M, Hussain R, In S, Iovine N, Ishihara A, Jacobi E, Japaridze GS, Jeong M, Jero K, Jones BJP, Kalaczynski P, Kang W, Kappes A, Kappesser D, Karg T, Karle A, Katz U, Kauer M, Keivani A, Kelley JL, Kheirandish A, Kim J, Kim M, Kintscher T, Kiryluk J, Kittler T, Klein SR, Koirala R, Kolanoski H, Köpke L, Kopper C, Kopper S, Koschinsky JP, Koskinen DJ, Kowalski M, Krings K, Kroll M, Krückl G, Kunwar S, Kurahashi N, Kuwabara T, Kyriacou A, Labare M, Lanfranchi JL, Larson MJ, Lauber F, Leonard K, Lesiak-Bzdak M, Leuermann M, Liu QR, Lohfink E, Mariscal CJL, Lu L, Lünemann J, Luszczak W, Madsen J, Maggi G, Mahn KBM, Mancina S, Maruyama R, Mase K, Maunu R, Meagher K, Medici M, Meier M, Menne T, Merino G, Meures T, Miarecki S, Micallef J, Momenté G, Montaruli T, Moore RW, Moulai M, Nahnhauer R, Nakarmi P, Naumann U, Neer G, Niederhausen H, Nowicki SC, Nygren DR, Obertacke Pollmann A, Olivas A, O’Murchadha A, O’Sullivan E, Palczewski T, Pandya H, Pankova DV, Peiffer P, Pepper JA, Pérez de los Heros C, Pieloth D, Pinat E, Plum M, Price PB, Przybylski GT, Raab C, Rädel L, Rameez M, Rauch L, Rawlins K, Rea IC, Reimann R, Relethford B, Relich M, Resconi E, Rhode W, Richman M, Robertson S, Rongen M, Rott C, Ruhe T, Ryckbosch D, Rysewyk D, Safa I, Sanchez Herrera SE, Sandrock A, Sandroos J, Santander M, Sarkar S, Sarkar S, Satalecka K, Schaufel M, Schlunder P, Schmidt T, Schneider A, Schoenen S, Schöneberg S, Schumacher L, Sclafani S, Seckel D, Seunarine S, Soedingrekso J, Soldin D, Song M, Spiczak GM, Spiering C, Stachurska J, Stamatikos M, Stanev T, Stasik A, Stein R, Stettner J, Steuer A, Stezelberger T, Stokstad RG, Stößl A, Strotjohann NL, Stuttard T, Sullivan GW, Sutherland M, Taboada I, Tatar J, Tenholt F, Ter-Antonyan S, Terliuk A, Tilav S, Toale PA, Tobin MN, Tönnis C, Toscano S, Tosi D, Tselengidou M, Tung CF, Turcati A, Turley CF, Ty B, Unger E, Usner M, Vandenbroucke J, Van Driessche W, van Eijk D, van Eijndhoven N, Vanheule S, van Santen J, Vraeghe M, Walck C, Wallace A, Wallraff M, Wandler FD, Wandkowsky N, Waza A, Weaver C, Weiss MJ, Wendt C, Werthebach J, Westerhoff S, Whelan BJ, Wiebe K, Wiebusch CH, Wille L, Williams DR, Wills L, Wolf M, Wood J, Wood TR, Woolsey E, Woschnagg K, Wrede G, Xu DL, Xu XW, Xu Y, Yanez JP, Yodh G, Yoshida S, Yuan T. Search for neutrinos from decaying dark matter with IceCube: IceCube Collaboration. Eur Phys J C Part Fields 2018; 78:831. [PMID: 30930683 PMCID: PMC6405043 DOI: 10.1140/epjc/s10052-018-6273-3] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 04/10/2018] [Accepted: 09/21/2018] [Indexed: 06/09/2023]
Abstract
With the observation of high-energy astrophysical neutrinos by the IceCube Neutrino Observatory, interest has risen in models of PeV-mass decaying dark matter particles to explain the observed flux. We present two dedicated experimental analyses to test this hypothesis. One analysis uses 6 years of IceCube data focusing on muon neutrino 'track' events from the Northern Hemisphere, while the second analysis uses 2 years of 'cascade' events from the full sky. Known background components and the hypothetical flux from unstable dark matter are fitted to the experimental data. Since no significant excess is observed in either analysis, lower limits on the lifetime of dark matter particles are derived: we obtain the strongest constraint to date, excluding lifetimes shorter than10 28 s at 90% CL for dark matter masses above 10 TeV .
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Affiliation(s)
- M. G. Aartsen
- Department of Physics and Astronomy, University of Canterbury, Private Bag 4800, Christchurch, New Zealand
| | | | - J. Adams
- Department of Physics and Astronomy, University of Canterbury, Private Bag 4800, Christchurch, New Zealand
| | - J. A. Aguilar
- Science Faculty CP230, Université Libre de Bruxelles, 1050 Brussels, Belgium
| | - M. Ahlers
- Niels Bohr Institute, University of Copenhagen, 2100 Copenhagen, Denmark
| | - M. Ahrens
- Department of Physics, Oskar Klein Centre, Stockholm University, 10691 Stockholm, Sweden
| | - I. Al Samarai
- Département de Physique Nucléaire et Corpusculaire, Université de Genève, 1211 Geneva, Switzerland
| | - D. Altmann
- Erlangen Centre for Astroparticle Physics, Friedrich-Alexander-Universität Erlangen-Nürnberg, 91058 Erlangen, Germany
| | - K. Andeen
- Department of Physics, Marquette University, Milwaukee, WI 53201 USA
| | - T. Anderson
- Department of Physics, Pennsylvania State University, University Park, PA 16802 USA
| | - I. Ansseau
- Science Faculty CP230, Université Libre de Bruxelles, 1050 Brussels, Belgium
| | - G. Anton
- Erlangen Centre for Astroparticle Physics, Friedrich-Alexander-Universität Erlangen-Nürnberg, 91058 Erlangen, Germany
| | - C. Argüelles
- Department of Physics, Massachusetts Institute of Technology, Cambridge, MA 02139 USA
| | - J. Auffenberg
- III. Physikalisches Institut, RWTH Aachen University, 52056 Aachen, Germany
| | - S. Axani
- Department of Physics, Massachusetts Institute of Technology, Cambridge, MA 02139 USA
| | - P. Backes
- III. Physikalisches Institut, RWTH Aachen University, 52056 Aachen, Germany
| | - H. Bagherpour
- Department of Physics and Astronomy, University of Canterbury, Private Bag 4800, Christchurch, New Zealand
| | - X. Bai
- Physics Department, South Dakota School of Mines and Technology, Rapid City, SD 57701 USA
| | - J. P. Barron
- Department of Physics, University of Alberta, Edmonton, AB T6G 2E1 Canada
| | - S. W. Barwick
- Department of Physics and Astronomy, University of California, Irvine, CA 92697 USA
| | - V. Baum
- Institute of Physics, University of Mainz, Staudinger Weg 7, 55099 Mainz, Germany
| | - R. Bay
- Department of Physics, University of California, Berkeley, CA 94720 USA
| | - J. J. Beatty
- Department of Physics and Center for Cosmology and Astro-Particle Physics, Ohio State University, Columbus, OH 43210 USA
- Department of Astronomy, Ohio State University, Columbus, OH 43210 USA
| | - J. Becker Tjus
- Fakultät für Physik und Astronomie, Ruhr-Universität Bochum, 44780 Bochum, Germany
| | - K.-H. Becker
- Department of Physics, University of Wuppertal, 42119 Wuppertal, Germany
| | - S. BenZvi
- Department of Physics and Astronomy, University of Rochester, Rochester, NY 14627 USA
| | - D. Berley
- Department of Physics, University of Maryland, College Park, MD 20742 USA
| | | | - D. Z. Besson
- Department of Physics and Astronomy, University of Kansas, Lawrence, KS 66045 USA
| | - G. Binder
- Department of Physics, University of California, Berkeley, CA 94720 USA
- Lawrence Berkeley National Laboratory, Berkeley, CA 94720 USA
| | - D. Bindig
- Department of Physics, University of Wuppertal, 42119 Wuppertal, Germany
| | - E. Blaufuss
- Department of Physics, University of Maryland, College Park, MD 20742 USA
| | - S. Blot
- DESY, 15738 Zeuthen, Germany
| | - C. Bohm
- Department of Physics, Oskar Klein Centre, Stockholm University, 10691 Stockholm, Sweden
| | - M. Börner
- Department of Physics, TU Dortmund University, 44221 Dortmund, Germany
| | - F. Bos
- Fakultät für Physik und Astronomie, Ruhr-Universität Bochum, 44780 Bochum, Germany
| | - S. Böser
- Institute of Physics, University of Mainz, Staudinger Weg 7, 55099 Mainz, Germany
| | - O. Botner
- Department of Physics and Astronomy, Uppsala University, Box 516, 75120 Uppsala, Sweden
| | - E. Bourbeau
- Niels Bohr Institute, University of Copenhagen, 2100 Copenhagen, Denmark
| | - J. Bourbeau
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, WI 53706 USA
| | | | - J. Braun
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, WI 53706 USA
| | - M. Brenzke
- III. Physikalisches Institut, RWTH Aachen University, 52056 Aachen, Germany
| | | | - S. Bron
- Département de Physique Nucléaire et Corpusculaire, Université de Genève, 1211 Geneva, Switzerland
| | | | - A. Burgman
- Department of Physics and Astronomy, Uppsala University, Box 516, 75120 Uppsala, Sweden
| | - R. S. Busse
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, WI 53706 USA
| | - T. Carver
- Département de Physique Nucléaire et Corpusculaire, Université de Genève, 1211 Geneva, Switzerland
| | - E. Cheung
- Department of Physics, University of Maryland, College Park, MD 20742 USA
| | - D. Chirkin
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, WI 53706 USA
| | - A. Christov
- Département de Physique Nucléaire et Corpusculaire, Université de Genève, 1211 Geneva, Switzerland
| | - K. Clark
- SNOLAB, 1039 Regional Road 24, Creighton Mine 9, Lively, ON P3Y 1N2 Canada
| | - L. Classen
- Institut für Kernphysik, Westfälische Wilhelms-Universität Münster, 48149 Münster, Germany
| | - G. H. Collin
- Department of Physics, Massachusetts Institute of Technology, Cambridge, MA 02139 USA
| | - J. M. Conrad
- Department of Physics, Massachusetts Institute of Technology, Cambridge, MA 02139 USA
| | - P. Coppin
- Dienst ELEM, Vrije Universiteit Brussel (VUB), 1050 Brussels, Belgium
| | - P. Correa
- Dienst ELEM, Vrije Universiteit Brussel (VUB), 1050 Brussels, Belgium
| | - D. F. Cowen
- Department of Astronomy and Astrophysics, Pennsylvania State University, University Park, PA 16802 USA
- Department of Physics, Pennsylvania State University, University Park, PA 16802 USA
| | - R. Cross
- Department of Physics and Astronomy, University of Rochester, Rochester, NY 14627 USA
| | - P. Dave
- School of Physics and Center for Relativistic Astrophysics, Georgia Institute of Technology, Atlanta, GA 30332 USA
| | - M. Day
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, WI 53706 USA
| | - J. P. A. M. de André
- Department of Physics and Astronomy, Michigan State University, East Lansing, MI 48824 USA
| | - C. De Clercq
- Dienst ELEM, Vrije Universiteit Brussel (VUB), 1050 Brussels, Belgium
| | - J. J. DeLaunay
- Department of Physics, Pennsylvania State University, University Park, PA 16802 USA
| | - H. Dembinski
- Department of Physics and Astronomy, Bartol Research Institute, University of Delaware, Newark, DE 19716 USA
| | - S. De Ridder
- Department of Physics and Astronomy, University of Gent, 9000 Ghent, Belgium
| | - P. Desiati
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, WI 53706 USA
| | - K. D. de Vries
- Dienst ELEM, Vrije Universiteit Brussel (VUB), 1050 Brussels, Belgium
| | - G. de Wasseige
- Dienst ELEM, Vrije Universiteit Brussel (VUB), 1050 Brussels, Belgium
| | - M. de With
- Institut für Physik, Humboldt-Universität zu Berlin, 12489 Berlin, Germany
| | - T. DeYoung
- Department of Physics and Astronomy, Michigan State University, East Lansing, MI 48824 USA
| | - J. C. Díaz-Vélez
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, WI 53706 USA
| | - V. di Lorenzo
- Institute of Physics, University of Mainz, Staudinger Weg 7, 55099 Mainz, Germany
| | - H. Dujmovic
- Department of Physics, Sungkyunkwan University, Suwon, 440-746 Korea
| | - J. P. Dumm
- Department of Physics, Oskar Klein Centre, Stockholm University, 10691 Stockholm, Sweden
| | - M. Dunkman
- Department of Physics, Pennsylvania State University, University Park, PA 16802 USA
| | - E. Dvorak
- Physics Department, South Dakota School of Mines and Technology, Rapid City, SD 57701 USA
| | - B. Eberhardt
- Institute of Physics, University of Mainz, Staudinger Weg 7, 55099 Mainz, Germany
| | - T. Ehrhardt
- Institute of Physics, University of Mainz, Staudinger Weg 7, 55099 Mainz, Germany
| | - B. Eichmann
- Fakultät für Physik und Astronomie, Ruhr-Universität Bochum, 44780 Bochum, Germany
| | - P. Eller
- Department of Physics, Pennsylvania State University, University Park, PA 16802 USA
| | - P. A. Evenson
- Department of Physics and Astronomy, Bartol Research Institute, University of Delaware, Newark, DE 19716 USA
| | - S. Fahey
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, WI 53706 USA
| | - A. R. Fazely
- Department of Physics, Southern University, Baton Rouge, LA 70813 USA
| | - J. Felde
- Department of Physics, University of Maryland, College Park, MD 20742 USA
| | - K. Filimonov
- Department of Physics, University of California, Berkeley, CA 94720 USA
| | - C. Finley
- Department of Physics, Oskar Klein Centre, Stockholm University, 10691 Stockholm, Sweden
| | - S. Flis
- Department of Physics, Oskar Klein Centre, Stockholm University, 10691 Stockholm, Sweden
| | | | - E. Friedman
- Department of Physics, University of Maryland, College Park, MD 20742 USA
| | - A. Fritz
- Institute of Physics, University of Mainz, Staudinger Weg 7, 55099 Mainz, Germany
| | - T. K. Gaisser
- Department of Physics and Astronomy, Bartol Research Institute, University of Delaware, Newark, DE 19716 USA
| | - J. Gallagher
- Department of Astronomy, University of Wisconsin, Madison, WI 53706 USA
| | - E. Ganster
- III. Physikalisches Institut, RWTH Aachen University, 52056 Aachen, Germany
| | - L. Gerhardt
- Lawrence Berkeley National Laboratory, Berkeley, CA 94720 USA
| | - K. Ghorbani
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, WI 53706 USA
| | - W. Giang
- Department of Physics, University of Alberta, Edmonton, AB T6G 2E1 Canada
| | - T. Glauch
- Physik-Department, Technische Universität München, 85748 Garching, Germany
| | - T. Glüsenkamp
- Erlangen Centre for Astroparticle Physics, Friedrich-Alexander-Universität Erlangen-Nürnberg, 91058 Erlangen, Germany
| | - A. Goldschmidt
- Lawrence Berkeley National Laboratory, Berkeley, CA 94720 USA
| | - J. G. Gonzalez
- Department of Physics and Astronomy, Bartol Research Institute, University of Delaware, Newark, DE 19716 USA
| | - D. Grant
- Department of Physics, University of Alberta, Edmonton, AB T6G 2E1 Canada
| | - Z. Griffith
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, WI 53706 USA
| | - C. Haack
- III. Physikalisches Institut, RWTH Aachen University, 52056 Aachen, Germany
| | - A. Hallgren
- Department of Physics and Astronomy, Uppsala University, Box 516, 75120 Uppsala, Sweden
| | - L. Halve
- III. Physikalisches Institut, RWTH Aachen University, 52056 Aachen, Germany
| | - F. Halzen
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, WI 53706 USA
| | - K. Hanson
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, WI 53706 USA
| | - D. Hebecker
- Institut für Physik, Humboldt-Universität zu Berlin, 12489 Berlin, Germany
| | - D. Heereman
- Science Faculty CP230, Université Libre de Bruxelles, 1050 Brussels, Belgium
| | - K. Helbing
- Department of Physics, University of Wuppertal, 42119 Wuppertal, Germany
| | - R. Hellauer
- Department of Physics, University of Maryland, College Park, MD 20742 USA
| | - S. Hickford
- Department of Physics, University of Wuppertal, 42119 Wuppertal, Germany
| | - J. Hignight
- Department of Physics and Astronomy, Michigan State University, East Lansing, MI 48824 USA
| | - G. C. Hill
- Department of Physics, University of Adelaide, Adelaide, 5005 Australia
| | - K. D. Hoffman
- Department of Physics, University of Maryland, College Park, MD 20742 USA
| | - R. Hoffmann
- Department of Physics, University of Wuppertal, 42119 Wuppertal, Germany
| | - T. Hoinka
- Department of Physics, TU Dortmund University, 44221 Dortmund, Germany
| | - B. Hokanson-Fasig
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, WI 53706 USA
| | - K. Hoshina
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, WI 53706 USA
| | - F. Huang
- Department of Physics, Pennsylvania State University, University Park, PA 16802 USA
| | - M. Huber
- Physik-Department, Technische Universität München, 85748 Garching, Germany
| | - K. Hultqvist
- Department of Physics, Oskar Klein Centre, Stockholm University, 10691 Stockholm, Sweden
| | - M. Hünnefeld
- Department of Physics, TU Dortmund University, 44221 Dortmund, Germany
| | - R. Hussain
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, WI 53706 USA
| | - S. In
- Department of Physics, Sungkyunkwan University, Suwon, 440-746 Korea
| | - N. Iovine
- Science Faculty CP230, Université Libre de Bruxelles, 1050 Brussels, Belgium
| | - A. Ishihara
- Department of Physics and Institute for Global Prominent Research, Chiba University, Chiba, 263-8522 Japan
| | | | | | - M. Jeong
- Department of Physics, Sungkyunkwan University, Suwon, 440-746 Korea
| | - K. Jero
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, WI 53706 USA
| | - B. J. P. Jones
- Department of Physics, University of Texas at Arlington, 502 Yates St., Science Hall Rm 108, Box 19059, Arlington, TX 76019 USA
| | - P. Kalaczynski
- III. Physikalisches Institut, RWTH Aachen University, 52056 Aachen, Germany
| | - W. Kang
- Department of Physics, Sungkyunkwan University, Suwon, 440-746 Korea
| | - A. Kappes
- Institut für Kernphysik, Westfälische Wilhelms-Universität Münster, 48149 Münster, Germany
| | - D. Kappesser
- Institute of Physics, University of Mainz, Staudinger Weg 7, 55099 Mainz, Germany
| | - T. Karg
- DESY, 15738 Zeuthen, Germany
| | - A. Karle
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, WI 53706 USA
| | - U. Katz
- Erlangen Centre for Astroparticle Physics, Friedrich-Alexander-Universität Erlangen-Nürnberg, 91058 Erlangen, Germany
| | - M. Kauer
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, WI 53706 USA
| | - A. Keivani
- Department of Physics, Pennsylvania State University, University Park, PA 16802 USA
| | - J. L. Kelley
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, WI 53706 USA
| | - A. Kheirandish
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, WI 53706 USA
| | - J. Kim
- Department of Physics, Sungkyunkwan University, Suwon, 440-746 Korea
| | - M. Kim
- Department of Physics and Institute for Global Prominent Research, Chiba University, Chiba, 263-8522 Japan
| | | | - J. Kiryluk
- Department of Physics and Astronomy, Stony Brook University, Stony Brook, NY 11794-3800 USA
| | - T. Kittler
- Erlangen Centre for Astroparticle Physics, Friedrich-Alexander-Universität Erlangen-Nürnberg, 91058 Erlangen, Germany
| | - S. R. Klein
- Department of Physics, University of California, Berkeley, CA 94720 USA
- Lawrence Berkeley National Laboratory, Berkeley, CA 94720 USA
| | - R. Koirala
- Department of Physics and Astronomy, Bartol Research Institute, University of Delaware, Newark, DE 19716 USA
| | - H. Kolanoski
- Institut für Physik, Humboldt-Universität zu Berlin, 12489 Berlin, Germany
| | - L. Köpke
- Institute of Physics, University of Mainz, Staudinger Weg 7, 55099 Mainz, Germany
| | - C. Kopper
- Department of Physics, University of Alberta, Edmonton, AB T6G 2E1 Canada
| | - S. Kopper
- Department of Physics and Astronomy, University of Alabama, Tuscaloosa, AL 35487 USA
| | - J. P. Koschinsky
- III. Physikalisches Institut, RWTH Aachen University, 52056 Aachen, Germany
| | - D. J. Koskinen
- Niels Bohr Institute, University of Copenhagen, 2100 Copenhagen, Denmark
| | - M. Kowalski
- Institut für Physik, Humboldt-Universität zu Berlin, 12489 Berlin, Germany
- DESY, 15738 Zeuthen, Germany
| | - K. Krings
- Physik-Department, Technische Universität München, 85748 Garching, Germany
| | - M. Kroll
- Fakultät für Physik und Astronomie, Ruhr-Universität Bochum, 44780 Bochum, Germany
| | - G. Krückl
- Institute of Physics, University of Mainz, Staudinger Weg 7, 55099 Mainz, Germany
| | | | - N. Kurahashi
- Department of Physics, Drexel University, 3141 Chestnut Street, Philadelphia, PA 19104 USA
| | - T. Kuwabara
- Department of Physics and Institute for Global Prominent Research, Chiba University, Chiba, 263-8522 Japan
| | - A. Kyriacou
- Department of Physics, University of Adelaide, Adelaide, 5005 Australia
| | - M. Labare
- Department of Physics and Astronomy, University of Gent, 9000 Ghent, Belgium
| | - J. L. Lanfranchi
- Department of Physics, Pennsylvania State University, University Park, PA 16802 USA
| | - M. J. Larson
- Niels Bohr Institute, University of Copenhagen, 2100 Copenhagen, Denmark
| | - F. Lauber
- Department of Physics, University of Wuppertal, 42119 Wuppertal, Germany
| | - K. Leonard
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, WI 53706 USA
| | - M. Lesiak-Bzdak
- Department of Physics and Astronomy, Stony Brook University, Stony Brook, NY 11794-3800 USA
| | - M. Leuermann
- III. Physikalisches Institut, RWTH Aachen University, 52056 Aachen, Germany
| | - Q. R. Liu
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, WI 53706 USA
| | - E. Lohfink
- Institute of Physics, University of Mainz, Staudinger Weg 7, 55099 Mainz, Germany
| | - C. J. Lozano Mariscal
- Institut für Kernphysik, Westfälische Wilhelms-Universität Münster, 48149 Münster, Germany
| | - L. Lu
- Department of Physics and Institute for Global Prominent Research, Chiba University, Chiba, 263-8522 Japan
| | - J. Lünemann
- Dienst ELEM, Vrije Universiteit Brussel (VUB), 1050 Brussels, Belgium
| | - W. Luszczak
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, WI 53706 USA
| | - J. Madsen
- Department of Physics, University of Wisconsin, River Falls, WI 54022 USA
| | - G. Maggi
- Dienst ELEM, Vrije Universiteit Brussel (VUB), 1050 Brussels, Belgium
| | - K. B. M. Mahn
- Department of Physics and Astronomy, Michigan State University, East Lansing, MI 48824 USA
| | - S. Mancina
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, WI 53706 USA
| | - R. Maruyama
- Department of Physics, Yale University, New Haven, CT 06520 USA
| | - K. Mase
- Department of Physics and Institute for Global Prominent Research, Chiba University, Chiba, 263-8522 Japan
| | - R. Maunu
- Department of Physics, University of Maryland, College Park, MD 20742 USA
| | - K. Meagher
- Science Faculty CP230, Université Libre de Bruxelles, 1050 Brussels, Belgium
| | - M. Medici
- Niels Bohr Institute, University of Copenhagen, 2100 Copenhagen, Denmark
| | - M. Meier
- Department of Physics, TU Dortmund University, 44221 Dortmund, Germany
| | - T. Menne
- Department of Physics, TU Dortmund University, 44221 Dortmund, Germany
| | - G. Merino
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, WI 53706 USA
| | - T. Meures
- Science Faculty CP230, Université Libre de Bruxelles, 1050 Brussels, Belgium
| | - S. Miarecki
- Department of Physics, University of California, Berkeley, CA 94720 USA
- Lawrence Berkeley National Laboratory, Berkeley, CA 94720 USA
| | - J. Micallef
- Department of Physics and Astronomy, Michigan State University, East Lansing, MI 48824 USA
| | - G. Momenté
- Institute of Physics, University of Mainz, Staudinger Weg 7, 55099 Mainz, Germany
| | - T. Montaruli
- Département de Physique Nucléaire et Corpusculaire, Université de Genève, 1211 Geneva, Switzerland
| | - R. W. Moore
- Department of Physics, University of Alberta, Edmonton, AB T6G 2E1 Canada
| | - M. Moulai
- Department of Physics, Massachusetts Institute of Technology, Cambridge, MA 02139 USA
| | | | - P. Nakarmi
- Department of Physics and Astronomy, University of Alabama, Tuscaloosa, AL 35487 USA
| | - U. Naumann
- Department of Physics, University of Wuppertal, 42119 Wuppertal, Germany
| | - G. Neer
- Department of Physics and Astronomy, Michigan State University, East Lansing, MI 48824 USA
| | - H. Niederhausen
- Department of Physics and Astronomy, Stony Brook University, Stony Brook, NY 11794-3800 USA
| | - S. C. Nowicki
- Department of Physics, University of Alberta, Edmonton, AB T6G 2E1 Canada
| | - D. R. Nygren
- Lawrence Berkeley National Laboratory, Berkeley, CA 94720 USA
| | | | - A. Olivas
- Department of Physics, University of Maryland, College Park, MD 20742 USA
| | - A. O’Murchadha
- Science Faculty CP230, Université Libre de Bruxelles, 1050 Brussels, Belgium
| | - E. O’Sullivan
- Department of Physics, Oskar Klein Centre, Stockholm University, 10691 Stockholm, Sweden
| | - T. Palczewski
- Department of Physics, University of California, Berkeley, CA 94720 USA
- Lawrence Berkeley National Laboratory, Berkeley, CA 94720 USA
| | - H. Pandya
- Department of Physics and Astronomy, Bartol Research Institute, University of Delaware, Newark, DE 19716 USA
| | - D. V. Pankova
- Department of Physics, Pennsylvania State University, University Park, PA 16802 USA
| | - P. Peiffer
- Institute of Physics, University of Mainz, Staudinger Weg 7, 55099 Mainz, Germany
| | - J. A. Pepper
- Department of Physics and Astronomy, University of Alabama, Tuscaloosa, AL 35487 USA
| | - C. Pérez de los Heros
- Department of Physics and Astronomy, Uppsala University, Box 516, 75120 Uppsala, Sweden
| | - D. Pieloth
- Department of Physics, TU Dortmund University, 44221 Dortmund, Germany
| | - E. Pinat
- Science Faculty CP230, Université Libre de Bruxelles, 1050 Brussels, Belgium
| | - M. Plum
- Department of Physics, Marquette University, Milwaukee, WI 53201 USA
| | - P. B. Price
- Department of Physics, University of California, Berkeley, CA 94720 USA
| | | | - C. Raab
- Science Faculty CP230, Université Libre de Bruxelles, 1050 Brussels, Belgium
| | - L. Rädel
- III. Physikalisches Institut, RWTH Aachen University, 52056 Aachen, Germany
| | - M. Rameez
- Niels Bohr Institute, University of Copenhagen, 2100 Copenhagen, Denmark
| | | | - K. Rawlins
- Department of Physics and Astronomy, University of Alaska Anchorage, 3211 Providence Dr., Anchorage, AK 99508 USA
| | - I. C. Rea
- Physik-Department, Technische Universität München, 85748 Garching, Germany
| | - R. Reimann
- III. Physikalisches Institut, RWTH Aachen University, 52056 Aachen, Germany
| | - B. Relethford
- Department of Physics, Drexel University, 3141 Chestnut Street, Philadelphia, PA 19104 USA
| | - M. Relich
- Department of Physics and Institute for Global Prominent Research, Chiba University, Chiba, 263-8522 Japan
| | - E. Resconi
- Physik-Department, Technische Universität München, 85748 Garching, Germany
| | - W. Rhode
- Department of Physics, TU Dortmund University, 44221 Dortmund, Germany
| | - M. Richman
- Department of Physics, Drexel University, 3141 Chestnut Street, Philadelphia, PA 19104 USA
| | - S. Robertson
- Department of Physics, University of Adelaide, Adelaide, 5005 Australia
| | - M. Rongen
- III. Physikalisches Institut, RWTH Aachen University, 52056 Aachen, Germany
| | - C. Rott
- Department of Physics, Sungkyunkwan University, Suwon, 440-746 Korea
| | - T. Ruhe
- Department of Physics, TU Dortmund University, 44221 Dortmund, Germany
| | - D. Ryckbosch
- Department of Physics and Astronomy, University of Gent, 9000 Ghent, Belgium
| | - D. Rysewyk
- Department of Physics and Astronomy, Michigan State University, East Lansing, MI 48824 USA
| | - I. Safa
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, WI 53706 USA
| | | | - A. Sandrock
- Department of Physics, TU Dortmund University, 44221 Dortmund, Germany
| | - J. Sandroos
- Institute of Physics, University of Mainz, Staudinger Weg 7, 55099 Mainz, Germany
| | - M. Santander
- Department of Physics and Astronomy, University of Alabama, Tuscaloosa, AL 35487 USA
| | - S. Sarkar
- Niels Bohr Institute, University of Copenhagen, 2100 Copenhagen, Denmark
- Department of Physics, University of Oxford, 1 Keble Road, Oxford, OX1 3NP UK
| | - S. Sarkar
- Department of Physics, University of Alberta, Edmonton, AB T6G 2E1 Canada
| | | | - M. Schaufel
- III. Physikalisches Institut, RWTH Aachen University, 52056 Aachen, Germany
| | - P. Schlunder
- Department of Physics, TU Dortmund University, 44221 Dortmund, Germany
| | - T. Schmidt
- Department of Physics, University of Maryland, College Park, MD 20742 USA
| | - A. Schneider
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, WI 53706 USA
| | - S. Schoenen
- III. Physikalisches Institut, RWTH Aachen University, 52056 Aachen, Germany
| | - S. Schöneberg
- Fakultät für Physik und Astronomie, Ruhr-Universität Bochum, 44780 Bochum, Germany
| | - L. Schumacher
- III. Physikalisches Institut, RWTH Aachen University, 52056 Aachen, Germany
| | - S. Sclafani
- Department of Physics, Drexel University, 3141 Chestnut Street, Philadelphia, PA 19104 USA
| | - D. Seckel
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| | - J. Soedingrekso
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- Department of Physics and Astronomy, Bartol Research Institute, University of Delaware, Newark, DE 19716 USA
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- Department of Physics, University of Wisconsin, River Falls, WI 54022 USA
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| | - T. Stanev
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- Institute of Physics, University of Mainz, Staudinger Weg 7, 55099 Mainz, Germany
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- Lawrence Berkeley National Laboratory, Berkeley, CA 94720 USA
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- Lawrence Berkeley National Laboratory, Berkeley, CA 94720 USA
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- Department of Physics and Institute for Global Prominent Research, Chiba University, Chiba, 263-8522 Japan
| | | | - T. Stuttard
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- Department of Physics, University of Maryland, College Park, MD 20742 USA
| | - M. Sutherland
- Department of Physics and Center for Cosmology and Astro-Particle Physics, Ohio State University, Columbus, OH 43210 USA
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- Department of Physics, University of California, Berkeley, CA 94720 USA
- Lawrence Berkeley National Laboratory, Berkeley, CA 94720 USA
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- Fakultät für Physik und Astronomie, Ruhr-Universität Bochum, 44780 Bochum, Germany
| | - S. Ter-Antonyan
- Department of Physics, Southern University, Baton Rouge, LA 70813 USA
| | | | - S. Tilav
- Department of Physics and Astronomy, Bartol Research Institute, University of Delaware, Newark, DE 19716 USA
| | - P. A. Toale
- Department of Physics and Astronomy, University of Alabama, Tuscaloosa, AL 35487 USA
| | - M. N. Tobin
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, WI 53706 USA
| | - C. Tönnis
- Department of Physics, Sungkyunkwan University, Suwon, 440-746 Korea
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- Dienst ELEM, Vrije Universiteit Brussel (VUB), 1050 Brussels, Belgium
| | - D. Tosi
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, WI 53706 USA
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- Erlangen Centre for Astroparticle Physics, Friedrich-Alexander-Universität Erlangen-Nürnberg, 91058 Erlangen, Germany
| | - C. F. Tung
- School of Physics and Center for Relativistic Astrophysics, Georgia Institute of Technology, Atlanta, GA 30332 USA
| | - A. Turcati
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| | - C. F. Turley
- Department of Physics, Pennsylvania State University, University Park, PA 16802 USA
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- Department of Physics and Astronomy, University of Gent, 9000 Ghent, Belgium
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- Department of Physics, Oskar Klein Centre, Stockholm University, 10691 Stockholm, Sweden
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- III. Physikalisches Institut, RWTH Aachen University, 52056 Aachen, Germany
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- Department of Physics, University of Alberta, Edmonton, AB T6G 2E1 Canada
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- Department of Physics, University of Alberta, Edmonton, AB T6G 2E1 Canada
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| | - K. Wiebe
- Institute of Physics, University of Mainz, Staudinger Weg 7, 55099 Mainz, Germany
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| | - L. Wille
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| | - G. Yodh
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| | - T. Yuan
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, WI 53706 USA
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Niraula A, Thapa S, Kunwar S, Lamsal M, Baral N, Maskey R. Adenosine deaminase activity in type 2 diabetes mellitus: does it have any role? BMC Endocr Disord 2018; 18:58. [PMID: 30126383 PMCID: PMC6102918 DOI: 10.1186/s12902-018-0284-9] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/13/2017] [Accepted: 08/03/2018] [Indexed: 01/21/2023] Open
Abstract
BACKGROUND Diabetes mellitus is a group of metabolic disorders of carbohydrate metabolism in which glucose is underused, producing hyperglycemia. Diabetic patients are prone to opportunistic infection, thus serum ADA levels in these patients is very important as a screening test for Tuberculosis and autoimmune diseases. Thus, the present study was conducted to estimate the Serum ADA activity, glycated Haemoglobin (HbA1c), fasting and postprandial glucose level in patients with T2DM and to correlate the serum level of ADA with glycated Hemoglobin (HbA1c), fasting and postprandial glucose level in T2DM. METHODS This is a Hospital based cross-sectional study done in BPKIHs, Dharan, Nepal. 204 diagnosed patients (102 males and 102 females) with T2DM and 102 healthy controls were enrolled in the study. Diabetic patients were categorized into Uncontrolled and Controlled Diabetes on the basis of HbA1C; HbA1c > 7% = Uncontrolled Diabetes, HbA1c < 7% = Controlled Diabetes. RESULTS Serum ADA levels (U/L) was significantly raised in Uncontrolled Diabetic patients (49.24 ± 16.89) compared to controlled population (35.74 ± 16.78) and healthy controls (10.55 ± 2.20), p value < 0.001. A significant positive correlation was obtained between Serum ADA and HbA1c, Fasting Plasma Glucose and Post-prandial Glucose respectively. CONCLUSION There is a significant increase in Serum ADA activity in DM with increase in HbA1c levels which may play an important role in predicting the glycemic and immunological status in these patients.
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Affiliation(s)
- A. Niraula
- Department of Biochemistry, B.P. Koirala Institute of Health Sciences, Dharan, Nepal
| | - S. Thapa
- Department of Biochemistry, Kathmandu University School of Medical Sciences, Kavre, Dhulikhel, Nepal
| | - S. Kunwar
- Department of Biochemistry, Modern Technical Institute, Satdobato, Lalitpur, Nepal
| | - M. Lamsal
- Department of Biochemistry, B.P. Koirala Institute of Health Sciences, Dharan, Nepal
| | - N. Baral
- Department of Biochemistry, B.P. Koirala Institute of Health Sciences, Dharan, Nepal
| | - R. Maskey
- Department of Internal Medicine, B.P. Koirala Institute of Health Sciences, Dharan, Nepal
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Rick J, Jahangiri A, Flanigan P, Chandra A, Kunwar S, Blevins L, Aghi M. Mammosomatotroph Pituitary Adenomas: Incidence, Clinical Features, and Treatment Outcomes. Skull Base Surg 2018. [DOI: 10.1055/s-0038-1633577] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Affiliation(s)
- Jonathan Rick
- University of California, San Francisco, San Francisco, California, United States
| | - Arman Jahangiri
- University of California, San Francisco, San Francisco, California, United States
| | - Patrick Flanigan
- University of California, San Francisco, San Francisco, California, United States
| | - Ankush Chandra
- University of California, San Francisco, San Francisco, California, United States
| | - Sandeep Kunwar
- University of California, San Francisco, San Francisco, California, United States
| | - Lewis Blevins
- University of California, San Francisco, San Francisco, California, United States
| | - Manish Aghi
- University of California, San Francisco, San Francisco, California, United States
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Rutkowski M, Kunwar S, Blevins L, Aghi M. The Association of Postoperative Prolactin Serum Concentration with Recurrence of Prolactinoma. Skull Base Surg 2018. [DOI: 10.1055/s-0038-1633553] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Affiliation(s)
- Martin Rutkowski
- University of California, San Francisco, San Francisco, California, United States
| | - Sandeep Kunwar
- University of California, San Francisco, San Francisco, California, United States
| | - Lewis Blevins
- University of California, San Francisco, San Francisco, California, United States
| | - Manish Aghi
- University of California, San Francisco, San Francisco, California, United States
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Aartsen MG, Ackermann M, Adams J, Aguilar JA, Ahlers M, Ahrens M, Al Samarai I, Altmann D, Andeen K, Anderson T, Ansseau I, Anton G, Archinger M, Argüelles C, Auffenberg J, Axani S, Bagherpour H, Bai X, Barwick SW, Baum V, Bay R, Beatty JJ, Becker Tjus J, Becker KH, BenZvi S, Berley D, Bernardini E, Besson DZ, Binder G, Bindig D, Blaufuss E, Blot S, Bohm C, Börner M, Bos F, Bose D, Böser S, Botner O, Bradascio F, Braun J, Brayeur L, Bretz HP, Bron S, Burgman A, Carver T, Casier M, Cheung E, Chirkin D, Christov A, Clark K, Classen L, Coenders S, Collin GH, Conrad JM, Cowen DF, Cross R, Day M, de André JPAM, De Clercq C, del Pino Rosendo E, Dembinski H, De Ridder S, Desiati P, de Vries KD, de Wasseige G, de With M, DeYoung T, Díaz-Vélez JC, di Lorenzo V, Dujmovic H, Dumm JP, Dunkman M, Eberhardt B, Ehrhardt T, Eichmann B, Eller P, Euler S, Evenson PA, Fahey S, Fazely AR, Feintzeig J, Felde J, Filimonov K, Finley C, Flis S, Fösig CC, Franckowiak A, Friedman E, Fuchs T, Gaisser TK, Gallagher J, Gerhardt L, Ghorbani K, Giang W, Gladstone L, Glauch T, Glüsenkamp T, Goldschmidt A, Gonzalez JG, Grant D, Griffith Z, Haack C, Hallgren A, Halzen F, Hansen E, Hansmann T, Hanson K, Hebecker D, Heereman D, Helbing K, Hellauer R, Hickford S, Hignight J, Hill GC, Hoffman KD, Hoffmann R, Hoshina K, Huang F, Huber M, Hultqvist K, In S, Ishihara A, Jacobi E, Japaridze GS, Jeong M, Jero K, Jones BJP, Kang W, Kappes A, Karg T, Karle A, Katz U, Kauer M, Keivani A, Kelley JL, Kheirandish A, Kim J, Kim M, Kintscher T, Kiryluk J, Kittler T, Klein SR, Kohnen G, Koirala R, Kolanoski H, Konietz R, Köpke L, Kopper C, Kopper S, Koskinen DJ, Kowalski M, Krings K, Kroll M, Krückl G, Krüger C, Kunnen J, Kunwar S, Kurahashi N, Kuwabara T, Kyriacou A, Labare M, Lanfranchi JL, Larson MJ, Lauber F, Lennarz D, Lesiak-Bzdak M, Leuermann M, Lu L, Lünemann J, Madsen J, Maggi G, Mahn KBM, Mancina S, Maruyama R, Mase K, Maunu R, McNally F, Meagher K, Medici M, Meier M, Menne T, Merino G, Meures T, Miarecki S, Micallef J, Momenté G, Montaruli T, Moulai M, Nahnhauer R, Naumann U, Neer G, Niederhausen H, Nowicki SC, Nygren DR, Obertacke Pollmann A, Olivas A, O’Murchadha A, Palczewski T, Pandya H, Pankova DV, Peiffer P, Penek Ö, Pepper JA, Pérez de los Heros C, Pieloth D, Pinat E, Price PB, Przybylski GT, Quinnan M, Raab C, Rädel L, Rameez M, Rawlins K, Reimann R, Relethford B, Relich M, Resconi E, Rhode W, Richman M, Riedel B, Robertson S, Rongen M, Rott C, Ruhe T, Ryckbosch D, Rysewyk D, Sabbatini L, Sanchez Herrera SE, Sandrock A, Sandroos J, Sarkar S, Satalecka K, Schlunder P, Schmidt T, Schoenen S, Schöneberg S, Schumacher L, Seckel D, Seunarine S, Soldin D, Song M, Spiczak GM, Spiering C, Stachurska J, Stanev T, Stasik A, Stettner J, Steuer A, Stezelberger T, Stokstad RG, Stößl A, Ström R, Strotjohann NL, Sullivan GW, Sutherland M, Taavola H, Taboada I, Tatar J, Tenholt F, Ter-Antonyan S, Terliuk A, Tešić G, Tilav S, Toale PA, Tobin MN, Toscano S, Tosi D, Tselengidou M, Tung CF, Turcati A, Unger E, Usner M, Vandenbroucke J, van Eijndhoven N, Vanheule S, van Rossem M, van Santen J, Vehring M, Voge M, Vogel E, Vraeghe M, Walck C, Wallace A, Wallraff M, Wandkowsky N, Waza A, Weaver C, Weiss MJ, Wendt C, Westerhoff S, Whelan BJ, Wickmann S, Wiebe K, Wiebusch CH, Wille L, Williams DR, Wills L, Wolf M, Wood TR, Woolsey E, Woschnagg K, Xu DL, Xu XW, Xu Y, Yanez JP, Yodh G, Yoshida S, Zoll M. Measurement of the ν μ energy spectrum with IceCube-79: IceCube Collaboration. Eur Phys J C Part Fields 2017; 77:692. [PMID: 31997925 PMCID: PMC6956919 DOI: 10.1140/epjc/s10052-017-5261-3] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/16/2017] [Accepted: 09/25/2017] [Indexed: 06/09/2023]
Abstract
IceCube is a neutrino observatory deployed in the glacial ice at the geographic South Pole. The ν μ energy unfolding described in this paper is based on data taken with IceCube in its 79-string configuration. A sample of muon neutrino charged-current interactions with a purity of 99.5% was selected by means of a multivariate classification process based on machine learning. The subsequent unfolding was performed using the software Truee. The resulting spectrum covers an E ν -range of more than four orders of magnitude from 125 GeV to 3.2 PeV. Compared to the Honda atmospheric neutrino flux model, the energy spectrum shows an excess of more than 1.9 σ in four adjacent bins for neutrino energies E ν ≥ 177.8 TeV . The obtained spectrum is fully compatible with previous measurements of the atmospheric neutrino flux and recent IceCube measurements of a flux of high-energy astrophysical neutrinos.
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Affiliation(s)
- M. G. Aartsen
- Department of Physics, University of Adelaide, Adelaide, 5005 Australia
| | | | - J. Adams
- Department of Physics and Astronomy, University of Canterbury, Private Bag 4800, Christchurch, New Zealand
| | - J. A. Aguilar
- Science Faculty CP230, Université Libre de Bruxelles, 1050 Brussels, Belgium
| | - M. Ahlers
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, WI 53706 USA
| | - M. Ahrens
- Department of Physics, Oskar Klein Centre, Stockholm University, 10691 Stockholm, Sweden
| | - I. Al Samarai
- Département de physique nucléaire et corpusculaire, Université de Genève, 1211 Geneva, Switzerland
| | - D. Altmann
- Erlangen Centre for Astroparticle Physics, Friedrich-Alexander-Universität Erlangen-Nürnberg, 91058 Erlangen, Germany
| | - K. Andeen
- Department of Physics, Marquette University, Milwaukee, WI 53201 USA
| | - T. Anderson
- Department of Physics, Pennsylvania State University, University Park, PA 16802 USA
| | - I. Ansseau
- Science Faculty CP230, Université Libre de Bruxelles, 1050 Brussels, Belgium
| | - G. Anton
- Erlangen Centre for Astroparticle Physics, Friedrich-Alexander-Universität Erlangen-Nürnberg, 91058 Erlangen, Germany
| | - M. Archinger
- Institute of Physics, University of Mainz, Staudinger Weg 7, 55099 Mainz, Germany
| | - C. Argüelles
- Department of Physics, Massachusetts Institute of Technology, Cambridge, MA 02139 USA
| | - J. Auffenberg
- III. Physikalisches Institut, RWTH Aachen University, 52056 Aachen, Germany
| | - S. Axani
- Department of Physics, Massachusetts Institute of Technology, Cambridge, MA 02139 USA
| | - H. Bagherpour
- Department of Physics and Astronomy, University of Canterbury, Private Bag 4800, Christchurch, New Zealand
| | - X. Bai
- Physics Department, South Dakota School of Mines and Technology, Rapid City, SD 57701 USA
| | - S. W. Barwick
- Department of Physics and Astronomy, University of California, Irvine, CA 92697 USA
| | - V. Baum
- Institute of Physics, University of Mainz, Staudinger Weg 7, 55099 Mainz, Germany
| | - R. Bay
- Department of Physics, University of California, Berkeley, CA 94720 USA
| | - J. J. Beatty
- Department of Physics and Center for Cosmology and Astro-Particle Physics, Ohio State University, Columbus, OH 43210 USA
- Department of Astronomy, Ohio State University, Columbus, OH 43210 USA
| | - J. Becker Tjus
- Fakultät für Physik and Astronomie, Ruhr-Universität Bochum, 44780 Bochum, Germany
| | - K.-H. Becker
- Department of Physics, University of Wuppertal, 42119 Wuppertal, Germany
| | - S. BenZvi
- Department of Physics and Astronomy, University of Rochester, Rochester, NY 14627 USA
| | - D. Berley
- Department of Physics, University of Maryland, College Park, MD 20742 USA
| | | | - D. Z. Besson
- Department of Physics and Astronomy, University of Kansas, Lawrence, KS 66045 USA
| | - G. Binder
- Department of Physics, University of California, Berkeley, CA 94720 USA
- Lawrence Berkeley National Laboratory, Berkeley, CA 94720 USA
| | - D. Bindig
- Department of Physics, University of Wuppertal, 42119 Wuppertal, Germany
| | - E. Blaufuss
- Department of Physics, University of Maryland, College Park, MD 20742 USA
| | - S. Blot
- DESY, 15735 Zeuthen, Germany
| | - C. Bohm
- Department of Physics, Oskar Klein Centre, Stockholm University, 10691 Stockholm, Sweden
| | - M. Börner
- Department of Physics, TU Dortmund University, 44221 Dortmund, Germany
| | - F. Bos
- Fakultät für Physik and Astronomie, Ruhr-Universität Bochum, 44780 Bochum, Germany
| | - D. Bose
- Department of Physics, Sungkyunkwan University, Suwon, 440-746 Korea
| | - S. Böser
- Institute of Physics, University of Mainz, Staudinger Weg 7, 55099 Mainz, Germany
| | - O. Botner
- Department of Physics and Astronomy, Uppsala University, Box 516, 75120 Uppsala, Sweden
| | | | - J. Braun
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, WI 53706 USA
| | - L. Brayeur
- Dienst ELEM, Vrije Universiteit Brussel (VUB), 1050 Brussels, Belgium
| | | | - S. Bron
- Département de physique nucléaire et corpusculaire, Université de Genève, 1211 Geneva, Switzerland
| | - A. Burgman
- Department of Physics and Astronomy, Uppsala University, Box 516, 75120 Uppsala, Sweden
| | - T. Carver
- Département de physique nucléaire et corpusculaire, Université de Genève, 1211 Geneva, Switzerland
| | - M. Casier
- Dienst ELEM, Vrije Universiteit Brussel (VUB), 1050 Brussels, Belgium
| | - E. Cheung
- Department of Physics, University of Maryland, College Park, MD 20742 USA
| | - D. Chirkin
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, WI 53706 USA
| | - A. Christov
- Département de physique nucléaire et corpusculaire, Université de Genève, 1211 Geneva, Switzerland
| | - K. Clark
- Department of Physics, University of Toronto, Toronto, ON M5S 1A7 Canada
| | - L. Classen
- Institut für Kernphysik, Westfälische Wilhelms-Universität Münster, 48149 Münster, Germany
| | - S. Coenders
- Physik-Department, Technische Universität München, 85748 Garching, Germany
| | - G. H. Collin
- Department of Physics, Massachusetts Institute of Technology, Cambridge, MA 02139 USA
| | - J. M. Conrad
- Department of Physics, Massachusetts Institute of Technology, Cambridge, MA 02139 USA
| | - D. F. Cowen
- Department of Astronomy and Astrophysics, Pennsylvania State University, University Park, PA 16802 USA
- Department of Physics, Pennsylvania State University, University Park, PA 16802 USA
| | - R. Cross
- Department of Physics and Astronomy, University of Rochester, Rochester, NY 14627 USA
| | - M. Day
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, WI 53706 USA
| | - J. P. A. M. de André
- Department of Physics and Astronomy, Michigan State University, East Lansing, MI 48824 USA
| | - C. De Clercq
- Dienst ELEM, Vrije Universiteit Brussel (VUB), 1050 Brussels, Belgium
| | - E. del Pino Rosendo
- Institute of Physics, University of Mainz, Staudinger Weg 7, 55099 Mainz, Germany
| | - H. Dembinski
- Department of Physics and Astronomy, Bartol Research Institute, University of Delaware, Newark, DE 19716 USA
| | - S. De Ridder
- Department of Physics and Astronomy, University of Gent, 9000 Ghent, Belgium
| | - P. Desiati
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, WI 53706 USA
| | - K. D. de Vries
- Dienst ELEM, Vrije Universiteit Brussel (VUB), 1050 Brussels, Belgium
| | - G. de Wasseige
- Dienst ELEM, Vrije Universiteit Brussel (VUB), 1050 Brussels, Belgium
| | - M. de With
- Institut für Physik, Humboldt-Universität zu Berlin, 12489 Berlin, Germany
| | - T. DeYoung
- Department of Physics and Astronomy, Michigan State University, East Lansing, MI 48824 USA
| | - J. C. Díaz-Vélez
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, WI 53706 USA
| | - V. di Lorenzo
- Institute of Physics, University of Mainz, Staudinger Weg 7, 55099 Mainz, Germany
| | - H. Dujmovic
- Department of Physics, Sungkyunkwan University, Suwon, 440-746 Korea
| | - J. P. Dumm
- Department of Physics, Oskar Klein Centre, Stockholm University, 10691 Stockholm, Sweden
| | - M. Dunkman
- Department of Physics, Pennsylvania State University, University Park, PA 16802 USA
| | - B. Eberhardt
- Institute of Physics, University of Mainz, Staudinger Weg 7, 55099 Mainz, Germany
| | - T. Ehrhardt
- Institute of Physics, University of Mainz, Staudinger Weg 7, 55099 Mainz, Germany
| | - B. Eichmann
- Fakultät für Physik and Astronomie, Ruhr-Universität Bochum, 44780 Bochum, Germany
| | - P. Eller
- Department of Physics, Pennsylvania State University, University Park, PA 16802 USA
| | - S. Euler
- Department of Physics and Astronomy, Uppsala University, Box 516, 75120 Uppsala, Sweden
| | - P. A. Evenson
- Department of Physics and Astronomy, Bartol Research Institute, University of Delaware, Newark, DE 19716 USA
| | - S. Fahey
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, WI 53706 USA
| | - A. R. Fazely
- Department of Physics, Southern University, Baton Rouge, LA 70813 USA
| | - J. Feintzeig
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, WI 53706 USA
| | - J. Felde
- Department of Physics, University of Maryland, College Park, MD 20742 USA
| | - K. Filimonov
- Department of Physics, University of California, Berkeley, CA 94720 USA
| | - C. Finley
- Department of Physics, Oskar Klein Centre, Stockholm University, 10691 Stockholm, Sweden
| | - S. Flis
- Department of Physics, Oskar Klein Centre, Stockholm University, 10691 Stockholm, Sweden
| | - C.-C. Fösig
- Institute of Physics, University of Mainz, Staudinger Weg 7, 55099 Mainz, Germany
| | | | - E. Friedman
- Department of Physics, University of Maryland, College Park, MD 20742 USA
| | - T. Fuchs
- Department of Physics, TU Dortmund University, 44221 Dortmund, Germany
| | - T. K. Gaisser
- Department of Physics and Astronomy, Bartol Research Institute, University of Delaware, Newark, DE 19716 USA
| | - J. Gallagher
- Department of Astronomy, University of Wisconsin, Madison, WI 53706 USA
| | - L. Gerhardt
- Department of Physics, University of California, Berkeley, CA 94720 USA
- Lawrence Berkeley National Laboratory, Berkeley, CA 94720 USA
| | - K. Ghorbani
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, WI 53706 USA
| | - W. Giang
- Department of Physics, University of Alberta, Edmonton, AB T6G 2E1 Canada
| | - L. Gladstone
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, WI 53706 USA
| | - T. Glauch
- III. Physikalisches Institut, RWTH Aachen University, 52056 Aachen, Germany
| | - T. Glüsenkamp
- Erlangen Centre for Astroparticle Physics, Friedrich-Alexander-Universität Erlangen-Nürnberg, 91058 Erlangen, Germany
| | - A. Goldschmidt
- Lawrence Berkeley National Laboratory, Berkeley, CA 94720 USA
| | - J. G. Gonzalez
- Department of Physics and Astronomy, Bartol Research Institute, University of Delaware, Newark, DE 19716 USA
| | - D. Grant
- Department of Physics, University of Alberta, Edmonton, AB T6G 2E1 Canada
| | - Z. Griffith
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, WI 53706 USA
| | - C. Haack
- III. Physikalisches Institut, RWTH Aachen University, 52056 Aachen, Germany
| | - A. Hallgren
- Department of Physics and Astronomy, Uppsala University, Box 516, 75120 Uppsala, Sweden
| | - F. Halzen
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, WI 53706 USA
| | - E. Hansen
- Niels Bohr Institute, University of Copenhagen, 2100 Copenhagen, Denmark
| | - T. Hansmann
- III. Physikalisches Institut, RWTH Aachen University, 52056 Aachen, Germany
| | - K. Hanson
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, WI 53706 USA
| | - D. Hebecker
- Institut für Physik, Humboldt-Universität zu Berlin, 12489 Berlin, Germany
| | - D. Heereman
- Science Faculty CP230, Université Libre de Bruxelles, 1050 Brussels, Belgium
| | - K. Helbing
- Department of Physics, University of Wuppertal, 42119 Wuppertal, Germany
| | - R. Hellauer
- Department of Physics, University of Maryland, College Park, MD 20742 USA
| | - S. Hickford
- Department of Physics, University of Wuppertal, 42119 Wuppertal, Germany
| | - J. Hignight
- Department of Physics and Astronomy, Michigan State University, East Lansing, MI 48824 USA
| | - G. C. Hill
- Department of Physics, University of Adelaide, Adelaide, 5005 Australia
| | - K. D. Hoffman
- Department of Physics, University of Maryland, College Park, MD 20742 USA
| | - R. Hoffmann
- Department of Physics, University of Wuppertal, 42119 Wuppertal, Germany
| | - K. Hoshina
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, WI 53706 USA
| | - F. Huang
- Department of Physics, Pennsylvania State University, University Park, PA 16802 USA
| | - M. Huber
- Physik-Department, Technische Universität München, 85748 Garching, Germany
| | - K. Hultqvist
- Department of Physics, Oskar Klein Centre, Stockholm University, 10691 Stockholm, Sweden
| | - S. In
- Department of Physics, Sungkyunkwan University, Suwon, 440-746 Korea
| | - A. Ishihara
- Department of Physics and Institute for Global Prominent Research, Chiba University, Chiba, 263-8522 Japan
| | | | | | - M. Jeong
- Department of Physics, Sungkyunkwan University, Suwon, 440-746 Korea
| | - K. Jero
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, WI 53706 USA
| | - B. J. P. Jones
- Department of Physics, Massachusetts Institute of Technology, Cambridge, MA 02139 USA
| | - W. Kang
- Department of Physics, Sungkyunkwan University, Suwon, 440-746 Korea
| | - A. Kappes
- Institut für Kernphysik, Westfälische Wilhelms-Universität Münster, 48149 Münster, Germany
| | - T. Karg
- DESY, 15735 Zeuthen, Germany
| | - A. Karle
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, WI 53706 USA
| | - U. Katz
- Erlangen Centre for Astroparticle Physics, Friedrich-Alexander-Universität Erlangen-Nürnberg, 91058 Erlangen, Germany
| | - M. Kauer
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, WI 53706 USA
| | - A. Keivani
- Department of Physics, Pennsylvania State University, University Park, PA 16802 USA
| | - J. L. Kelley
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, WI 53706 USA
| | - A. Kheirandish
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, WI 53706 USA
| | - J. Kim
- Department of Physics, Sungkyunkwan University, Suwon, 440-746 Korea
| | - M. Kim
- Department of Physics, Sungkyunkwan University, Suwon, 440-746 Korea
| | | | - J. Kiryluk
- Department of Physics and Astronomy, Stony Brook University, Stony Brook, NY 11794-3800 USA
| | - T. Kittler
- Erlangen Centre for Astroparticle Physics, Friedrich-Alexander-Universität Erlangen-Nürnberg, 91058 Erlangen, Germany
| | - S. R. Klein
- Department of Physics, University of California, Berkeley, CA 94720 USA
- Lawrence Berkeley National Laboratory, Berkeley, CA 94720 USA
| | - G. Kohnen
- Université de Mons, 7000 Mons, Belgium
| | - R. Koirala
- Department of Physics and Astronomy, Bartol Research Institute, University of Delaware, Newark, DE 19716 USA
| | - H. Kolanoski
- Institut für Physik, Humboldt-Universität zu Berlin, 12489 Berlin, Germany
| | - R. Konietz
- III. Physikalisches Institut, RWTH Aachen University, 52056 Aachen, Germany
| | - L. Köpke
- Institute of Physics, University of Mainz, Staudinger Weg 7, 55099 Mainz, Germany
| | - C. Kopper
- Department of Physics, University of Alberta, Edmonton, AB T6G 2E1 Canada
| | - S. Kopper
- Department of Physics, University of Wuppertal, 42119 Wuppertal, Germany
| | - D. J. Koskinen
- Niels Bohr Institute, University of Copenhagen, 2100 Copenhagen, Denmark
| | - M. Kowalski
- Institut für Physik, Humboldt-Universität zu Berlin, 12489 Berlin, Germany
- DESY, 15735 Zeuthen, Germany
| | - K. Krings
- Physik-Department, Technische Universität München, 85748 Garching, Germany
| | - M. Kroll
- Fakultät für Physik and Astronomie, Ruhr-Universität Bochum, 44780 Bochum, Germany
| | - G. Krückl
- Institute of Physics, University of Mainz, Staudinger Weg 7, 55099 Mainz, Germany
| | - C. Krüger
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, WI 53706 USA
| | - J. Kunnen
- Dienst ELEM, Vrije Universiteit Brussel (VUB), 1050 Brussels, Belgium
| | | | - N. Kurahashi
- Department of Physics, Drexel University, 3141 Chestnut Street, Philadelphia, PA 19104 USA
| | - T. Kuwabara
- Department of Physics and Institute for Global Prominent Research, Chiba University, Chiba, 263-8522 Japan
| | - A. Kyriacou
- Department of Physics, University of Adelaide, Adelaide, 5005 Australia
| | - M. Labare
- Department of Physics and Astronomy, University of Gent, 9000 Ghent, Belgium
| | - J. L. Lanfranchi
- Department of Physics, Pennsylvania State University, University Park, PA 16802 USA
| | - M. J. Larson
- Niels Bohr Institute, University of Copenhagen, 2100 Copenhagen, Denmark
| | - F. Lauber
- Department of Physics, University of Wuppertal, 42119 Wuppertal, Germany
| | - D. Lennarz
- Department of Physics and Astronomy, Michigan State University, East Lansing, MI 48824 USA
| | - M. Lesiak-Bzdak
- Department of Physics and Astronomy, Stony Brook University, Stony Brook, NY 11794-3800 USA
| | - M. Leuermann
- III. Physikalisches Institut, RWTH Aachen University, 52056 Aachen, Germany
| | - L. Lu
- Department of Physics and Institute for Global Prominent Research, Chiba University, Chiba, 263-8522 Japan
| | - J. Lünemann
- Dienst ELEM, Vrije Universiteit Brussel (VUB), 1050 Brussels, Belgium
| | - J. Madsen
- Department of Physics, University of Wisconsin, River Falls, WI 54022 USA
| | - G. Maggi
- Dienst ELEM, Vrije Universiteit Brussel (VUB), 1050 Brussels, Belgium
| | - K. B. M. Mahn
- Department of Physics and Astronomy, Michigan State University, East Lansing, MI 48824 USA
| | - S. Mancina
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, WI 53706 USA
| | - R. Maruyama
- Department of Physics, Yale University, New Haven, CT 06520 USA
| | - K. Mase
- Department of Physics and Institute for Global Prominent Research, Chiba University, Chiba, 263-8522 Japan
| | - R. Maunu
- Department of Physics, University of Maryland, College Park, MD 20742 USA
| | - F. McNally
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, WI 53706 USA
| | - K. Meagher
- Science Faculty CP230, Université Libre de Bruxelles, 1050 Brussels, Belgium
| | - M. Medici
- Niels Bohr Institute, University of Copenhagen, 2100 Copenhagen, Denmark
| | - M. Meier
- Department of Physics, TU Dortmund University, 44221 Dortmund, Germany
| | - T. Menne
- Department of Physics, TU Dortmund University, 44221 Dortmund, Germany
| | - G. Merino
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, WI 53706 USA
| | - T. Meures
- Science Faculty CP230, Université Libre de Bruxelles, 1050 Brussels, Belgium
| | - S. Miarecki
- Department of Physics, University of California, Berkeley, CA 94720 USA
- Lawrence Berkeley National Laboratory, Berkeley, CA 94720 USA
| | - J. Micallef
- Department of Physics and Astronomy, Michigan State University, East Lansing, MI 48824 USA
| | - G. Momenté
- Institute of Physics, University of Mainz, Staudinger Weg 7, 55099 Mainz, Germany
| | - T. Montaruli
- Département de physique nucléaire et corpusculaire, Université de Genève, 1211 Geneva, Switzerland
| | - M. Moulai
- Department of Physics, Massachusetts Institute of Technology, Cambridge, MA 02139 USA
| | | | - U. Naumann
- Department of Physics, University of Wuppertal, 42119 Wuppertal, Germany
| | - G. Neer
- Department of Physics and Astronomy, Michigan State University, East Lansing, MI 48824 USA
| | - H. Niederhausen
- Department of Physics and Astronomy, Stony Brook University, Stony Brook, NY 11794-3800 USA
| | - S. C. Nowicki
- Department of Physics, University of Alberta, Edmonton, AB T6G 2E1 Canada
| | - D. R. Nygren
- Lawrence Berkeley National Laboratory, Berkeley, CA 94720 USA
| | | | - A. Olivas
- Department of Physics, University of Maryland, College Park, MD 20742 USA
| | - A. O’Murchadha
- Science Faculty CP230, Université Libre de Bruxelles, 1050 Brussels, Belgium
| | - T. Palczewski
- Department of Physics, University of California, Berkeley, CA 94720 USA
- Lawrence Berkeley National Laboratory, Berkeley, CA 94720 USA
| | - H. Pandya
- Department of Physics and Astronomy, Bartol Research Institute, University of Delaware, Newark, DE 19716 USA
| | - D. V. Pankova
- Department of Physics, Pennsylvania State University, University Park, PA 16802 USA
| | - P. Peiffer
- Institute of Physics, University of Mainz, Staudinger Weg 7, 55099 Mainz, Germany
| | - Ö. Penek
- III. Physikalisches Institut, RWTH Aachen University, 52056 Aachen, Germany
| | - J. A. Pepper
- Department of Physics and Astronomy, University of Alabama, Tuscaloosa, AL 35487 USA
| | - C. Pérez de los Heros
- Department of Physics and Astronomy, Uppsala University, Box 516, 75120 Uppsala, Sweden
| | - D. Pieloth
- Department of Physics, TU Dortmund University, 44221 Dortmund, Germany
| | - E. Pinat
- Science Faculty CP230, Université Libre de Bruxelles, 1050 Brussels, Belgium
| | - P. B. Price
- Department of Physics, University of California, Berkeley, CA 94720 USA
| | | | - M. Quinnan
- Department of Physics, Pennsylvania State University, University Park, PA 16802 USA
| | - C. Raab
- Science Faculty CP230, Université Libre de Bruxelles, 1050 Brussels, Belgium
| | - L. Rädel
- III. Physikalisches Institut, RWTH Aachen University, 52056 Aachen, Germany
| | - M. Rameez
- Niels Bohr Institute, University of Copenhagen, 2100 Copenhagen, Denmark
| | - K. Rawlins
- Department of Physics and Astronomy, University of Alaska Anchorage, 3211 Providence Dr., Anchorage, AK 99508 USA
| | - R. Reimann
- III. Physikalisches Institut, RWTH Aachen University, 52056 Aachen, Germany
| | - B. Relethford
- Department of Physics, Drexel University, 3141 Chestnut Street, Philadelphia, PA 19104 USA
| | - M. Relich
- Department of Physics and Institute for Global Prominent Research, Chiba University, Chiba, 263-8522 Japan
| | - E. Resconi
- Physik-Department, Technische Universität München, 85748 Garching, Germany
| | - W. Rhode
- Department of Physics, TU Dortmund University, 44221 Dortmund, Germany
| | - M. Richman
- Department of Physics, Drexel University, 3141 Chestnut Street, Philadelphia, PA 19104 USA
| | - B. Riedel
- Department of Physics, University of Alberta, Edmonton, AB T6G 2E1 Canada
| | - S. Robertson
- Department of Physics, University of Adelaide, Adelaide, 5005 Australia
| | - M. Rongen
- III. Physikalisches Institut, RWTH Aachen University, 52056 Aachen, Germany
| | - C. Rott
- Department of Physics, Sungkyunkwan University, Suwon, 440-746 Korea
| | - T. Ruhe
- Department of Physics, TU Dortmund University, 44221 Dortmund, Germany
| | - D. Ryckbosch
- Department of Physics and Astronomy, University of Gent, 9000 Ghent, Belgium
| | - D. Rysewyk
- Department of Physics and Astronomy, Michigan State University, East Lansing, MI 48824 USA
| | - L. Sabbatini
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, WI 53706 USA
| | | | - A. Sandrock
- Department of Physics, TU Dortmund University, 44221 Dortmund, Germany
| | - J. Sandroos
- Institute of Physics, University of Mainz, Staudinger Weg 7, 55099 Mainz, Germany
| | - S. Sarkar
- Niels Bohr Institute, University of Copenhagen, 2100 Copenhagen, Denmark
- Department of Physics, University of Oxford, 1 Keble Road, Oxford, OX1 3NP UK
| | | | - P. Schlunder
- Department of Physics, TU Dortmund University, 44221 Dortmund, Germany
| | - T. Schmidt
- Department of Physics, University of Maryland, College Park, MD 20742 USA
| | - S. Schoenen
- III. Physikalisches Institut, RWTH Aachen University, 52056 Aachen, Germany
| | - S. Schöneberg
- Fakultät für Physik and Astronomie, Ruhr-Universität Bochum, 44780 Bochum, Germany
| | - L. Schumacher
- III. Physikalisches Institut, RWTH Aachen University, 52056 Aachen, Germany
| | - D. Seckel
- Department of Physics and Astronomy, Bartol Research Institute, University of Delaware, Newark, DE 19716 USA
| | - S. Seunarine
- Department of Physics, University of Wisconsin, River Falls, WI 54022 USA
| | - D. Soldin
- Department of Physics, University of Wuppertal, 42119 Wuppertal, Germany
| | - M. Song
- Department of Physics, University of Maryland, College Park, MD 20742 USA
| | - G. M. Spiczak
- Department of Physics, University of Wisconsin, River Falls, WI 54022 USA
| | | | | | - T. Stanev
- Department of Physics and Astronomy, Bartol Research Institute, University of Delaware, Newark, DE 19716 USA
| | | | - J. Stettner
- III. Physikalisches Institut, RWTH Aachen University, 52056 Aachen, Germany
| | - A. Steuer
- Institute of Physics, University of Mainz, Staudinger Weg 7, 55099 Mainz, Germany
| | - T. Stezelberger
- Lawrence Berkeley National Laboratory, Berkeley, CA 94720 USA
| | - R. G. Stokstad
- Lawrence Berkeley National Laboratory, Berkeley, CA 94720 USA
| | - A. Stößl
- Department of Physics and Institute for Global Prominent Research, Chiba University, Chiba, 263-8522 Japan
| | - R. Ström
- Department of Physics and Astronomy, Uppsala University, Box 516, 75120 Uppsala, Sweden
| | | | - G. W. Sullivan
- Department of Physics, University of Maryland, College Park, MD 20742 USA
| | - M. Sutherland
- Department of Physics and Center for Cosmology and Astro-Particle Physics, Ohio State University, Columbus, OH 43210 USA
| | - H. Taavola
- Department of Physics and Astronomy, Uppsala University, Box 516, 75120 Uppsala, Sweden
| | - I. Taboada
- School of Physics and Center for Relativistic Astrophysics, Georgia Institute of Technology, Atlanta, GA 30332 USA
| | - J. Tatar
- Department of Physics, University of California, Berkeley, CA 94720 USA
- Lawrence Berkeley National Laboratory, Berkeley, CA 94720 USA
| | - F. Tenholt
- Fakultät für Physik and Astronomie, Ruhr-Universität Bochum, 44780 Bochum, Germany
| | - S. Ter-Antonyan
- Department of Physics, Southern University, Baton Rouge, LA 70813 USA
| | | | - G. Tešić
- Department of Physics, Pennsylvania State University, University Park, PA 16802 USA
| | - S. Tilav
- Department of Physics and Astronomy, Bartol Research Institute, University of Delaware, Newark, DE 19716 USA
| | - P. A. Toale
- Department of Physics and Astronomy, University of Alabama, Tuscaloosa, AL 35487 USA
| | - M. N. Tobin
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, WI 53706 USA
| | - S. Toscano
- Dienst ELEM, Vrije Universiteit Brussel (VUB), 1050 Brussels, Belgium
| | - D. Tosi
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, WI 53706 USA
| | - M. Tselengidou
- Erlangen Centre for Astroparticle Physics, Friedrich-Alexander-Universität Erlangen-Nürnberg, 91058 Erlangen, Germany
| | - C. F. Tung
- School of Physics and Center for Relativistic Astrophysics, Georgia Institute of Technology, Atlanta, GA 30332 USA
| | - A. Turcati
- Physik-Department, Technische Universität München, 85748 Garching, Germany
| | - E. Unger
- Department of Physics and Astronomy, Uppsala University, Box 516, 75120 Uppsala, Sweden
| | | | - J. Vandenbroucke
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, WI 53706 USA
| | - N. van Eijndhoven
- Dienst ELEM, Vrije Universiteit Brussel (VUB), 1050 Brussels, Belgium
| | - S. Vanheule
- Department of Physics and Astronomy, University of Gent, 9000 Ghent, Belgium
| | - M. van Rossem
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, WI 53706 USA
| | | | - M. Vehring
- III. Physikalisches Institut, RWTH Aachen University, 52056 Aachen, Germany
| | - M. Voge
- Physikalisches Institut, Universität Bonn, Nussallee 12, 53115 Bonn, Germany
| | - E. Vogel
- III. Physikalisches Institut, RWTH Aachen University, 52056 Aachen, Germany
| | - M. Vraeghe
- Department of Physics and Astronomy, University of Gent, 9000 Ghent, Belgium
| | - C. Walck
- Department of Physics, Oskar Klein Centre, Stockholm University, 10691 Stockholm, Sweden
| | - A. Wallace
- Department of Physics, University of Adelaide, Adelaide, 5005 Australia
| | - M. Wallraff
- III. Physikalisches Institut, RWTH Aachen University, 52056 Aachen, Germany
| | - N. Wandkowsky
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, WI 53706 USA
| | - A. Waza
- III. Physikalisches Institut, RWTH Aachen University, 52056 Aachen, Germany
| | - Ch. Weaver
- Department of Physics, University of Alberta, Edmonton, AB T6G 2E1 Canada
| | - M. J. Weiss
- Department of Physics, Pennsylvania State University, University Park, PA 16802 USA
| | - C. Wendt
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, WI 53706 USA
| | - S. Westerhoff
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, WI 53706 USA
| | - B. J. Whelan
- Department of Physics, University of Adelaide, Adelaide, 5005 Australia
| | - S. Wickmann
- III. Physikalisches Institut, RWTH Aachen University, 52056 Aachen, Germany
| | - K. Wiebe
- Institute of Physics, University of Mainz, Staudinger Weg 7, 55099 Mainz, Germany
| | - C. H. Wiebusch
- III. Physikalisches Institut, RWTH Aachen University, 52056 Aachen, Germany
| | - L. Wille
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, WI 53706 USA
| | - D. R. Williams
- Department of Physics and Astronomy, University of Alabama, Tuscaloosa, AL 35487 USA
| | - L. Wills
- Department of Physics, Drexel University, 3141 Chestnut Street, Philadelphia, PA 19104 USA
| | - M. Wolf
- Department of Physics, Oskar Klein Centre, Stockholm University, 10691 Stockholm, Sweden
| | - T. R. Wood
- Department of Physics, University of Alberta, Edmonton, AB T6G 2E1 Canada
| | - E. Woolsey
- Department of Physics, University of Alberta, Edmonton, AB T6G 2E1 Canada
| | - K. Woschnagg
- Department of Physics, University of California, Berkeley, CA 94720 USA
| | - D. L. Xu
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, WI 53706 USA
| | - X. W. Xu
- Department of Physics, Southern University, Baton Rouge, LA 70813 USA
| | - Y. Xu
- Department of Physics and Astronomy, Stony Brook University, Stony Brook, NY 11794-3800 USA
| | - J. P. Yanez
- Department of Physics, University of Alberta, Edmonton, AB T6G 2E1 Canada
| | - G. Yodh
- Department of Physics and Astronomy, University of California, Irvine, CA 92697 USA
| | - S. Yoshida
- Department of Physics and Institute for Global Prominent Research, Chiba University, Chiba, 263-8522 Japan
| | - M. Zoll
- Department of Physics, Oskar Klein Centre, Stockholm University, 10691 Stockholm, Sweden
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Abstract
OBJECTIVE Pituitary apoplexy is a clinical syndrome consisting of neurological and endocrine abnormalities secondary to hemorrhage or ischemia of an underlying pituitary adenoma. The authors investigated whether there was a significant difference in neurological, endocrine, and nonneuroendocrine outcomes for patients with pituitary apoplexy, based on the time between symptom onset and surgical intervention. METHODS The authors retrospectively analyzed the medical records of 32 patients who had presented to their institution with acute pituitary apoplexy and subsequently undergone endonasal transsphenoidal resection in the period from 2003 to 2014. All patients had undergone preoperative MRI demonstrating evidence of apoplexy in the form of intratumoral hemorrhage, ischemia, and necrosis. Neurological deficits, partial or complete endocrinopathy, and nonneuroendocrine abnormalities were analyzed both pre- and postoperatively. RESULTS Preoperatively, neurological deficits including visual loss and cranial nerve palsies were found in 31 (97%) of the 32 patients, endocrinopathy in the form of partial or panhypopituitarism was seen in 28 patients (88%), and nonneuroendocrine signs and symptoms were seen in 32 patients (100%). Thirteen patients (41%) underwent surgery within 72 hours of symptom onset ("early"), whereas 19 patients (59%) underwent surgery more than 72 hours from symptom onset ("delayed"). Early versus delayed resection did not appear to significantly improve visual deficits, total visual loss, resolution of oculomotor palsy, recovery from hypopituitarism, or nonneuroendocrine signs and symptoms such as headache and encephalopathy. Overall, visual improvement was seen in 77% of patients, complete restoration of normal vision in 38% of patients, and resolution of preoperative oculomotor palsies in 81% of patients. Only 6 (21%) of 28 patients showed evidence of partial hormone recovery following preoperative hypopituitarism. An absence of benefit for early surgery held true even when considering time to surgery from symptom onset as a continuous variable. CONCLUSIONS Neurological deficits such as visual loss and cranial neuropathies show moderate improvement following surgical decompression, as does preoperative hypopituitarism. The timing of surgical intervention relative to the onset of symptoms does not appear to significantly affect the resolution of neurological or endocrinological deficits.
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Jahangiri A, Chin AT, Wagner JR, Kunwar S, Ames C, Chou D, Barani I, Parsa AT, McDermott MW, Benet A, El-Sayed IH, Aghi MK. In Reply: Factors Predicting Recurrence After Resection of Clival Chordoma Using Variable Surgical Approaches and Radiation Modalities. Neurosurgery 2017; 81:E32. [PMID: 28379552 DOI: 10.1093/neuros/nyx137] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- Arman Jahangiri
- Center for Minimally Invasive Skull Base Surgery (MISB) University of California at San Francisco (UCSF) San Francisco, California.,Department of Neurosurgery University of California at San Francisco (UCSF) San Francisco, California
| | - Aaron T Chin
- Center for Minimally Invasive Skull Base Surgery (MISB) University of California at San Francisco (UCSF) San Francisco, California.,Department of Neurosurgery University of California at San Francisco (UCSF) San Francisco, California
| | - Jeffrey R Wagner
- Center for Minimally Invasive Skull Base Surgery (MISB) University of California at San Francisco (UCSF) San Francisco, California.,Department of Neurosurgery University of California at San Francisco (UCSF) San Francisco, California
| | - Sandeep Kunwar
- Department of Neurosurgery University of California at San Francisco (UCSF) San Francisco, California
| | - Christopher Ames
- Department of Neurosurgery University of California at San Francisco (UCSF) San Francisco, California
| | - Dean Chou
- Department of Neurosurgery University of California at San Francisco (UCSF) San Francisco, California
| | - Igor Barani
- Department of Radiation Oncology University of California at San Francisco (UCSF) San Francisco, California
| | - Andrew T Parsa
- Department of Neurosurgery Northwestern University Evanston, Illinois
| | - Michael W McDermott
- Center for Minimally Invasive Skull Base Surgery (MISB) University of California at San Francisco (UCSF) San Francisco, California.,Department of Neurosurgery University of California at San Francisco (UCSF) San Francisco, California
| | - Arnau Benet
- Center for Minimally Invasive Skull Base Surgery (MISB) University of California at San Francisco (UCSF) San Francisco, California.,Skull Base and Cerebrovascular Laboratory University of California at San Francisco (UCSF) San Francisco, California
| | - Ivan H El-Sayed
- Center for Minimally Invasive Skull Base Surgery (MISB) University of California at San Francisco (UCSF) San Francisco, California.,Department of Otolaryngology University of California at San Francisco (UCSF) San Francisco, California
| | - Manish K Aghi
- Center for Minimally Invasive Skull Base Surgery (MISB) University of California at San Francisco (UCSF) San Francisco, California.,Department of Neurosurgery University of California at San Francisco (UCSF) San Francisco, California
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Srivastava G, Nagwani M, Kunwar S, Tewari V, Pasricha N, Sthapak E. The study of diameter of yolk sac by ultrasonography and its correlation with spontaneous abortion. J ANAT SOC INDIA 2017. [DOI: 10.1016/j.jasi.2017.08.313] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Peiffer P, Penek Ö, Pepper J, Pérez de los Heros C, Pieloth D, Pinat E, Price P, Przybylski G, Quinnan M, Raab C, Rädel L, Rameez M, Rawlins K, Reimann R, Relethford B, Relich M, Resconi E, Rhode W, Richman M, Riedel B, Robertson S, Rongen M, Rott C, Ruhe T, Ryckbosch D, Rysewyk D, Sabbatini L, Sanchez Herrera S, Sandrock A, Sandroos J, Sarkar S, Satalecka K, Schlunder P, Schmidt T, Schoenen S, Schöneberg S, Schumacher L, Seckel D, Seunarine S, Soldin D, Song M, Spiczak G, Spiering C, Stachurska J, Stanev T, Stasik A, Stettner J, Steuer A, Stezelberger T, Stokstad R, Stößl A, Ström R, Strotjohann N, Sullivan G, Sutherland M, Taavola H, Taboada I, Tatar J, Tenholt F, Ter-Antonyan S, Terliuk A, Tešić G, Tilav S, Toale P, Tobin M, Toscano S, Tosi D, Tselengidou M, Tung C, Turcati A, Unger E, Usner M, Vandenbroucke J, van Eijndhoven N, Vanheule S, van Rossem M, van Santen J, Vehring M, Voge M, Vogel E, Vraeghe M, Walck C, Wallace A, Wallraff M, Wandkowsky N, Waza A, Weaver C, Weiss M, Wendt C, Westerhoff S, Whelan B, Wickmann S, Wiebe K, Wiebusch C, Wille L, Williams D, Wills L, Wolf M, Wood T, Woolsey E, Woschnagg K, Xu D, Xu X, Xu Y, Yanez J, Yodh G, Yoshida S, Zoll M, Abbott B, Abbott R, Abbott T, Abernathy M, Acernese F, Ackley K, Adams C, Adams T, Addesso P, Adhikari R, Adya V, Affeldt C, Agathos M, Agatsuma K, Aggarwal N, Aguiar O, Aiello L, Ain A, Ajith P, Allen B, Allocca A, Altin P, Ananyeva A, Anderson S, Anderson W, Appert S, Arai K, Araya M, Areeda J, Arnaud N, Arun K, Ascenzi S, Ashton G, Ast M, Aston S, Astone P, Aufmuth P, Aulbert C, Avila-Alvarez A, Babak S, Bacon P, Bader M, Baker P, Baldaccini F, Ballardin G, Ballmer S, Barayoga J, Barclay S, Barish B, Barker D, Barone F, Barr B, Barsotti L, Barsuglia M, Barta D, Bartlett J, Bartos I, Bassiri R, Basti A, Batch J, Baune C, Bavigadda V, Bazzan M, Beer C, Bejger M, Belahcene I, Belgin M, Bell A, Berger B, Bergmann G, Berry C, Bersanetti D, Bertolini A, Betzwieser J, Bhagwat S, Bhandare R, Bilenko I, Billingsley G, Billman C, Birch J, Birney R, Birnholtz O, Biscans S, Bisht A, Bitossi M, Biwer C, Bizouard M, Blackburn J, Blackman J, Blair C, Blair D, Blair R, Bloemen S, Bock O, Boer M, Bogaert G, Bohe A, Bondu F, Bonnand R, Boom B, Bork R, Boschi V, Bose S, Bouffanais Y, Bozzi A, Bradaschia C, Brady P, Braginsky V, Branchesi M, Brau J, Briant T, Brillet A, Brinkmann M, Brisson V, Brockill P, Broida J, Brooks A, Brown D, Brown D, Brown N, Brunett S, Buchanan C, Buikema A, Bulik T, Bulten H, Buonanno A, Buskulic D, Buy C, Byer R, Cabero M, Cadonati L, Cagnoli G, Cahillane C, Calderón Bustillo J, Callister T, Calloni E, Camp J, Canepa M, Cannon K, Cao H, Cao J, Capano C, Capocasa E, Carbognani F, Caride S, Casanueva Diaz J, Casentini C, Caudill S, Cavaglià M, Cavalier F, Cavalieri R, Cella G, Cepeda C, Cerboni Baiardi L, Cerretani G, Cesarini E, Chamberlin S, Chan M, Chao S, Charlton P, Chassande-Mottin E, Cheeseboro B, Chen H, Chen Y, Cheng HP, Chincarini A, Chiummo A, Chmiel T, Cho H, Cho M, Chow J, Christensen N, Chu Q, Chua A, Chua S, Chung S, Ciani G, Clara F, Clark J, Cleva F, Cocchieri C, Coccia E, Cohadon PF, Colla A, Collette C, Cominsky L, Constancio M, Conti L, Cooper S, Corbitt T, Cornish N, Corsi A, Cortese S, Costa C, Coughlin M, Coughlin S, Coulon JP, Countryman S, Couvares P, Covas P, Cowan E, Coward D, Cowart M, Coyne D, Coyne R, Creighton J, Creighton T, Cripe J, Crowder S, Cullen T, Cumming A, Cunningham L, Cuoco E, Dal Canton T, Danilishin S, D’Antonio S, Danzmann K, Dasgupta A, Da Silva Costa C, Dattilo V, Dave I, Davier M, Davies G, Davis D, Daw E, Day B, Day R, De S, DeBra D, Debreczeni G, Degallaix J, De Laurentis M, Deléglise S, Del Pozzo W, Denker T, Dent T, Dergachev V, De Rosa R, DeRosa R, DeSalvo R, Devine R, Dhurandhar S, Díaz M, Di Fiore L, Di Giovanni M, Di Girolamo T, Di Lieto A, Di Pace S, Di Palma I, Di Virgilio A, Doctor Z, Dolique V, Donovan F, Dooley K, Doravari S, Dorrington I, Douglas R, Dovale Álvarez M, Downes T, Drago M, Drever R, Driggers J, Du Z, Ducrot M, Dwyer S, Edo T, Edwards M, Effler A, Eggenstein HB, Ehrens P, Eichholz J, Eikenberry S, Eisenstein R, Essick R, Etienne Z, Etzel T, Evans M, Evans T, Everett R, Factourovich M, Fafone V, Fair H, Fairhurst S, Fan X, Farinon S, Farr B, Farr W, Fauchon-Jones E, Favata M, Fays M, Fehrmann H, Fejer M, Fernández Galiana A, Ferrante I, Ferreira E, Ferrini F, Fidecaro F, Fiori I, Fiorucci D, Fisher R, Flaminio R, Fletcher M, Fong H, Forsyth S, Fournier JD, Frasca S, Frasconi F, Frei Z, Freise A, Frey R, Frey V, Fries E, Fritschel P, Frolov V, Fulda P, Fyffe M, Gabbard H, Gadre B, Gaebel S, Gair J, Gammaitoni L, Gaonkar S, Garufi F, Gaur G, Gayathri V, Gehrels N, Gemme G, Genin E, Gennai A, George J, Gergely L, Germain V, Ghonge S, Ghosh A, Ghosh A, Ghosh S, Giaime J, Giardina K, Giazotto A, Gill K, Glaefke A, Goetz E, Goetz R, Gondan L, González G, Gonzalez Castro J, Gopakumar A, Gorodetsky M, Gossan S, Gosselin M, Gouaty R, Grado A, Graef C, Granata M, Grant A, Gras S, Gray C, Greco G, Green A, Groot P, Grote H, Grunewald S, Guidi G, Guo X, Gupta A, Gupta M, Gushwa K, Gustafson E, Gustafson R, Hacker J, Hall B, Hall E, Hammond G, Haney M, Hanke M, Hanks J, Hanna C, Hannam M, Hanson J, Hardwick T, Harms J, Harry G, Harry I, Hart M, Hartman M, Haster CJ, Haughian K, Healy J, Heidmann A, Heintze M, Heitmann H, Hello P, Hemming G, Hendry M, Heng I, Hennig J, Henry J, Heptonstall A, Heurs M, Hild S, Hoak D, Hofman D, Holt K, Holz D, Hopkins P, Hough J, Houston E, Howell E, Hu Y, Huerta E, Huet D, Hughey B, Husa S, Huttner S, Huynh-Dinh T, Indik N, Ingram D, Inta R, Isa H, Isac JM, Isi M, Isogai T, Iyer B, Izumi K, Jacqmin T, Jani K, Jaranowski P, Jawahar S, Jiménez-Forteza F, Johnson W, Jones D, Jones R, Jonker R, Ju L, Junker J, Kalaghatgi C, Kalogera V, Kandhasamy S, Kang G, Kanner J, Karki S, Karvinen K, Kasprzack M, Katsavounidis E, Katzman W, Kaufer S, Kaur T, Kawabe K, Kéfélian F, Keitel D, Kelley D, Kennedy R, Key J, Khalili F, Khan I, Khan S, Khan Z, Khazanov E, Kijbunchoo N, Kim C, Kim J, Kim W, Kim W, Kim YM, Kimbrell S, King E, King P, Kirchhoff R, Kissel J, Klein B, Kleybolte L, Klimenko S, Koch P, Koehlenbeck S, Koley S, Kondrashov V, Kontos A, Korobko M, Korth W, Kowalska I, Kozak D, Krämer C, Kringel V, Królak A, Kuehn G, Kumar P, Kumar R, Kuo L, Kutynia A, Lackey B, Landry M, Lang R, Lange J, Lantz B, Lanza R, Lartaux-Vollard A, Lasky P, Laxen M, Lazzarini A, Lazzaro C, Leaci P, Leavey S, Lebigot E, Lee C, Lee H, Lee H, Lee K, Lehmann J, Lenon A, Leonardi M, Leong J, Leroy N, Letendre N, Levin Y, Li T, Libson A, Littenberg T, Liu J, Lockerbie N, Lombardi A, London L, Lord J, Lorenzini M, Loriette V, Lormand M, Losurdo G, Lough J, Lovelace G, Lück H, Lundgren A, Lynch R, Ma Y, Macfoy S, Machenschalk B, MacInnis M, Macleod D, Magaña-Sandoval F, Majorana E, Maksimovic I, Malvezzi V, Man N, Mandic V, Mangano V, Mansell G, Manske M, Mantovani M, Marchesoni F, Marion F, Márka S, Márka Z, Markosyan A, Maros E, Martelli F, Martellini L, Martin I, Martynov D, Mason K, Masserot A, Massinger T, Masso-Reid M, Mastrogiovanni S, Matichard F, Matone L, Mavalvala N, Mazumder N, McCarthy R, McClelland D, McCormick S, McGrath C, McGuire S, McIntyre G. Search for high-energy neutrinos from gravitational wave event GW151226 and candidate LVT151012 with ANTARES and IceCube. Int J Clin Exp Med 2017. [DOI: 10.1103/physrevd.96.022005] [Citation(s) in RCA: 36] [Impact Index Per Article: 5.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
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Rutkowski MJ, Alward RM, Chen R, Wagner J, Jahangiri A, Southwell DG, Kunwar S, Blevins L, Lee H, Aghi MK. Atypical pituitary adenoma: a clinicopathologic case series. J Neurosurg 2017; 128:1058-1065. [PMID: 28598278 DOI: 10.3171/2016.12.jns162126] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
OBJECTIVE In 2004, the WHO classified atypical pituitary adenoma as a distinct adenoma subtype. However, the clinical significance of this distinction remains undetermined. The authors sought to define patient characteristics, tumor features, and treatment outcomes associated with atypical pituitary adenoma. METHODS The authors reviewed records of patients who underwent resection of pituitary adenoma at the University of California, San Francisco, between 2007 and 2014. Per institutional protocol, adenomas exhibiting mitotic activity underwent evaluation for all 3 markers of atypicality (mitotic index, extensive p53 staining, and MIB-1 index ≥ 3%). Statistical analyses were performed using χ2, Fisher's exact test, t-test, log-rank, and logistic regression. RESULTS Between 2007 and 2014, 701 patients underwent resection for pituitary adenoma. Among these patients, 122 adenomas exhibited mitotic activity and therefore were evaluated for all 3 markers of atypicality, with 36 tumors (5%) proving to be atypical. There were 21 female patients (58%) and 15 male patients (42%) in the atypical cohort, and 313 female patients (47%) and 352 male patients (53%) in the nonatypical cohort (p = 0.231). The mean age of patients in the atypical cohort was 37 years (range 10-65 years), which was significantly lower than the mean age of 49 years (range 10-93 years) for patients in the nonatypical cohort (p < 0.001). The most common presenting symptoms for patients with atypical adenomas were headaches (42%) and visual changes (33%). Atypical adenomas were more likely to be functional (78%) than nonatypical adenomas (42%; p < 0.001). Functional atypical adenomas were significantly larger than functional nonatypical adenomas (mean diameter 2.2 vs 1.4 cm; p = 0.009), as were nonfunctional atypical adenomas compared with nonfunctional nonatypical adenomas (mean diameter 3.3 vs 2.3 cm; p = 0.01). Among the entire adenoma cohort, larger presenting tumor size was associated with cavernous sinus invasion (p < 0.001), and subtotal resection was associated with cavernous sinus invasion (p < 0.001) and larger size (p < 0.001) on binomial multivariate regression. The median time until recurrence was 56 months for atypical adenomas, 129 months for functional nonatypical adenomas, and 204 months for nonfunctional nonatypical adenomas (p < 0.001). Functional atypical adenomas recurred more frequently and significantly earlier than functional nonatypical adenomas (p < 0.001). When accounting for extent of resection, cavernous sinus invasion, size, age, sex, and functional subtype, atypicality remained a significant predictor of earlier recurrence among functional adenomas (p = 0.002). CONCLUSIONS When compared with nonatypical pituitary adenomas, atypical adenomas are more likely to present in younger patients at a larger size, are more often hormonally hypersecretory, and are associated with earlier recurrence. These features lend credence to atypical pituitary adenomas being a distinct clinical entity in addition to a discrete pathological diagnosis.
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Affiliation(s)
| | | | | | | | | | | | | | | | - Han Lee
- 2Neuropathology, California Center for Pituitary Disorders, University of California, San Francisco, California
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Rutkowski M, Kunwar S, Blevins L, Aghi M. Neuroendocrinological Outcomes Following Early versus Delayed Surgery for Acute Pituitary Apoplexy. Skull Base Surg 2017. [DOI: 10.1055/s-0037-1600583] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- Martin Rutkowski
- Department of Neurological Surgery, University of California, San Francisco, Los Angeles, California, United States
| | - Sandeep Kunwar
- Department of Neurological Surgery, University of California, San Francisco, Los Angeles, California, United States
| | - Lewis Blevins
- Department of Neurological Surgery, University of California, San Francisco, Los Angeles, California, United States
| | - Manish Aghi
- Department of Neurological Surgery, University of California, San Francisco, Los Angeles, California, United States
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Rutkowski M, Alward R, Chen R, Wagner J, Jahangiri A, Southwell D, Kunwar S, Blevins L, Lee H, Aghi M. Atypical Pituitary Adenoma: A Clinicopathologic Case Series. Skull Base Surg 2017. [DOI: 10.1055/s-0037-1600618] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- Martin Rutkowski
- Department of Neurological Surgery, University of California, San Francisco, California, United States
| | - Ryan Alward
- Department of Neurological Surgery, University of California, San Francisco, California, United States
| | - Rebecca Chen
- Department of Neurological Surgery, University of California, San Francisco, California, United States
| | - Jeffrey Wagner
- Department of Neurological Surgery, University of California, San Francisco, California, United States
| | - Arman Jahangiri
- Department of Neurological Surgery, University of California, San Francisco, California, United States
| | - Derek Southwell
- Department of Neurological Surgery, University of California, San Francisco, California, United States
| | - Sandeep Kunwar
- Department of Neurological Surgery, University of California, San Francisco, California, United States
| | - Lewis Blevins
- Department of Neurological Surgery, University of California, San Francisco, California, United States
| | - Han Lee
- Department of Neurological Surgery, University of California, San Francisco, California, United States
| | - Manish Aghi
- Department of Neurological Surgery, University of California, San Francisco, California, United States
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Aartsen MG, Abraham K, Ackermann M, Adams J, Aguilar JA, Ahlers M, Ahrens M, Altmann D, Andeen K, Anderson T, Ansseau I, Anton G, Archinger M, Argüelles C, Auffenberg J, Axani S, Bai X, Barwick SW, Baum V, Bay R, Beatty JJ, Becker Tjus J, Becker KH, BenZvi S, Berghaus P, Berley D, Bernardini E, Bernhard A, Besson DZ, Binder G, Bindig D, Bissok M, Blaufuss E, Blot S, Bohm C, Börner M, Bos F, Bose D, Böser S, Botner O, Braun J, Brayeur L, Bretz HP, Burgman A, Carver T, Casier M, Cheung E, Chirkin D, Christov A, Clark K, Classen L, Coenders S, Collin GH, Conrad JM, Cowen DF, Cross R, Day M, de André JPAM, De Clercq C, Del Pino Rosendo E, Dembinski H, De Ridder S, Desiati P, de Vries KD, de Wasseige G, de With M, DeYoung T, Díaz-Vélez JC, di Lorenzo V, Dujmovic H, Dumm JP, Dunkman M, Eberhardt B, Ehrhardt T, Eichmann B, Eller P, Euler S, Evenson PA, Fahey S, Fazely AR, Feintzeig J, Felde J, Filimonov K, Finley C, Flis S, Fösig CC, Franckowiak A, Friedman E, Fuchs T, Gaisser TK, Gallagher J, Gerhardt L, Ghorbani K, Giang W, Gladstone L, Glagla M, Glüsenkamp T, Goldschmidt A, Golup G, Gonzalez JG, Grant D, Griffith Z, Haack C, Haj Ismail A, Hallgren A, Halzen F, Hansen E, Hansmann B, Hansmann T, Hanson K, Hebecker D, Heereman D, Helbing K, Hellauer R, Hickford S, Hignight J, Hill GC, Hoffman KD, Hoffmann R, Holzapfel K, Hoshina K, Huang F, Huber M, Hultqvist K, In S, Ishihara A, Jacobi E, Japaridze GS, Jeong M, Jero K, Jones BJP, Jurkovic M, Kappes A, Karg T, Karle A, Katz U, Kauer M, Keivani A, Kelley JL, Kemp J, Kheirandish A, Kim M, Kintscher T, Kiryluk J, Kittler T, Klein SR, Kohnen G, Koirala R, Kolanoski H, Konietz R, Köpke L, Kopper C, Kopper S, Koskinen DJ, Kowalski M, Krings K, Kroll M, Krückl G, Krüger C, Kunnen J, Kunwar S, Kurahashi N, Kuwabara T, Labare M, Lanfranchi JL, Larson MJ, Lauber F, Lennarz D, Lesiak-Bzdak M, Leuermann M, Leuner J, Lu L, Lünemann J, Madsen J, Maggi G, Mahn KBM, Mancina S, Mandelartz M, Maruyama R, Mase K, Maunu R, McNally F, Meagher K, Medici M, Meier M, Meli A, Menne T, Merino G, Meures T, Miarecki S, Mohrmann L, Montaruli T, Moulai M, Nahnhauer R, Naumann U, Neer G, Niederhausen H, Nowicki SC, Nygren DR, Obertacke Pollmann A, Olivas A, O'Murchadha A, Palczewski T, Pandya H, Pankova DV, Penek Ö, Pepper JA, Pérez de Los Heros C, Pieloth D, Pinat E, Price PB, Przybylski GT, Quinnan M, Raab C, Rädel L, Rameez M, Rawlins K, Reimann R, Relethford B, Relich M, Resconi E, Rhode W, Richman M, Riedel B, Robertson S, Rongen M, Rott C, Ruhe T, Ryckbosch D, Rysewyk D, Sabbatini L, Sanchez Herrera SE, Sandrock A, Sandroos J, Sarkar S, Satalecka K, Schimp M, Schlunder P, Schmidt T, Schoenen S, Schöneberg S, Schumacher L, Seckel D, Seunarine S, Soldin D, Song M, Spiczak GM, Spiering C, Stahlberg M, Stanev T, Stasik A, Steuer A, Stezelberger T, Stokstad RG, Stößl A, Ström R, Strotjohann NL, Sullivan GW, Sutherland M, Taavola H, Taboada I, Tatar J, Tenholt F, Ter-Antonyan S, Terliuk A, Tešić G, Tilav S, Toale PA, Tobin MN, Toscano S, Tosi D, Tselengidou M, Turcati A, Unger E, Usner M, Vandenbroucke J, van Eijndhoven N, Vanheule S, van Rossem M, van Santen J, Veenkamp J, Vehring M, Voge M, Vraeghe M, Walck C, Wallace A, Wallraff M, Wandkowsky N, Weaver C, Weiss MJ, Wendt C, Westerhoff S, Whelan BJ, Wickmann S, Wiebe K, Wiebusch CH, Wille L, Williams DR, Wills L, Wolf M, Wood TR, Woolsey E, Woschnagg K, Xu DL, Xu XW, Xu Y, Yanez JP, Yodh G, Yoshida S, Zoll M. Constraints on Ultrahigh-Energy Cosmic-Ray Sources from a Search for Neutrinos above 10 PeV with IceCube. Phys Rev Lett 2016; 117:241101. [PMID: 28009216 DOI: 10.1103/physrevlett.117.241101] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/14/2016] [Indexed: 06/06/2023]
Abstract
We report constraints on the sources of ultrahigh-energy cosmic rays (UHECRs) above 10^{9} GeV, based on an analysis of seven years of IceCube data. This analysis efficiently selects very high- energy neutrino-induced events which have deposited energies from 5×10^{5} GeV to above 10^{11} GeV. Two neutrino-induced events with an estimated deposited energy of (2.6±0.3)×10^{6} GeV, the highest neutrino energy observed so far, and (7.7±2.0)×10^{5} GeV were detected. The atmospheric background-only hypothesis of detecting these events is rejected at 3.6σ. The hypothesis that the observed events are of cosmogenic origin is also rejected at >99% CL because of the limited deposited energy and the nonobservation of events at higher energy, while their observation is consistent with an astrophysical origin. Our limits on cosmogenic neutrino fluxes disfavor the UHECR sources having a cosmological evolution stronger than the star formation rate, e.g., active galactic nuclei and γ-ray bursts, assuming proton-dominated UHECRs. Constraints on UHECR sources including mixed and heavy UHECR compositions are obtained for models of neutrino production within UHECR sources. Our limit disfavors a significant part of parameter space for active galactic nuclei and new-born pulsar models. These limits on the ultrahigh-energy neutrino flux models are the most stringent to date.
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Affiliation(s)
- M G Aartsen
- Department of Physics, University of Adelaide, Adelaide 5005, Australia
| | - K Abraham
- Physik-department, Technische Universität München, D-85748 Garching, Germany
| | | | - J Adams
- Department of Physics and Astronomy, University of Canterbury, Private Bag 4800 Christchurch, New Zealand
| | - J A Aguilar
- Université Libre de Bruxelles, Science Faculty CP230, B-1050 Brussels, Belgium
| | - M Ahlers
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - M Ahrens
- Oskar Klein Centre and Department of Physics, Stockholm University, SE-10691 Stockholm, Sweden
| | - D Altmann
- Erlangen Centre for Astroparticle Physics, Friedrich-Alexander-Universität Erlangen-Nürnberg, D-91058 Erlangen, Germany
| | - K Andeen
- Department of Physics, Marquette University, Milwaukee, Wisconsin 53201, USA
| | - T Anderson
- Department of Physics, Pennsylvania State University, University Park, Pennsylvania 16802, USA
| | - I Ansseau
- Université Libre de Bruxelles, Science Faculty CP230, B-1050 Brussels, Belgium
| | - G Anton
- Erlangen Centre for Astroparticle Physics, Friedrich-Alexander-Universität Erlangen-Nürnberg, D-91058 Erlangen, Germany
| | - M Archinger
- Institute of Physics, University of Mainz, Staudinger Weg 7, D-55099 Mainz, Germany
| | - C Argüelles
- Department of Physics, Massachusetts Institute of Technology, Cambridge, Massachusetts 02139, USA
| | - J Auffenberg
- III. Physikalisches Institut, RWTH Aachen University, D-52056 Aachen, Germany
| | - S Axani
- Department of Physics, Massachusetts Institute of Technology, Cambridge, Massachusetts 02139, USA
| | - X Bai
- Physics Department, South Dakota School of Mines and Technology, Rapid City, south Dakota 57701, USA
| | - S W Barwick
- Department of Physics and Astronomy, University of California, Irvine, California 92697, USA
| | - V Baum
- Institute of Physics, University of Mainz, Staudinger Weg 7, D-55099 Mainz, Germany
| | - R Bay
- Department of Physics, University of California, Berkeley, California 94720, USA
| | - J J Beatty
- Department of Physics and Center for Cosmology and Astro-Particle Physics, Ohio State University, Columbus, Ohio 43210, USA
- Department of Astronomy, Ohio State University, Columbus, Ohio 43210, USA
| | - J Becker Tjus
- Fakultät für Physik & Astronomie, Ruhr-Universität Bochum, D-44780 Bochum, Germany
| | - K-H Becker
- Department of Physics, University of Wuppertal, D-42119 Wuppertal, Germany
| | - S BenZvi
- Department of Physics and Astronomy, University of Rochester, Rochester, New York 14627, USA
| | - P Berghaus
- National Research Nuclear University MEPhI (Moscow Engineering Physics Institute), 115409, Moscow, Russia
| | - D Berley
- Department of Physics, University of Maryland, College Park, Maryland 20742, USA
| | | | - A Bernhard
- Physik-department, Technische Universität München, D-85748 Garching, Germany
| | - D Z Besson
- Department of Physics and Astronomy, University of Kansas, Lawrence, Kansas 66045, USA
| | - G Binder
- Department of Physics, University of California, Berkeley, California 94720, USA
- Lawrence Berkeley National Laboratory, Berkeley, California 94720, USA
| | - D Bindig
- Department of Physics, University of Wuppertal, D-42119 Wuppertal, Germany
| | - M Bissok
- III. Physikalisches Institut, RWTH Aachen University, D-52056 Aachen, Germany
| | - E Blaufuss
- Department of Physics, University of Maryland, College Park, Maryland 20742, USA
| | - S Blot
- DESY, D-15735 Zeuthen, Germany
| | - C Bohm
- Oskar Klein Centre and Department of Physics, Stockholm University, SE-10691 Stockholm, Sweden
| | - M Börner
- Department of Physics, TU Dortmund University, D-44221 Dortmund, Germany
| | - F Bos
- Fakultät für Physik & Astronomie, Ruhr-Universität Bochum, D-44780 Bochum, Germany
| | - D Bose
- Department of Physics, Sungkyunkwan University, Suwon 440-746, Korea
| | - S Böser
- Institute of Physics, University of Mainz, Staudinger Weg 7, D-55099 Mainz, Germany
| | - O Botner
- Department of Physics and Astronomy, Uppsala University, Box 516, S-75120 Uppsala, Sweden
| | - J Braun
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - L Brayeur
- Vrije Universiteit Brussel, Dienst ELEM, B-1050 Brussels, Belgium
| | | | - A Burgman
- Department of Physics and Astronomy, Uppsala University, Box 516, S-75120 Uppsala, Sweden
| | - T Carver
- Département de physique nucléaire et corpusculaire, Université de Genève, CH-1211 Genève, Switzerland
| | - M Casier
- Vrije Universiteit Brussel, Dienst ELEM, B-1050 Brussels, Belgium
| | - E Cheung
- Department of Physics, University of Maryland, College Park, Maryland 20742, USA
| | - D Chirkin
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - A Christov
- Département de physique nucléaire et corpusculaire, Université de Genève, CH-1211 Genève, Switzerland
| | - K Clark
- Department of Physics, University of Toronto, Toronto, Ontario, Canada, M5S 1A7
| | - L Classen
- Institut für Kernphysik, Westfälische Wilhelms-Universität Münster, D-48149 Münster, Germany
| | - S Coenders
- Physik-department, Technische Universität München, D-85748 Garching, Germany
| | - G H Collin
- Department of Physics, Massachusetts Institute of Technology, Cambridge, Massachusetts 02139, USA
| | - J M Conrad
- Department of Physics, Massachusetts Institute of Technology, Cambridge, Massachusetts 02139, USA
| | - D F Cowen
- Department of Astronomy and Astrophysics, Pennsylvania State University, University Park, Pennsylvania 16802, USA
- Department of Physics, Pennsylvania State University, University Park, Pennsylvania 16802, USA
| | - R Cross
- Department of Physics and Astronomy, University of Rochester, Rochester, New York 14627, USA
| | - M Day
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - J P A M de André
- Department of Physics and Astronomy, Michigan State University, East Lansing, Michigan 48824, USA
| | - C De Clercq
- Vrije Universiteit Brussel, Dienst ELEM, B-1050 Brussels, Belgium
| | - E Del Pino Rosendo
- Institute of Physics, University of Mainz, Staudinger Weg 7, D-55099 Mainz, Germany
| | - H Dembinski
- Bartol Research Institute and Department of Physics and Astronomy, University of Delaware, Newark, Delaware 19716, USA
| | - S De Ridder
- Department of Physics and Astronomy, University of Gent, B-9000 Gent, Belgium
| | - P Desiati
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - K D de Vries
- Vrije Universiteit Brussel, Dienst ELEM, B-1050 Brussels, Belgium
| | - G de Wasseige
- Vrije Universiteit Brussel, Dienst ELEM, B-1050 Brussels, Belgium
| | - M de With
- Institut für Physik, Humboldt-Universität zu Berlin, D-12489 Berlin, Germany
| | - T DeYoung
- Department of Physics and Astronomy, Michigan State University, East Lansing, Michigan 48824, USA
| | - J C Díaz-Vélez
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - V di Lorenzo
- Institute of Physics, University of Mainz, Staudinger Weg 7, D-55099 Mainz, Germany
| | - H Dujmovic
- Department of Physics, Sungkyunkwan University, Suwon 440-746, Korea
| | - J P Dumm
- Oskar Klein Centre and Department of Physics, Stockholm University, SE-10691 Stockholm, Sweden
| | - M Dunkman
- Department of Physics, Pennsylvania State University, University Park, Pennsylvania 16802, USA
| | - B Eberhardt
- Institute of Physics, University of Mainz, Staudinger Weg 7, D-55099 Mainz, Germany
| | - T Ehrhardt
- Institute of Physics, University of Mainz, Staudinger Weg 7, D-55099 Mainz, Germany
| | - B Eichmann
- Fakultät für Physik & Astronomie, Ruhr-Universität Bochum, D-44780 Bochum, Germany
| | - P Eller
- Department of Physics, Pennsylvania State University, University Park, Pennsylvania 16802, USA
| | - S Euler
- Department of Physics and Astronomy, Uppsala University, Box 516, S-75120 Uppsala, Sweden
| | - P A Evenson
- Bartol Research Institute and Department of Physics and Astronomy, University of Delaware, Newark, Delaware 19716, USA
| | - S Fahey
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - A R Fazely
- Department of Physics, Southern University, Baton Rouge, Louisiana 70813, USA
| | - J Feintzeig
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - J Felde
- Department of Physics, University of Maryland, College Park, Maryland 20742, USA
| | - K Filimonov
- Department of Physics, University of California, Berkeley, California 94720, USA
| | - C Finley
- Oskar Klein Centre and Department of Physics, Stockholm University, SE-10691 Stockholm, Sweden
| | - S Flis
- Oskar Klein Centre and Department of Physics, Stockholm University, SE-10691 Stockholm, Sweden
| | - C-C Fösig
- Institute of Physics, University of Mainz, Staudinger Weg 7, D-55099 Mainz, Germany
| | | | - E Friedman
- Department of Physics, University of Maryland, College Park, Maryland 20742, USA
| | - T Fuchs
- Department of Physics, TU Dortmund University, D-44221 Dortmund, Germany
| | - T K Gaisser
- Bartol Research Institute and Department of Physics and Astronomy, University of Delaware, Newark, Delaware 19716, USA
| | - J Gallagher
- Department of Astronomy, University of Wisconsin, Madison, WIsconsin 53706, USA
| | - L Gerhardt
- Department of Physics, University of California, Berkeley, California 94720, USA
- Lawrence Berkeley National Laboratory, Berkeley, California 94720, USA
| | - K Ghorbani
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - W Giang
- Department of Physics, University of Alberta, Edmonton, Alberta, Canada T6G 2E1
| | - L Gladstone
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - M Glagla
- III. Physikalisches Institut, RWTH Aachen University, D-52056 Aachen, Germany
| | | | - A Goldschmidt
- Lawrence Berkeley National Laboratory, Berkeley, California 94720, USA
| | - G Golup
- Vrije Universiteit Brussel, Dienst ELEM, B-1050 Brussels, Belgium
| | - J G Gonzalez
- Bartol Research Institute and Department of Physics and Astronomy, University of Delaware, Newark, Delaware 19716, USA
| | - D Grant
- Department of Physics, University of Alberta, Edmonton, Alberta, Canada T6G 2E1
| | - Z Griffith
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - C Haack
- III. Physikalisches Institut, RWTH Aachen University, D-52056 Aachen, Germany
| | - A Haj Ismail
- Department of Physics and Astronomy, University of Gent, B-9000 Gent, Belgium
| | - A Hallgren
- Department of Physics and Astronomy, Uppsala University, Box 516, S-75120 Uppsala, Sweden
| | - F Halzen
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - E Hansen
- Niels Bohr Institute, University of Copenhagen, DK-2100 Copenhagen, Denmark
| | - B Hansmann
- III. Physikalisches Institut, RWTH Aachen University, D-52056 Aachen, Germany
| | - T Hansmann
- III. Physikalisches Institut, RWTH Aachen University, D-52056 Aachen, Germany
| | - K Hanson
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - D Hebecker
- Institut für Physik, Humboldt-Universität zu Berlin, D-12489 Berlin, Germany
| | - D Heereman
- Université Libre de Bruxelles, Science Faculty CP230, B-1050 Brussels, Belgium
| | - K Helbing
- Department of Physics, University of Wuppertal, D-42119 Wuppertal, Germany
| | - R Hellauer
- Department of Physics, University of Maryland, College Park, Maryland 20742, USA
| | - S Hickford
- Department of Physics, University of Wuppertal, D-42119 Wuppertal, Germany
| | - J Hignight
- Department of Physics and Astronomy, Michigan State University, East Lansing, Michigan 48824, USA
| | - G C Hill
- Department of Physics, University of Adelaide, Adelaide 5005, Australia
| | - K D Hoffman
- Department of Physics, University of Maryland, College Park, Maryland 20742, USA
| | - R Hoffmann
- Department of Physics, University of Wuppertal, D-42119 Wuppertal, Germany
| | - K Holzapfel
- Physik-department, Technische Universität München, D-85748 Garching, Germany
| | - K Hoshina
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - F Huang
- Department of Physics, Pennsylvania State University, University Park, Pennsylvania 16802, USA
| | - M Huber
- Physik-department, Technische Universität München, D-85748 Garching, Germany
| | - K Hultqvist
- Oskar Klein Centre and Department of Physics, Stockholm University, SE-10691 Stockholm, Sweden
| | - S In
- Department of Physics, Sungkyunkwan University, Suwon 440-746, Korea
| | - A Ishihara
- Department of Physics and Institute for Global Prominent Research, Chiba University, Chiba 263-8522, Japan
| | | | - G S Japaridze
- CTSPS, Clark-Atlanta University, Atlanta, Georgia 30314, USA
| | - M Jeong
- Department of Physics, Sungkyunkwan University, Suwon 440-746, Korea
| | - K Jero
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - B J P Jones
- Department of Physics, Massachusetts Institute of Technology, Cambridge, Massachusetts 02139, USA
| | - M Jurkovic
- Physik-department, Technische Universität München, D-85748 Garching, Germany
| | - A Kappes
- Institut für Kernphysik, Westfälische Wilhelms-Universität Münster, D-48149 Münster, Germany
| | - T Karg
- DESY, D-15735 Zeuthen, Germany
| | - A Karle
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - U Katz
- Erlangen Centre for Astroparticle Physics, Friedrich-Alexander-Universität Erlangen-Nürnberg, D-91058 Erlangen, Germany
| | - M Kauer
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - A Keivani
- Department of Physics, Pennsylvania State University, University Park, Pennsylvania 16802, USA
| | - J L Kelley
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - J Kemp
- III. Physikalisches Institut, RWTH Aachen University, D-52056 Aachen, Germany
| | - A Kheirandish
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - M Kim
- Department of Physics, Sungkyunkwan University, Suwon 440-746, Korea
| | | | - J Kiryluk
- Department of Physics and Astronomy, Stony Brook University, Stony Brook, New York 11794-3800, USA
| | - T Kittler
- Erlangen Centre for Astroparticle Physics, Friedrich-Alexander-Universität Erlangen-Nürnberg, D-91058 Erlangen, Germany
| | - S R Klein
- Department of Physics, University of California, Berkeley, California 94720, USA
- Lawrence Berkeley National Laboratory, Berkeley, California 94720, USA
| | - G Kohnen
- Université de Mons, 7000 Mons, Belgium
| | - R Koirala
- Bartol Research Institute and Department of Physics and Astronomy, University of Delaware, Newark, Delaware 19716, USA
| | - H Kolanoski
- Institut für Physik, Humboldt-Universität zu Berlin, D-12489 Berlin, Germany
| | - R Konietz
- III. Physikalisches Institut, RWTH Aachen University, D-52056 Aachen, Germany
| | - L Köpke
- Institute of Physics, University of Mainz, Staudinger Weg 7, D-55099 Mainz, Germany
| | - C Kopper
- Department of Physics, University of Alberta, Edmonton, Alberta, Canada T6G 2E1
| | - S Kopper
- Department of Physics, University of Wuppertal, D-42119 Wuppertal, Germany
| | - D J Koskinen
- Niels Bohr Institute, University of Copenhagen, DK-2100 Copenhagen, Denmark
| | - M Kowalski
- Institut für Physik, Humboldt-Universität zu Berlin, D-12489 Berlin, Germany
- DESY, D-15735 Zeuthen, Germany
| | - K Krings
- Physik-department, Technische Universität München, D-85748 Garching, Germany
| | - M Kroll
- Fakultät für Physik & Astronomie, Ruhr-Universität Bochum, D-44780 Bochum, Germany
| | - G Krückl
- Institute of Physics, University of Mainz, Staudinger Weg 7, D-55099 Mainz, Germany
| | - C Krüger
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - J Kunnen
- Vrije Universiteit Brussel, Dienst ELEM, B-1050 Brussels, Belgium
| | | | - N Kurahashi
- Department of Physics, Drexel University, 3141 Chestnut Street, Philadelphia, Pennsylvania 19104, USA
| | - T Kuwabara
- Department of Physics and Institute for Global Prominent Research, Chiba University, Chiba 263-8522, Japan
| | - M Labare
- Department of Physics and Astronomy, University of Gent, B-9000 Gent, Belgium
| | - J L Lanfranchi
- Department of Physics, Pennsylvania State University, University Park, Pennsylvania 16802, USA
| | - M J Larson
- Niels Bohr Institute, University of Copenhagen, DK-2100 Copenhagen, Denmark
| | - F Lauber
- Department of Physics, University of Wuppertal, D-42119 Wuppertal, Germany
| | - D Lennarz
- Department of Physics and Astronomy, Michigan State University, East Lansing, Michigan 48824, USA
| | - M Lesiak-Bzdak
- Department of Physics and Astronomy, Stony Brook University, Stony Brook, New York 11794-3800, USA
| | - M Leuermann
- III. Physikalisches Institut, RWTH Aachen University, D-52056 Aachen, Germany
| | - J Leuner
- III. Physikalisches Institut, RWTH Aachen University, D-52056 Aachen, Germany
| | - L Lu
- Department of Physics and Institute for Global Prominent Research, Chiba University, Chiba 263-8522, Japan
| | - J Lünemann
- Vrije Universiteit Brussel, Dienst ELEM, B-1050 Brussels, Belgium
| | - J Madsen
- Department of Physics, University of Wisconsin, River Falls, Wisconsin 54022, USA
| | - G Maggi
- Vrije Universiteit Brussel, Dienst ELEM, B-1050 Brussels, Belgium
| | - K B M Mahn
- Department of Physics and Astronomy, Michigan State University, East Lansing, Michigan 48824, USA
| | - S Mancina
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - M Mandelartz
- Fakultät für Physik & Astronomie, Ruhr-Universität Bochum, D-44780 Bochum, Germany
| | - R Maruyama
- Department of Physics, Yale University, New Haven, Connecticut 06520, USA
| | - K Mase
- Department of Physics and Institute for Global Prominent Research, Chiba University, Chiba 263-8522, Japan
| | - R Maunu
- Department of Physics, University of Maryland, College Park, Maryland 20742, USA
| | - F McNally
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - K Meagher
- Université Libre de Bruxelles, Science Faculty CP230, B-1050 Brussels, Belgium
| | - M Medici
- Niels Bohr Institute, University of Copenhagen, DK-2100 Copenhagen, Denmark
| | - M Meier
- Department of Physics, TU Dortmund University, D-44221 Dortmund, Germany
| | - A Meli
- Department of Physics and Astronomy, University of Gent, B-9000 Gent, Belgium
| | - T Menne
- Department of Physics, TU Dortmund University, D-44221 Dortmund, Germany
| | - G Merino
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - T Meures
- Université Libre de Bruxelles, Science Faculty CP230, B-1050 Brussels, Belgium
| | - S Miarecki
- Department of Physics, University of California, Berkeley, California 94720, USA
- Lawrence Berkeley National Laboratory, Berkeley, California 94720, USA
| | | | - T Montaruli
- Département de physique nucléaire et corpusculaire, Université de Genève, CH-1211 Genève, Switzerland
| | - M Moulai
- Department of Physics, Massachusetts Institute of Technology, Cambridge, Massachusetts 02139, USA
| | | | - U Naumann
- Department of Physics, University of Wuppertal, D-42119 Wuppertal, Germany
| | - G Neer
- Department of Physics and Astronomy, Michigan State University, East Lansing, Michigan 48824, USA
| | - H Niederhausen
- Department of Physics and Astronomy, Stony Brook University, Stony Brook, New York 11794-3800, USA
| | - S C Nowicki
- Department of Physics, University of Alberta, Edmonton, Alberta, Canada T6G 2E1
| | - D R Nygren
- Lawrence Berkeley National Laboratory, Berkeley, California 94720, USA
| | | | - A Olivas
- Department of Physics, University of Maryland, College Park, Maryland 20742, USA
| | - A O'Murchadha
- Université Libre de Bruxelles, Science Faculty CP230, B-1050 Brussels, Belgium
| | - T Palczewski
- Department of Physics and Astronomy, University of Alabama, Tuscaloosa, Alabama 35487, USA
| | - H Pandya
- Bartol Research Institute and Department of Physics and Astronomy, University of Delaware, Newark, Delaware 19716, USA
| | - D V Pankova
- Department of Physics, Pennsylvania State University, University Park, Pennsylvania 16802, USA
| | - Ö Penek
- III. Physikalisches Institut, RWTH Aachen University, D-52056 Aachen, Germany
| | - J A Pepper
- Department of Physics and Astronomy, University of Alabama, Tuscaloosa, Alabama 35487, USA
| | - C Pérez de Los Heros
- Department of Physics and Astronomy, Uppsala University, Box 516, S-75120 Uppsala, Sweden
| | - D Pieloth
- Department of Physics, TU Dortmund University, D-44221 Dortmund, Germany
| | - E Pinat
- Université Libre de Bruxelles, Science Faculty CP230, B-1050 Brussels, Belgium
| | - P B Price
- Department of Physics, University of California, Berkeley, California 94720, USA
| | - G T Przybylski
- Lawrence Berkeley National Laboratory, Berkeley, California 94720, USA
| | - M Quinnan
- Department of Physics, Pennsylvania State University, University Park, Pennsylvania 16802, USA
| | - C Raab
- Université Libre de Bruxelles, Science Faculty CP230, B-1050 Brussels, Belgium
| | - L Rädel
- III. Physikalisches Institut, RWTH Aachen University, D-52056 Aachen, Germany
| | - M Rameez
- Niels Bohr Institute, University of Copenhagen, DK-2100 Copenhagen, Denmark
| | - K Rawlins
- Department of Physics and Astronomy, University of Alaska Anchorage, 3211 Providence Dr., Anchorage, Alaska 99508, USA
| | - R Reimann
- III. Physikalisches Institut, RWTH Aachen University, D-52056 Aachen, Germany
| | - B Relethford
- Department of Physics, Drexel University, 3141 Chestnut Street, Philadelphia, Pennsylvania 19104, USA
| | - M Relich
- Department of Physics and Institute for Global Prominent Research, Chiba University, Chiba 263-8522, Japan
| | - E Resconi
- Physik-department, Technische Universität München, D-85748 Garching, Germany
| | - W Rhode
- Department of Physics, TU Dortmund University, D-44221 Dortmund, Germany
| | - M Richman
- Department of Physics, Drexel University, 3141 Chestnut Street, Philadelphia, Pennsylvania 19104, USA
| | - B Riedel
- Department of Physics, University of Alberta, Edmonton, Alberta, Canada T6G 2E1
| | - S Robertson
- Department of Physics, University of Adelaide, Adelaide 5005, Australia
| | - M Rongen
- III. Physikalisches Institut, RWTH Aachen University, D-52056 Aachen, Germany
| | - C Rott
- Department of Physics, Sungkyunkwan University, Suwon 440-746, Korea
| | - T Ruhe
- Department of Physics, TU Dortmund University, D-44221 Dortmund, Germany
| | - D Ryckbosch
- Department of Physics and Astronomy, University of Gent, B-9000 Gent, Belgium
| | - D Rysewyk
- Department of Physics and Astronomy, Michigan State University, East Lansing, Michigan 48824, USA
| | - L Sabbatini
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - S E Sanchez Herrera
- Department of Physics, University of Alberta, Edmonton, Alberta, Canada T6G 2E1
| | - A Sandrock
- Department of Physics, TU Dortmund University, D-44221 Dortmund, Germany
| | - J Sandroos
- Institute of Physics, University of Mainz, Staudinger Weg 7, D-55099 Mainz, Germany
| | - S Sarkar
- Niels Bohr Institute, University of Copenhagen, DK-2100 Copenhagen, Denmark
- Department of Physics, University of Oxford, 1 Keble Road, Oxford OX1 3NP, United Kingdom
| | | | - M Schimp
- III. Physikalisches Institut, RWTH Aachen University, D-52056 Aachen, Germany
| | - P Schlunder
- Department of Physics, TU Dortmund University, D-44221 Dortmund, Germany
| | - T Schmidt
- Department of Physics, University of Maryland, College Park, Maryland 20742, USA
| | - S Schoenen
- III. Physikalisches Institut, RWTH Aachen University, D-52056 Aachen, Germany
| | - S Schöneberg
- Fakultät für Physik & Astronomie, Ruhr-Universität Bochum, D-44780 Bochum, Germany
| | - L Schumacher
- III. Physikalisches Institut, RWTH Aachen University, D-52056 Aachen, Germany
| | - D Seckel
- Bartol Research Institute and Department of Physics and Astronomy, University of Delaware, Newark, Delaware 19716, USA
| | - S Seunarine
- Department of Physics, University of Wisconsin, River Falls, Wisconsin 54022, USA
| | - D Soldin
- Department of Physics, University of Wuppertal, D-42119 Wuppertal, Germany
| | - M Song
- Department of Physics, University of Maryland, College Park, Maryland 20742, USA
| | - G M Spiczak
- Department of Physics, University of Wisconsin, River Falls, Wisconsin 54022, USA
| | | | - M Stahlberg
- III. Physikalisches Institut, RWTH Aachen University, D-52056 Aachen, Germany
| | - T Stanev
- Bartol Research Institute and Department of Physics and Astronomy, University of Delaware, Newark, Delaware 19716, USA
| | | | - A Steuer
- Institute of Physics, University of Mainz, Staudinger Weg 7, D-55099 Mainz, Germany
| | - T Stezelberger
- Lawrence Berkeley National Laboratory, Berkeley, California 94720, USA
| | - R G Stokstad
- Lawrence Berkeley National Laboratory, Berkeley, California 94720, USA
| | - A Stößl
- DESY, D-15735 Zeuthen, Germany
| | - R Ström
- Department of Physics and Astronomy, Uppsala University, Box 516, S-75120 Uppsala, Sweden
| | | | - G W Sullivan
- Department of Physics, University of Maryland, College Park, Maryland 20742, USA
| | - M Sutherland
- Department of Physics and Center for Cosmology and Astro-Particle Physics, Ohio State University, Columbus, Ohio 43210, USA
| | - H Taavola
- Department of Physics and Astronomy, Uppsala University, Box 516, S-75120 Uppsala, Sweden
| | - I Taboada
- School of Physics and Center for Relativistic Astrophysics, Georgia Institute of Technology, Atlanta, Georgia 30332, USA
| | - J Tatar
- Department of Physics, University of California, Berkeley, California 94720, USA
- Lawrence Berkeley National Laboratory, Berkeley, California 94720, USA
| | - F Tenholt
- Fakultät für Physik & Astronomie, Ruhr-Universität Bochum, D-44780 Bochum, Germany
| | - S Ter-Antonyan
- Department of Physics, Southern University, Baton Rouge, Louisiana 70813, USA
| | | | - G Tešić
- Department of Physics, Pennsylvania State University, University Park, Pennsylvania 16802, USA
| | - S Tilav
- Bartol Research Institute and Department of Physics and Astronomy, University of Delaware, Newark, Delaware 19716, USA
| | - P A Toale
- Department of Physics and Astronomy, University of Alabama, Tuscaloosa, Alabama 35487, USA
| | - M N Tobin
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - S Toscano
- Vrije Universiteit Brussel, Dienst ELEM, B-1050 Brussels, Belgium
| | - D Tosi
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - M Tselengidou
- Erlangen Centre for Astroparticle Physics, Friedrich-Alexander-Universität Erlangen-Nürnberg, D-91058 Erlangen, Germany
| | - A Turcati
- Physik-department, Technische Universität München, D-85748 Garching, Germany
| | - E Unger
- Department of Physics and Astronomy, Uppsala University, Box 516, S-75120 Uppsala, Sweden
| | - M Usner
- DESY, D-15735 Zeuthen, Germany
| | - J Vandenbroucke
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - N van Eijndhoven
- Vrije Universiteit Brussel, Dienst ELEM, B-1050 Brussels, Belgium
| | - S Vanheule
- Department of Physics and Astronomy, University of Gent, B-9000 Gent, Belgium
| | - M van Rossem
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | | | - J Veenkamp
- Physik-department, Technische Universität München, D-85748 Garching, Germany
| | - M Vehring
- III. Physikalisches Institut, RWTH Aachen University, D-52056 Aachen, Germany
| | - M Voge
- Physikalisches Institut, Universität Bonn, Nussallee 12, D-53115 Bonn, Germany
| | - M Vraeghe
- Department of Physics and Astronomy, University of Gent, B-9000 Gent, Belgium
| | - C Walck
- Oskar Klein Centre and Department of Physics, Stockholm University, SE-10691 Stockholm, Sweden
| | - A Wallace
- Department of Physics, University of Adelaide, Adelaide 5005, Australia
| | - M Wallraff
- III. Physikalisches Institut, RWTH Aachen University, D-52056 Aachen, Germany
| | - N Wandkowsky
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - Ch Weaver
- Department of Physics, University of Alberta, Edmonton, Alberta, Canada T6G 2E1
| | - M J Weiss
- Department of Physics, Pennsylvania State University, University Park, Pennsylvania 16802, USA
| | - C Wendt
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - S Westerhoff
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - B J Whelan
- Department of Physics, University of Adelaide, Adelaide 5005, Australia
| | - S Wickmann
- III. Physikalisches Institut, RWTH Aachen University, D-52056 Aachen, Germany
| | - K Wiebe
- Institute of Physics, University of Mainz, Staudinger Weg 7, D-55099 Mainz, Germany
| | - C H Wiebusch
- III. Physikalisches Institut, RWTH Aachen University, D-52056 Aachen, Germany
| | - L Wille
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - D R Williams
- Department of Physics and Astronomy, University of Alabama, Tuscaloosa, Alabama 35487, USA
| | - L Wills
- Department of Physics, Drexel University, 3141 Chestnut Street, Philadelphia, Pennsylvania 19104, USA
| | - M Wolf
- Oskar Klein Centre and Department of Physics, Stockholm University, SE-10691 Stockholm, Sweden
| | - T R Wood
- Department of Physics, University of Alberta, Edmonton, Alberta, Canada T6G 2E1
| | - E Woolsey
- Department of Physics, University of Alberta, Edmonton, Alberta, Canada T6G 2E1
| | - K Woschnagg
- Department of Physics, University of California, Berkeley, California 94720, USA
| | - D L Xu
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - X W Xu
- Department of Physics, Southern University, Baton Rouge, Louisiana 70813, USA
| | - Y Xu
- Department of Physics and Astronomy, Stony Brook University, Stony Brook, New York 11794-3800, USA
| | | | - G Yodh
- Department of Physics and Astronomy, University of California, Irvine, California 92697, USA
| | - S Yoshida
- Department of Physics and Institute for Global Prominent Research, Chiba University, Chiba 263-8522, Japan
| | - M Zoll
- Oskar Klein Centre and Department of Physics, Stockholm University, SE-10691 Stockholm, Sweden
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Coe JD, Zucherman JF, Kucharzyk DW, Poelstra KA, Miller LE, Kunwar S. Multiexpandable cage for minimally invasive posterior lumbar interbody fusion. Med Devices (Auckl) 2016; 9:341-347. [PMID: 27729817 PMCID: PMC5047724 DOI: 10.2147/mder.s112523] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2022] Open
Abstract
The increasing adoption of minimally invasive techniques for spine surgery in recent years has led to significant advancements in instrumentation for lumbar interbody fusion. Percutaneous pedicle screw fixation is now a mature technology, but the role of expandable cages is still evolving. The capability to deliver a multiexpandable interbody cage with a large footprint through a narrow surgical cannula represents a significant advancement in spinal surgery technology. The purpose of this report is to describe a multiexpandable lumbar interbody fusion cage, including implant characteristics, intended use, surgical technique, preclinical testing, and early clinical experience. Results to date suggest that the multiexpandable cage allows a less invasive approach to posterior/transforaminal lumbar interbody fusion surgery by minimizing iatrogenic risks associated with static or vertically expanding interbody prostheses while providing immediate vertebral height restoration, restoration of anatomic alignment, and excellent early-term clinical results.
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Affiliation(s)
| | | | | | - Kornelis A Poelstra
- Department of Surgery, Sacred Heart Hospital on the Emerald Coast, Miramar Beach, FL
| | | | - Sandeep Kunwar
- Bell Neuroscience Institute, Washington Hospital Healthcare System, Fremont, CA, USA
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38
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Aartsen MG, Abraham K, Ackermann M, Adams J, Aguilar JA, Ahlers M, Ahrens M, Altmann D, Andeen K, Anderson T, Ansseau I, Anton G, Archinger M, Argüelles C, Arlen TC, Auffenberg J, Axani S, Bai X, Barwick SW, Baum V, Bay R, Beatty JJ, Becker Tjus J, Becker KH, BenZvi S, Berghaus P, Berley D, Bernardini E, Bernhard A, Besson DZ, Binder G, Bindig D, Blaufuss E, Blot S, Boersma DJ, Bohm C, Börner M, Bos F, Bose D, Böser S, Botner O, Braun J, Brayeur L, Bretz HP, Burgman A, Casey J, Casier M, Cheung E, Chirkin D, Christov A, Clark K, Classen L, Coenders S, Collin GH, Conrad JM, Cowen DF, Cruz Silva AH, Daughhetee J, Davis JC, Day M, de André JPAM, De Clercq C, Del Pino Rosendo E, Dembinski H, De Ridder S, Desiati P, de Vries KD, de Wasseige G, de With M, DeYoung T, Díaz-Vélez JC, di Lorenzo V, Dujmovic H, Dumm JP, Dunkman M, Eberhardt B, Ehrhardt T, Eichmann B, Euler S, Evenson PA, Fahey S, Fazely AR, Feintzeig J, Felde J, Filimonov K, Finley C, Flis S, Fösig CC, Fuchs T, Gaisser TK, Gaior R, Gallagher J, Gerhardt L, Ghorbani K, Giang W, Gladstone L, Glüsenkamp T, Goldschmidt A, Golup G, Gonzalez JG, Góra D, Grant D, Griffith Z, Haj Ismail A, Hallgren A, Halzen F, Hansen E, Hanson K, Hebecker D, Heereman D, Helbing K, Hellauer R, Hickford S, Hignight J, Hill GC, Hoffman KD, Hoffmann R, Holzapfel K, Homeier A, Hoshina K, Huang F, Huber M, Huelsnitz W, Hultqvist K, In S, Ishihara A, Jacobi E, Japaridze GS, Jeong M, Jero K, Jones BJP, Jurkovic M, Kappes A, Karg T, Karle A, Katz U, Kauer M, Keivani A, Kelley JL, Kheirandish A, Kim M, Kintscher T, Kiryluk J, Kittler T, Klein SR, Kohnen G, Koirala R, Kolanoski H, Köpke L, Kopper C, Kopper S, Koskinen DJ, Kowalski M, Krings K, Kroll M, Krückl G, Krüger C, Kunnen J, Kunwar S, Kurahashi N, Kuwabara T, Labare M, Lanfranchi JL, Larson MJ, Lennarz D, Lesiak-Bzdak M, Leuermann M, Lu L, Lünemann J, Madsen J, Maggi G, Mahn KBM, Mancina S, Mandelartz M, Maruyama R, Mase K, Maunu R, McNally F, Meagher K, Medici M, Meier M, Meli A, Menne T, Merino G, Meures T, Miarecki S, Middell E, Mohrmann L, Montaruli T, Moulai M, Nahnhauer R, Naumann U, Neer G, Niederhausen H, Nowicki SC, Nygren DR, Obertacke Pollmann A, Olivas A, Omairat A, O'Murchadha A, Palczewski T, Pandya H, Pankova DV, Pepper JA, Pérez de Los Heros C, Pfendner C, Pieloth D, Pinat E, Posselt J, Price PB, Przybylski GT, Quinnan M, Raab C, Rameez M, Rawlins K, Relich M, Resconi E, Rhode W, Richman M, Riedel B, Robertson S, Rott C, Ruhe T, Ryckbosch D, Rysewyk D, Sabbatini L, Salvado J, Sanchez Herrera SE, Sandrock A, Sandroos J, Sarkar S, Satalecka K, Schlunder P, Schmidt T, Schöneberg S, Schönwald A, Seckel D, Seunarine S, Soldin D, Song M, Spiczak GM, Spiering C, Stamatikos M, Stanev T, Stasik A, Steuer A, Stezelberger T, Stokstad RG, Stößl A, Ström R, Strotjohann NL, Sullivan GW, Sutherland M, Taavola H, Taboada I, Tatar J, Ter-Antonyan S, Terliuk A, Tešić G, Tilav S, Toale PA, Tobin MN, Toscano S, Tosi D, Tselengidou M, Turcati A, Unger E, Usner M, Vallecorsa S, Vandenbroucke J, van Eijndhoven N, Vanheule S, van Rossem M, van Santen J, Veenkamp J, Voge M, Vraeghe M, Walck C, Wallace A, Wandkowsky N, Weaver C, Wendt C, Westerhoff S, Whelan BJ, Wiebe K, Wille L, Williams DR, Wills L, Wissing H, Wolf M, Wood TR, Woolsey E, Woschnagg K, Xu DL, Xu XW, Xu Y, Yanez JP, Yodh G, Yoshida S, Zoll M. Searches for Sterile Neutrinos with the IceCube Detector. Phys Rev Lett 2016; 117:071801. [PMID: 27563950 DOI: 10.1103/physrevlett.117.071801] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/05/2016] [Indexed: 06/06/2023]
Abstract
The IceCube neutrino telescope at the South Pole has measured the atmospheric muon neutrino spectrum as a function of zenith angle and energy in the approximate 320 GeV to 20 TeV range, to search for the oscillation signatures of light sterile neutrinos. No evidence for anomalous ν_{μ} or ν[over ¯]_{μ} disappearance is observed in either of two independently developed analyses, each using one year of atmospheric neutrino data. New exclusion limits are placed on the parameter space of the 3+1 model, in which muon antineutrinos experience a strong Mikheyev-Smirnov-Wolfenstein-resonant oscillation. The exclusion limits extend to sin^{2}2θ_{24}≤0.02 at Δm^{2}∼0.3 eV^{2} at the 90% confidence level. The allowed region from global analysis of appearance experiments, including LSND and MiniBooNE, is excluded at approximately the 99% confidence level for the global best-fit value of |U_{e4}|^{2}.
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Affiliation(s)
- M G Aartsen
- Department of Physics, University of Adelaide, Adelaide 5005, Australia
| | - K Abraham
- Physik-department, Technische Universität München, D-85748 Garching, Germany
| | | | - J Adams
- Department of Physics and Astronomy, University of Canterbury, Private Bag 4800, Christchurch, New Zealand
| | - J A Aguilar
- Science Faculty CP230, Université Libre de Bruxelles, B-1050 Brussels, Belgium
| | - M Ahlers
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - M Ahrens
- Oskar Klein Centre and Department of Physics, Stockholm University, SE-10691 Stockholm, Sweden
| | - D Altmann
- Erlangen Centre for Astroparticle Physics, Friedrich-Alexander-Universität Erlangen-Nürnberg, D-91058 Erlangen, Germany
| | - K Andeen
- Department of Physics, Marquette University, Milwaukee, Wisconsin 53201, USA
| | - T Anderson
- Department of Physics, Pennsylvania State University, University Park, Pennsylvania 16802, USA
| | - I Ansseau
- Science Faculty CP230, Université Libre de Bruxelles, B-1050 Brussels, Belgium
| | - G Anton
- Erlangen Centre for Astroparticle Physics, Friedrich-Alexander-Universität Erlangen-Nürnberg, D-91058 Erlangen, Germany
| | - M Archinger
- Institute of Physics, University of Mainz, Staudinger Weg 7, D-55099 Mainz, Germany
| | - C Argüelles
- Department of Physics, Massachusetts Institute of Technology, Cambridge, Massachusetts 02139, USA
| | - T C Arlen
- Department of Physics, Pennsylvania State University, University Park, Pennsylvania 16802, USA
| | - J Auffenberg
- III. Physikalisches Institut, RWTH Aachen University, D-52056 Aachen, Germany
| | - S Axani
- Department of Physics, Massachusetts Institute of Technology, Cambridge, Massachusetts 02139, USA
| | - X Bai
- Physics Department, South Dakota School of Mines and Technology, Rapid City, South Dakota 57701, USA
| | - S W Barwick
- Department of Physics and Astronomy, University of California, Irvine, California 92697, USA
| | - V Baum
- Institute of Physics, University of Mainz, Staudinger Weg 7, D-55099 Mainz, Germany
| | - R Bay
- Department of Physics, University of California, Berkeley, California 94720, USA
| | - J J Beatty
- Department of Physics and Center for Cosmology and Astro-Particle Physics, Ohio State University, Columbus, Ohio 43210, USA
- Department of Astronomy, Ohio State University, Columbus, Ohio 43210, USA
| | - J Becker Tjus
- Fakultät für Physik & Astronomie, Ruhr-Universität Bochum, D-44780 Bochum, Germany
| | - K-H Becker
- Department of Physics, University of Wuppertal, D-42119 Wuppertal, Germany
| | - S BenZvi
- Department of Physics and Astronomy, University of Rochester, Rochester, New York 14627, USA
| | - P Berghaus
- National Research Nuclear University MEPhI (Moscow Engineering Physics Institute), Moscow 115409, Russia
| | - D Berley
- Department of Physics, University of Maryland, College Park, Maryland 20742, USA
| | | | - A Bernhard
- Physik-department, Technische Universität München, D-85748 Garching, Germany
| | - D Z Besson
- Department of Physics and Astronomy, University of Kansas, Lawrence, Kansas 66045, USA
| | - G Binder
- Department of Physics, University of California, Berkeley, California 94720, USA
- Lawrence Berkeley National Laboratory, Berkeley, California 94720, USA
| | - D Bindig
- Department of Physics, University of Wuppertal, D-42119 Wuppertal, Germany
| | - E Blaufuss
- Department of Physics, University of Maryland, College Park, Maryland 20742, USA
| | - S Blot
- DESY, D-15735 Zeuthen, Germany
| | - D J Boersma
- Department of Physics and Astronomy, Uppsala University, Box 516, S-75120 Uppsala, Sweden
| | - C Bohm
- Oskar Klein Centre and Department of Physics, Stockholm University, SE-10691 Stockholm, Sweden
| | - M Börner
- Department of Physics, TU Dortmund University, D-44221 Dortmund, Germany
| | - F Bos
- Fakultät für Physik & Astronomie, Ruhr-Universität Bochum, D-44780 Bochum, Germany
| | - D Bose
- Department of Physics, Sungkyunkwan University, Suwon 440-746, Korea
| | - S Böser
- Institute of Physics, University of Mainz, Staudinger Weg 7, D-55099 Mainz, Germany
| | - O Botner
- Department of Physics and Astronomy, Uppsala University, Box 516, S-75120 Uppsala, Sweden
| | - J Braun
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - L Brayeur
- Vrije Universiteit Brussel, Dienst ELEM, B-1050 Brussels, Belgium
| | | | - A Burgman
- Department of Physics and Astronomy, Uppsala University, Box 516, S-75120 Uppsala, Sweden
| | - J Casey
- School of Physics and Center for Relativistic Astrophysics, Georgia Institute of Technology, Atlanta, Georgia 30332, USA
| | - M Casier
- Vrije Universiteit Brussel, Dienst ELEM, B-1050 Brussels, Belgium
| | - E Cheung
- Department of Physics, University of Maryland, College Park, Maryland 20742, USA
| | - D Chirkin
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - A Christov
- Département de physique nucléaire et corpusculaire, Université de Genève, CH-1211 Genève, Switzerland
| | - K Clark
- Department of Physics, University of Toronto, Toronto, Ontario M5S 1A7, Canada
| | - L Classen
- Institut für Kernphysik, Westfälische Wilhelms-Universität Münster, D-48149 Münster, Germany
| | - S Coenders
- Physik-department, Technische Universität München, D-85748 Garching, Germany
| | - G H Collin
- Department of Physics, Massachusetts Institute of Technology, Cambridge, Massachusetts 02139, USA
| | - J M Conrad
- Department of Physics, Massachusetts Institute of Technology, Cambridge, Massachusetts 02139, USA
| | - D F Cowen
- Department of Astronomy and Astrophysics, Pennsylvania State University, University Park, Pennsylvania 16802, USA
- Department of Physics, Pennsylvania State University, University Park, Pennsylvania 16802, USA
| | | | - J Daughhetee
- School of Physics and Center for Relativistic Astrophysics, Georgia Institute of Technology, Atlanta, Georgia 30332, USA
| | - J C Davis
- Department of Physics and Center for Cosmology and Astro-Particle Physics, Ohio State University, Columbus, Ohio 43210, USA
| | - M Day
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - J P A M de André
- Department of Physics and Astronomy, Michigan State University, East Lansing, Michigan 48824, USA
| | - C De Clercq
- Vrije Universiteit Brussel, Dienst ELEM, B-1050 Brussels, Belgium
| | - E Del Pino Rosendo
- Institute of Physics, University of Mainz, Staudinger Weg 7, D-55099 Mainz, Germany
| | - H Dembinski
- Bartol Research Institute and Department of Physics and Astronomy, University of Delaware, Newark, Delaware 19716, USA
| | - S De Ridder
- Department of Physics and Astronomy, University of Gent, B-9000 Gent, Belgium
| | - P Desiati
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - K D de Vries
- Vrije Universiteit Brussel, Dienst ELEM, B-1050 Brussels, Belgium
| | - G de Wasseige
- Vrije Universiteit Brussel, Dienst ELEM, B-1050 Brussels, Belgium
| | - M de With
- Institut für Physik, Humboldt-Universität zu Berlin, D-12489 Berlin, Germany
| | - T DeYoung
- Department of Physics and Astronomy, Michigan State University, East Lansing, Michigan 48824, USA
| | - J C Díaz-Vélez
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - V di Lorenzo
- Institute of Physics, University of Mainz, Staudinger Weg 7, D-55099 Mainz, Germany
| | - H Dujmovic
- Department of Physics, Sungkyunkwan University, Suwon 440-746, Korea
| | - J P Dumm
- Oskar Klein Centre and Department of Physics, Stockholm University, SE-10691 Stockholm, Sweden
| | - M Dunkman
- Department of Physics, Pennsylvania State University, University Park, Pennsylvania 16802, USA
| | - B Eberhardt
- Institute of Physics, University of Mainz, Staudinger Weg 7, D-55099 Mainz, Germany
| | - T Ehrhardt
- Institute of Physics, University of Mainz, Staudinger Weg 7, D-55099 Mainz, Germany
| | - B Eichmann
- Fakultät für Physik & Astronomie, Ruhr-Universität Bochum, D-44780 Bochum, Germany
| | - S Euler
- Department of Physics and Astronomy, Uppsala University, Box 516, S-75120 Uppsala, Sweden
| | - P A Evenson
- Bartol Research Institute and Department of Physics and Astronomy, University of Delaware, Newark, Delaware 19716, USA
| | - S Fahey
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - A R Fazely
- Department of Physics, Southern University, Baton Rouge, Louisiana 70813, USA
| | - J Feintzeig
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - J Felde
- Department of Physics, University of Maryland, College Park, Maryland 20742, USA
| | - K Filimonov
- Department of Physics, University of California, Berkeley, California 94720, USA
| | - C Finley
- Oskar Klein Centre and Department of Physics, Stockholm University, SE-10691 Stockholm, Sweden
| | - S Flis
- Oskar Klein Centre and Department of Physics, Stockholm University, SE-10691 Stockholm, Sweden
| | - C-C Fösig
- Institute of Physics, University of Mainz, Staudinger Weg 7, D-55099 Mainz, Germany
| | - T Fuchs
- Department of Physics, TU Dortmund University, D-44221 Dortmund, Germany
| | - T K Gaisser
- Bartol Research Institute and Department of Physics and Astronomy, University of Delaware, Newark, Delaware 19716, USA
| | - R Gaior
- Department of Physics, Chiba University, Chiba 263-8522, Japan
| | - J Gallagher
- Department of Astronomy, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - L Gerhardt
- Department of Physics, University of California, Berkeley, California 94720, USA
- Lawrence Berkeley National Laboratory, Berkeley, California 94720, USA
| | - K Ghorbani
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - W Giang
- Department of Physics, University of Alberta, Edmonton, T6G 2E1 Alberta, Canada
| | - L Gladstone
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | | | - A Goldschmidt
- Lawrence Berkeley National Laboratory, Berkeley, California 94720, USA
| | - G Golup
- Vrije Universiteit Brussel, Dienst ELEM, B-1050 Brussels, Belgium
| | - J G Gonzalez
- Bartol Research Institute and Department of Physics and Astronomy, University of Delaware, Newark, Delaware 19716, USA
| | - D Góra
- DESY, D-15735 Zeuthen, Germany
| | - D Grant
- Department of Physics, University of Alberta, Edmonton, T6G 2E1 Alberta, Canada
| | - Z Griffith
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - A Haj Ismail
- Department of Physics and Astronomy, University of Gent, B-9000 Gent, Belgium
| | - A Hallgren
- Department of Physics and Astronomy, Uppsala University, Box 516, S-75120 Uppsala, Sweden
| | - F Halzen
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - E Hansen
- Niels Bohr Institute, University of Copenhagen, DK-2100 Copenhagen, Denmark
| | - K Hanson
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - D Hebecker
- Institut für Physik, Humboldt-Universität zu Berlin, D-12489 Berlin, Germany
| | - D Heereman
- Science Faculty CP230, Université Libre de Bruxelles, B-1050 Brussels, Belgium
| | - K Helbing
- Department of Physics, University of Wuppertal, D-42119 Wuppertal, Germany
| | - R Hellauer
- Department of Physics, University of Maryland, College Park, Maryland 20742, USA
| | - S Hickford
- Department of Physics, University of Wuppertal, D-42119 Wuppertal, Germany
| | - J Hignight
- Department of Physics and Astronomy, Michigan State University, East Lansing, Michigan 48824, USA
| | - G C Hill
- Department of Physics, University of Adelaide, Adelaide 5005, Australia
| | - K D Hoffman
- Department of Physics, University of Maryland, College Park, Maryland 20742, USA
| | - R Hoffmann
- Department of Physics, University of Wuppertal, D-42119 Wuppertal, Germany
| | - K Holzapfel
- Physik-department, Technische Universität München, D-85748 Garching, Germany
| | - A Homeier
- Physikalisches Institut, Universität Bonn, Nussallee 12, D-53115 Bonn, Germany
| | - K Hoshina
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| | - F Huang
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| | - M Huber
- Physik-department, Technische Universität München, D-85748 Garching, Germany
| | - W Huelsnitz
- Department of Physics, University of Maryland, College Park, Maryland 20742, USA
| | - K Hultqvist
- Oskar Klein Centre and Department of Physics, Stockholm University, SE-10691 Stockholm, Sweden
| | - S In
- Department of Physics, Sungkyunkwan University, Suwon 440-746, Korea
| | - A Ishihara
- Department of Physics, Chiba University, Chiba 263-8522, Japan
| | | | - G S Japaridze
- CTSPS, Clark-Atlanta University, Atlanta, Georgia 30314, USA
| | - M Jeong
- Department of Physics, Sungkyunkwan University, Suwon 440-746, Korea
| | - K Jero
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - B J P Jones
- Department of Physics, Massachusetts Institute of Technology, Cambridge, Massachusetts 02139, USA
| | - M Jurkovic
- Physik-department, Technische Universität München, D-85748 Garching, Germany
| | - A Kappes
- Institut für Kernphysik, Westfälische Wilhelms-Universität Münster, D-48149 Münster, Germany
| | - T Karg
- DESY, D-15735 Zeuthen, Germany
| | - A Karle
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - U Katz
- Erlangen Centre for Astroparticle Physics, Friedrich-Alexander-Universität Erlangen-Nürnberg, D-91058 Erlangen, Germany
| | - M Kauer
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
- Department of Physics, Yale University, New Haven, Connecticut 06520, USA
| | - A Keivani
- Department of Physics, Pennsylvania State University, University Park, Pennsylvania 16802, USA
| | - J L Kelley
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - A Kheirandish
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - M Kim
- Department of Physics, Sungkyunkwan University, Suwon 440-746, Korea
| | | | - J Kiryluk
- Department of Physics and Astronomy, Stony Brook University, Stony Brook, New York 11794-3800, USA
| | - T Kittler
- Erlangen Centre for Astroparticle Physics, Friedrich-Alexander-Universität Erlangen-Nürnberg, D-91058 Erlangen, Germany
| | - S R Klein
- Department of Physics, University of California, Berkeley, California 94720, USA
- Lawrence Berkeley National Laboratory, Berkeley, California 94720, USA
| | - G Kohnen
- Université de Mons, 7000 Mons, Belgium
| | - R Koirala
- Bartol Research Institute and Department of Physics and Astronomy, University of Delaware, Newark, Delaware 19716, USA
| | - H Kolanoski
- Institut für Physik, Humboldt-Universität zu Berlin, D-12489 Berlin, Germany
| | - L Köpke
- Institute of Physics, University of Mainz, Staudinger Weg 7, D-55099 Mainz, Germany
| | - C Kopper
- Department of Physics, University of Alberta, Edmonton, T6G 2E1 Alberta, Canada
| | - S Kopper
- Department of Physics, University of Wuppertal, D-42119 Wuppertal, Germany
| | - D J Koskinen
- Niels Bohr Institute, University of Copenhagen, DK-2100 Copenhagen, Denmark
| | - M Kowalski
- Institut für Physik, Humboldt-Universität zu Berlin, D-12489 Berlin, Germany
- DESY, D-15735 Zeuthen, Germany
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- Physik-department, Technische Universität München, D-85748 Garching, Germany
| | - M Kroll
- Fakultät für Physik & Astronomie, Ruhr-Universität Bochum, D-44780 Bochum, Germany
| | - G Krückl
- Institute of Physics, University of Mainz, Staudinger Weg 7, D-55099 Mainz, Germany
| | - C Krüger
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - J Kunnen
- Vrije Universiteit Brussel, Dienst ELEM, B-1050 Brussels, Belgium
| | | | - N Kurahashi
- Department of Physics, Drexel University, 3141 Chestnut Street, Philadelphia, Pennsylvania 19104, USA
| | - T Kuwabara
- Department of Physics, Chiba University, Chiba 263-8522, Japan
| | - M Labare
- Department of Physics and Astronomy, University of Gent, B-9000 Gent, Belgium
| | - J L Lanfranchi
- Department of Physics, Pennsylvania State University, University Park, Pennsylvania 16802, USA
| | - M J Larson
- Niels Bohr Institute, University of Copenhagen, DK-2100 Copenhagen, Denmark
| | - D Lennarz
- Department of Physics and Astronomy, Michigan State University, East Lansing, Michigan 48824, USA
| | - M Lesiak-Bzdak
- Department of Physics and Astronomy, Stony Brook University, Stony Brook, New York 11794-3800, USA
| | - M Leuermann
- III. Physikalisches Institut, RWTH Aachen University, D-52056 Aachen, Germany
| | - L Lu
- Department of Physics, Chiba University, Chiba 263-8522, Japan
| | - J Lünemann
- Vrije Universiteit Brussel, Dienst ELEM, B-1050 Brussels, Belgium
| | - J Madsen
- Department of Physics, University of Wisconsin, River Falls, Wisconsin 54022, USA
| | - G Maggi
- Vrije Universiteit Brussel, Dienst ELEM, B-1050 Brussels, Belgium
| | - K B M Mahn
- Department of Physics and Astronomy, Michigan State University, East Lansing, Michigan 48824, USA
| | - S Mancina
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - M Mandelartz
- Fakultät für Physik & Astronomie, Ruhr-Universität Bochum, D-44780 Bochum, Germany
| | - R Maruyama
- Department of Physics, Yale University, New Haven, Connecticut 06520, USA
| | - K Mase
- Department of Physics, Chiba University, Chiba 263-8522, Japan
| | - R Maunu
- Department of Physics, University of Maryland, College Park, Maryland 20742, USA
| | - F McNally
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - K Meagher
- Science Faculty CP230, Université Libre de Bruxelles, B-1050 Brussels, Belgium
| | - M Medici
- Niels Bohr Institute, University of Copenhagen, DK-2100 Copenhagen, Denmark
| | - M Meier
- Department of Physics, TU Dortmund University, D-44221 Dortmund, Germany
| | - A Meli
- Department of Physics and Astronomy, University of Gent, B-9000 Gent, Belgium
| | - T Menne
- Department of Physics, TU Dortmund University, D-44221 Dortmund, Germany
| | - G Merino
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - T Meures
- Science Faculty CP230, Université Libre de Bruxelles, B-1050 Brussels, Belgium
| | - S Miarecki
- Department of Physics, University of California, Berkeley, California 94720, USA
- Lawrence Berkeley National Laboratory, Berkeley, California 94720, USA
| | | | | | - T Montaruli
- Département de physique nucléaire et corpusculaire, Université de Genève, CH-1211 Genève, Switzerland
| | - M Moulai
- Department of Physics, Massachusetts Institute of Technology, Cambridge, Massachusetts 02139, USA
| | | | - U Naumann
- Department of Physics, University of Wuppertal, D-42119 Wuppertal, Germany
| | - G Neer
- Department of Physics and Astronomy, Michigan State University, East Lansing, Michigan 48824, USA
| | - H Niederhausen
- Department of Physics and Astronomy, Stony Brook University, Stony Brook, New York 11794-3800, USA
| | - S C Nowicki
- Department of Physics, University of Alberta, Edmonton, T6G 2E1 Alberta, Canada
| | - D R Nygren
- Lawrence Berkeley National Laboratory, Berkeley, California 94720, USA
| | | | - A Olivas
- Department of Physics, University of Maryland, College Park, Maryland 20742, USA
| | - A Omairat
- Department of Physics, University of Wuppertal, D-42119 Wuppertal, Germany
| | - A O'Murchadha
- Science Faculty CP230, Université Libre de Bruxelles, B-1050 Brussels, Belgium
| | - T Palczewski
- Department of Physics and Astronomy, University of Alabama, Tuscaloosa, Alabama 35487, USA
| | - H Pandya
- Bartol Research Institute and Department of Physics and Astronomy, University of Delaware, Newark, Delaware 19716, USA
| | - D V Pankova
- Department of Physics, Pennsylvania State University, University Park, Pennsylvania 16802, USA
| | - J A Pepper
- Department of Physics and Astronomy, University of Alabama, Tuscaloosa, Alabama 35487, USA
| | - C Pérez de Los Heros
- Department of Physics and Astronomy, Uppsala University, Box 516, S-75120 Uppsala, Sweden
| | - C Pfendner
- Department of Physics and Center for Cosmology and Astro-Particle Physics, Ohio State University, Columbus, Ohio 43210, USA
| | - D Pieloth
- Department of Physics, TU Dortmund University, D-44221 Dortmund, Germany
| | - E Pinat
- Science Faculty CP230, Université Libre de Bruxelles, B-1050 Brussels, Belgium
| | - J Posselt
- Department of Physics, University of Wuppertal, D-42119 Wuppertal, Germany
| | - P B Price
- Department of Physics, University of California, Berkeley, California 94720, USA
| | - G T Przybylski
- Lawrence Berkeley National Laboratory, Berkeley, California 94720, USA
| | - M Quinnan
- Department of Physics, Pennsylvania State University, University Park, Pennsylvania 16802, USA
| | - C Raab
- Science Faculty CP230, Université Libre de Bruxelles, B-1050 Brussels, Belgium
| | - M Rameez
- Département de physique nucléaire et corpusculaire, Université de Genève, CH-1211 Genève, Switzerland
| | - K Rawlins
- Department of Physics and Astronomy, University of Alaska Anchorage, 3211 Providence Drive, Anchorage, Alaska 99508, USA
| | - M Relich
- Department of Physics, Chiba University, Chiba 263-8522, Japan
| | - E Resconi
- Physik-department, Technische Universität München, D-85748 Garching, Germany
| | - W Rhode
- Department of Physics, TU Dortmund University, D-44221 Dortmund, Germany
| | - M Richman
- Department of Physics, Drexel University, 3141 Chestnut Street, Philadelphia, Pennsylvania 19104, USA
| | - B Riedel
- Department of Physics, University of Alberta, Edmonton, T6G 2E1 Alberta, Canada
| | - S Robertson
- Department of Physics, University of Adelaide, Adelaide 5005, Australia
| | - C Rott
- Department of Physics, Sungkyunkwan University, Suwon 440-746, Korea
| | - T Ruhe
- Department of Physics, TU Dortmund University, D-44221 Dortmund, Germany
| | - D Ryckbosch
- Department of Physics and Astronomy, University of Gent, B-9000 Gent, Belgium
| | - D Rysewyk
- Department of Physics and Astronomy, Michigan State University, East Lansing, Michigan 48824, USA
| | - L Sabbatini
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - J Salvado
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - S E Sanchez Herrera
- Department of Physics, University of Alberta, Edmonton, T6G 2E1 Alberta, Canada
| | - A Sandrock
- Department of Physics, TU Dortmund University, D-44221 Dortmund, Germany
| | - J Sandroos
- Institute of Physics, University of Mainz, Staudinger Weg 7, D-55099 Mainz, Germany
| | - S Sarkar
- Niels Bohr Institute, University of Copenhagen, DK-2100 Copenhagen, Denmark
- Department of Physics, University of Oxford, 1 Keble Road, Oxford OX1 3NP, United Kingdom
| | | | - P Schlunder
- Department of Physics, TU Dortmund University, D-44221 Dortmund, Germany
| | - T Schmidt
- Department of Physics, University of Maryland, College Park, Maryland 20742, USA
| | - S Schöneberg
- Fakultät für Physik & Astronomie, Ruhr-Universität Bochum, D-44780 Bochum, Germany
| | | | - D Seckel
- Bartol Research Institute and Department of Physics and Astronomy, University of Delaware, Newark, Delaware 19716, USA
| | - S Seunarine
- Department of Physics, University of Wisconsin, River Falls, Wisconsin 54022, USA
| | - D Soldin
- Department of Physics, University of Wuppertal, D-42119 Wuppertal, Germany
| | - M Song
- Department of Physics, University of Maryland, College Park, Maryland 20742, USA
| | - G M Spiczak
- Department of Physics, University of Wisconsin, River Falls, Wisconsin 54022, USA
| | | | - M Stamatikos
- Department of Physics and Center for Cosmology and Astro-Particle Physics, Ohio State University, Columbus, Ohio 43210, USA
| | - T Stanev
- Bartol Research Institute and Department of Physics and Astronomy, University of Delaware, Newark, Delaware 19716, USA
| | | | - A Steuer
- Institute of Physics, University of Mainz, Staudinger Weg 7, D-55099 Mainz, Germany
| | - T Stezelberger
- Lawrence Berkeley National Laboratory, Berkeley, California 94720, USA
| | - R G Stokstad
- Lawrence Berkeley National Laboratory, Berkeley, California 94720, USA
| | - A Stößl
- DESY, D-15735 Zeuthen, Germany
| | - R Ström
- Department of Physics and Astronomy, Uppsala University, Box 516, S-75120 Uppsala, Sweden
| | | | - G W Sullivan
- Department of Physics, University of Maryland, College Park, Maryland 20742, USA
| | - M Sutherland
- Department of Physics and Center for Cosmology and Astro-Particle Physics, Ohio State University, Columbus, Ohio 43210, USA
| | - H Taavola
- Department of Physics and Astronomy, Uppsala University, Box 516, S-75120 Uppsala, Sweden
| | - I Taboada
- School of Physics and Center for Relativistic Astrophysics, Georgia Institute of Technology, Atlanta, Georgia 30332, USA
| | - J Tatar
- Department of Physics, University of California, Berkeley, California 94720, USA
- Lawrence Berkeley National Laboratory, Berkeley, California 94720, USA
| | - S Ter-Antonyan
- Department of Physics, Southern University, Baton Rouge, Louisiana 70813, USA
| | | | - G Tešić
- Department of Physics, Pennsylvania State University, University Park, Pennsylvania 16802, USA
| | - S Tilav
- Bartol Research Institute and Department of Physics and Astronomy, University of Delaware, Newark, Delaware 19716, USA
| | - P A Toale
- Department of Physics and Astronomy, University of Alabama, Tuscaloosa, Alabama 35487, USA
| | - M N Tobin
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - S Toscano
- Vrije Universiteit Brussel, Dienst ELEM, B-1050 Brussels, Belgium
| | - D Tosi
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - M Tselengidou
- Erlangen Centre for Astroparticle Physics, Friedrich-Alexander-Universität Erlangen-Nürnberg, D-91058 Erlangen, Germany
| | - A Turcati
- Physik-department, Technische Universität München, D-85748 Garching, Germany
| | - E Unger
- Department of Physics and Astronomy, Uppsala University, Box 516, S-75120 Uppsala, Sweden
| | - M Usner
- DESY, D-15735 Zeuthen, Germany
| | - S Vallecorsa
- Département de physique nucléaire et corpusculaire, Université de Genève, CH-1211 Genève, Switzerland
| | - J Vandenbroucke
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - N van Eijndhoven
- Vrije Universiteit Brussel, Dienst ELEM, B-1050 Brussels, Belgium
| | - S Vanheule
- Department of Physics and Astronomy, University of Gent, B-9000 Gent, Belgium
| | - M van Rossem
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | | | - J Veenkamp
- Physik-department, Technische Universität München, D-85748 Garching, Germany
| | - M Voge
- Physikalisches Institut, Universität Bonn, Nussallee 12, D-53115 Bonn, Germany
| | - M Vraeghe
- Department of Physics and Astronomy, University of Gent, B-9000 Gent, Belgium
| | - C Walck
- Oskar Klein Centre and Department of Physics, Stockholm University, SE-10691 Stockholm, Sweden
| | - A Wallace
- Department of Physics, University of Adelaide, Adelaide 5005, Australia
| | - N Wandkowsky
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - Ch Weaver
- Department of Physics, University of Alberta, Edmonton, T6G 2E1 Alberta, Canada
| | - C Wendt
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - S Westerhoff
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - B J Whelan
- Department of Physics, University of Adelaide, Adelaide 5005, Australia
| | - K Wiebe
- Institute of Physics, University of Mainz, Staudinger Weg 7, D-55099 Mainz, Germany
| | - L Wille
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - D R Williams
- Department of Physics and Astronomy, University of Alabama, Tuscaloosa, Alabama 35487, USA
| | - L Wills
- Department of Physics, Drexel University, 3141 Chestnut Street, Philadelphia, Pennsylvania 19104, USA
| | - H Wissing
- Department of Physics, University of Maryland, College Park, Maryland 20742, USA
| | - M Wolf
- Oskar Klein Centre and Department of Physics, Stockholm University, SE-10691 Stockholm, Sweden
| | - T R Wood
- Department of Physics, University of Alberta, Edmonton, T6G 2E1 Alberta, Canada
| | - E Woolsey
- Department of Physics, University of Alberta, Edmonton, T6G 2E1 Alberta, Canada
| | - K Woschnagg
- Department of Physics, University of California, Berkeley, California 94720, USA
| | - D L Xu
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin, Madison, Wisconsin 53706, USA
| | - X W Xu
- Department of Physics, Southern University, Baton Rouge, Louisiana 70813, USA
| | - Y Xu
- Department of Physics and Astronomy, Stony Brook University, Stony Brook, New York 11794-3800, USA
| | | | - G Yodh
- Department of Physics and Astronomy, University of California, Irvine, California 92697, USA
| | - S Yoshida
- Department of Physics, Chiba University, Chiba 263-8522, Japan
| | - M Zoll
- Oskar Klein Centre and Department of Physics, Stockholm University, SE-10691 Stockholm, Sweden
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Rutkowski M, Alward R, Southwell D, Chen R, Wagner J, Jahangiri A, Blevins L, Kunwar S, Aghi M. Atypical Pituitary Adenoma: A Clinicopathologic Case Series. Skull Base Surg 2016. [DOI: 10.1055/s-0036-1579861] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Abstract
PURPOSE The authors review their treatment experience and summarize clinical outcomes for patients with hypophysitis over the past 15 years. METHODS A retrospective analysis was conducted on patients with lymphocytic, granulomatous or IgG4-related hypophysitis treated from 1997 to 2014 at a single academic center. Patients' medical records were reviewed and binary logistic regression analysis was used to assess whether various clinical parameters were associated with improved outcomes including endocrine function, radiographic appearance and disease recurrence. RESULTS Twenty-one patients (13 women and 8 men) were identified with a median diagnosis age of 37.4 years. All but two patients (90%) were diagnosed histopathologically and the remaining two were diagnosed clinically with lymphocytic hypophysitis. 16 patients (76%) had lymphocytic hypophysitis, 3 (14%) had granulomatous hypophysitis, 1 (5%) had IgG4-related hypophysitis and 1 (5%) had mixed lymphocytic-granulomatous. Patients presented with various symptoms of expanding sellar mass with most common signs including headache (57%), polyuria/polydipsia (52%), vision changes (52%) and amenorrhea or decreased libido (48%). Pre-treatment endocrine evaluation revealed that 12 (57%) patients had complete anterior hypopituitarism, 11 patients (52%) had diabetes insipidus, ten patients (48%) had mild hyperprolactinemia and three patients (14%) had isolated endocrine axis deficiencies with partial gland function. We observed a broad diversity in pre-treatment imaging with common findings including uniform contrast enhancement (62%), thickened infundibulum (57%) and loss of hypophysis bright spot on T1 imaging (43%). Patients were treated with steroids and hormone supplementation as needed. 16 patients (76%) had recorded post-treatment MRI scans which revealed that half had radiographic improvement and half had stable or worsened post-treatment imaging. Only female gender was found to significantly predict improved odds of post-steroid radiographic improvement. For post-treatment endocrine evaluation, six patients (29%) did not have an evaluation on record, four patients (19%) had some improvement in at least one axis, seven patients (33%) had stable but non-worsened endocrine function and four patients (19%) had worsened endocrine function post-steroids. CONCLUSIONS Hypophysitis is an increasingly recognized diagnosis that can present with a broad array of radiographic and clinical features. Surgical biopsy can be helpful to make definitive diagnosis and may guide treatment decision-making.
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Affiliation(s)
- Brandon S Imber
- Department of Neurological Surgery, University of California at San Francisco, 505 Parnassus Ave. Room M779, San Francisco, CA, 94143, USA
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Jahangiri A, Wagner JR, Han SW, Tran MT, Miller LM, Chen R, Tom MW, Ostling LR, Kunwar S, Blevins L, Aghi MK. Improved versus worsened endocrine function after transsphenoidal surgery for nonfunctional pituitary adenomas: rate, time course, and radiological analysis. J Neurosurg 2015; 124:589-95. [PMID: 26252454 DOI: 10.3171/2015.1.jns141543] [Citation(s) in RCA: 64] [Impact Index Per Article: 7.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
Abstract
OBJECTIVE The impact of transsphenoidal surgery for nonfunctional pituitary adenomas (NFAs) on preoperative hypopituitarism relative to the incidence of new postoperative endocrine deficits remains unclear. The authors investigated rates of hypopituitarism resolution and development after transsphenoidal surgery. METHODS Over a 5-year period, 305 transsphenoidal surgeries for NFAs performed at The California Center for Pituitary Disorders were retrospectively reviewed. RESULTS Patients with preoperative endocrine deficits (n = 153, 50%) were significantly older (mean age 60 vs 54 years; p = 0.004), more frequently male (65% vs 44%; p = 0.0005), and had larger adenomas (2.4 cm vs 2.1 cm; p = 0.02) than patients without preoperative deficits (n = 152, 50%). Of patients with preoperative endocrine deficits, 53% exhibited symptoms. Preoperative deficit rates were 26% for the thyroid axis; 20% and 16% for the male and female reproductive axes, respectively; 13% for the adrenocorticotropic hormone (ACTH)/cortisol axis, and 19% for the growth hormone (GH)/insulin-like growth factor-1 (IGF-1) axis. Laboratory normalization rates 6 weeks and 6 months after surgery without hormone replacement were 26% and 36% for male and 13% and 13% for female reproductive axes, respectively; 30% and 49% for the thyroid axis; 3% and 3% for the cortisol axis; and 9% and 22% for the IGF-1 axis (p < 0.05). New postoperative endocrine deficits occurred in 42 patients (13.7%). Rates of new deficits by axes were: male reproductive 3% (n = 9), female reproductive 1% (n = 4), thyroid axis 3% (n = 10), cortisol axis 6% (n = 19), and GH/IGF-1 axis 4% (n = 12). Patients who failed to exhibit any endocrine normalization had lower preoperative gland volumes than those who did not (0.24 cm(3) vs 0.43 cm(3), respectively; p < 0.05). Multivariate analyses revealed that no variables predicted new postoperative deficits or normalization of the female reproductive, cortisol, and IGF-1 axes. However, increased preoperative gland volume and younger age predicted the chances of a patient with any preoperative deficit experiencing normalization of at least 1 axis. Younger age and less severe preoperative hormonal deficit predicted normalization of the thyroid and male reproductive axes (p < 0.05). CONCLUSIONS After NFA resection, endocrine normalization rates in this study varied with the hormonal axis and were greater than the incidence of new endocrine deficits. Low preoperative gland volume precluded recovery. Patient age and the severity of the deficiency influenced the recovery of the thyroid and male reproductive axes, the most commonly impaired axes and most likely to normalize postoperatively. This information can be of use in counseling patients with hypopituitarism who undergo NFA surgery.
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Affiliation(s)
- Arman Jahangiri
- Department of Neurosurgery and The California Center for Pituitary Disorders, University of California, San Francisco, California
| | - Jeffrey R Wagner
- Department of Neurosurgery and The California Center for Pituitary Disorders, University of California, San Francisco, California
| | - Sung Won Han
- Department of Neurosurgery and The California Center for Pituitary Disorders, University of California, San Francisco, California
| | - Mai T Tran
- Department of Neurosurgery and The California Center for Pituitary Disorders, University of California, San Francisco, California
| | - Liane M Miller
- Department of Neurosurgery and The California Center for Pituitary Disorders, University of California, San Francisco, California
| | - Rebecca Chen
- Department of Neurosurgery and The California Center for Pituitary Disorders, University of California, San Francisco, California
| | - Maxwell W Tom
- Department of Neurosurgery and The California Center for Pituitary Disorders, University of California, San Francisco, California
| | - Lauren R Ostling
- Department of Neurosurgery and The California Center for Pituitary Disorders, University of California, San Francisco, California
| | - Sandeep Kunwar
- Department of Neurosurgery and The California Center for Pituitary Disorders, University of California, San Francisco, California
| | - Lewis Blevins
- Department of Neurosurgery and The California Center for Pituitary Disorders, University of California, San Francisco, California
| | - Manish K Aghi
- Department of Neurosurgery and The California Center for Pituitary Disorders, University of California, San Francisco, California
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Abstract
INTRODUCTION Cushing's disease is a neuroendocrine disorder marked by hypercortisolemia secondary to overproduction of ACTH by a corticotropic pituitary adenoma. Due to the diverse and deleterious effects of hypercortisolemia including diabetes mellitus, hypertension, and cardiovascular disease, prompt and accurate diagnosis followed by surgical resection of the responsible corticotropic adenoma is critical. METHODS In the following review, we present a focused synopsis of recently published data and management strategies for the post-operative Cushing's disease patient with a particular focus on studies examining perioperative complications, establishment of biochemical remission, factors associated with disease remission, and predictors of recurrence. CONCLUSIONS Although no standard definition of remission exists, we suggest measurement of serum cortisol level on the morning of postoperative day 1 given the preponderance of evidence in the published literature suggesting its association with long-term remission and relatively low rates of recurrence. Nevertheless, all patients should be counseled that recurrence can occur in a delayed fashion and that annual endocrine testing should be utilized to track and confirm disease status.
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Affiliation(s)
- Martin J Rutkowski
- Department of Neurological Surgery, University of California, San Francisco, 505 Parnassus Avenue, M-779, San Francisco, CA, 94143, USA,
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Jahangiri A, Chin A, Wagner J, Kunwar S, Ames C, Chou D, Barani I, Parsa A, Benet A, McDermott M, El-Sayed I, Aghi M. Factors Predicting Recurrence after Resection of Clival Chordoma using Variable Surgical Approaches and Radiation Modalities. Skull Base Surg 2015. [DOI: 10.1055/s-0035-1546556] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Zygourakis CC, Rolston JD, Lee HS, Partow C, Kunwar S, Aghi MK. Pituicytomas and spindle cell oncocytomas: modern case series from the University of California, San Francisco. Pituitary 2015; 18:150-8. [PMID: 24823438 DOI: 10.1007/s11102-014-0568-7] [Citation(s) in RCA: 43] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
PURPOSE Pituicytomas and spindle cell oncocytomas (SCOs) are extremely rare neoplasms of the sellar and suprasellar region that can often mimic pituitary adenomas. To date, there are relatively few cases of pituicytomas and SCOs reported; and most of these are small case series. METHODS In this paper, we provide a retrospective review of the treatment, imaging characteristics, post-operative course, and histopathology of five cases of pituicytomas and two SCOs treated at the University of California, San Francisco (UCSF) over a 10-year period from 2003 to 2013. RESULTS We find that pituicytomas and SCOs present similarly to pituitary adenomas, and look identical on CT or MR imaging. We histopathologically confirmed all pituicytomas with a combination of hematoxylin and eosin morphology and immunohistochemical positivity for vimentin and S100; SCOs stain for anti-mitochondrial antigen and endothelial membrane antigen. We observe positive thyroid transcription factor 1 (TTF1) immunohistochemistry in both cases of SCO, as well as in both of the cases of pituicytoma in which TTF1 staining was available. CONCLUSIONS This represents the largest single-institution case series of pituicytomas and SCOs to date, and also includes the first description of the management of a pregnant female with SCO. Our findings are consistent with the idea of common histogenesis for pituicytomas and SCOs, and also raise the possibility of more aggressive growth in SCOs as compared to pituicytomas.
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Affiliation(s)
- Corinna C Zygourakis
- Department of Neurological Surgery, University of California at San Francisco, 505 Parnassus Avenue, Rm 779M, San Francisco, CA, 94143-0112, USA
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Jahangiri A, Chin AT, Wagner JR, Kunwar S, Ames C, Chou D, Barani I, Parsa AT, McDermott MW, Benet A, El-Sayed IH, Aghi MK. Factors Predicting Recurrence After Resection of Clival Chordoma Using Variable Surgical Approaches and Radiation Modalities. Neurosurgery 2014; 76:179-85; discussion 185-6. [DOI: 10.1227/neu.0000000000000611] [Citation(s) in RCA: 60] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
Abstract
ABSTRACT
BACKGROUND:
Clival chordomas frequently recur because of their location and invasiveness.
OBJECTIVE:
To investigate clinical, operative, and anatomic factors associated with clival chordoma recurrence.
METHODS:
Retrospective review of clival chordomas treated at our center from 1993 to 2013.
RESULTS:
Fifty patients (56% male) with median age of 59 years (range, 8–76) were newly diagnosed with clival chordoma of mean diameter 3.3 cm (range, 1.5-6.7). Symptoms included headaches (38%), diplopia (36%), and dysphagia (14%). Procedures included transsphenoidal (n = 34), transoral (n = 4), craniotomy (n = 5), and staged approaches (n = 7). Gross total resection (GTR) rate was 52%, with 83% mean volumetric reduction, values that improved over time. While the lower third of the clivus was the least likely superoinferior zone to contain tumor (upper third = 72%/middle third = 82%/lower third = 42%), it most frequently contained residual tumor (upper third = 33%/middle third = 38%/lower third = 63%; P < .05). Symptom improvement rates were 61% (diplopia) and 53% (headache). Postoperative radiation included proton beam (n = 19), cyberknife (n = 7), intensity-modulated radiation therapy (n = 6), external beam (n = 10), and none (n = 4). At last follow-up of 47 patients, 23 (49%) remain disease-free or have stable residual tumor. Lower third of clivus progressed most after GTR (upper/mid/lower third = 32%/41%/75%). In a multivariate Cox proportional hazards model, male gender (hazard ratio [HR] = 1.2/P = .03), subtotal resection (HR = 5.0/P = .02), and the preoperative presence of tumor in the middle third (HR = 1.2/P = .02) and lower third (HR = 1.8/P = .02) of the clivus increased further growth or regrowth, while radiation modality did not.
CONCLUSION:
Our findings underscore long-standing support for GTR as reducing chordoma recurrence. The lower third of the clivus frequently harbored residual or recurrent tumor, despite staged approaches providing mediolateral (transcranial + endonasal) or superoinferior (endonasal + transoral) breadth. There was no benefit of proton-based over photon-based radiation, contradicting conventional presumptions.
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Affiliation(s)
- Arman Jahangiri
- Center for Minimally Invasive Skull Base Surgery (MISB), University of California at San Francisco, San Francisco, California
- Department of Neurosurgery, Center for Minimally Invasive Skull Base Surgery (MISB), University of California at San Francisco, San Francisco, California
| | - Aaron T. Chin
- Center for Minimally Invasive Skull Base Surgery (MISB), University of California at San Francisco, San Francisco, California
- Department of Neurosurgery, Center for Minimally Invasive Skull Base Surgery (MISB), University of California at San Francisco, San Francisco, California
| | - Jeffrey R. Wagner
- Center for Minimally Invasive Skull Base Surgery (MISB), University of California at San Francisco, San Francisco, California
- Department of Neurosurgery, Center for Minimally Invasive Skull Base Surgery (MISB), University of California at San Francisco, San Francisco, California
| | - Sandeep Kunwar
- Department of Neurosurgery, Center for Minimally Invasive Skull Base Surgery (MISB), University of California at San Francisco, San Francisco, California
| | - Christopher Ames
- Department of Neurosurgery, Center for Minimally Invasive Skull Base Surgery (MISB), University of California at San Francisco, San Francisco, California
| | - Dean Chou
- Department of Neurosurgery, Center for Minimally Invasive Skull Base Surgery (MISB), University of California at San Francisco, San Francisco, California
| | - Igor Barani
- Department of Radiation Oncology, University of California at San Francisco, San Francisco, California
| | - Andrew T. Parsa
- Department of Neurosurgery, Northwestern University, Chicago, Illinois
| | - Michael W. McDermott
- Center for Minimally Invasive Skull Base Surgery (MISB), University of California at San Francisco, San Francisco, California
- Department of Neurosurgery, Center for Minimally Invasive Skull Base Surgery (MISB), University of California at San Francisco, San Francisco, California
| | - Arnau Benet
- Center for Minimally Invasive Skull Base Surgery (MISB), University of California at San Francisco, San Francisco, California
- Skull Base and Cerebrovascular Laboratory, University of California at San Francisco, San Francisco, California
| | - Ivan H. El-Sayed
- Center for Minimally Invasive Skull Base Surgery (MISB), University of California at San Francisco, San Francisco, California
- Department of Otolaryngology, University of California at San Francisco, San Francisco, California
| | - Manish K. Aghi
- Center for Minimally Invasive Skull Base Surgery (MISB), University of California at San Francisco, San Francisco, California
- Department of Neurosurgery, Center for Minimally Invasive Skull Base Surgery (MISB), University of California at San Francisco, San Francisco, California
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Zygourakis CC, Kaur G, Kunwar S, McDermott MW, Madden M, Oh T, Parsa AT. Modern treatment of 84 newly diagnosed craniopharyngiomas. J Clin Neurosci 2014; 21:1558-66. [DOI: 10.1016/j.jocn.2014.03.005] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2014] [Accepted: 03/08/2014] [Indexed: 10/25/2022]
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Jahangiri A, Wagner J, Han SW, Tran MT, Miller LM, Tom MW, Ostling LR, Kunwar S, Blevins L, Aghi MK. Rate and Time Course of Improvement in Endocrine Function After More Than 1000 Pituitary Operations. Neurosurgery 2014; 61 Suppl 1:163-6. [DOI: 10.1227/neu.0000000000000405] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
Affiliation(s)
- Arman Jahangiri
- Department of Neurosurgery and The California Center for Pituitary Disorders, University of California at San Francisco, San Francisco, California
| | - Jeffrey Wagner
- Department of Neurosurgery and The California Center for Pituitary Disorders, University of California at San Francisco, San Francisco, California
| | - Sung Won Han
- Department of Neurosurgery and The California Center for Pituitary Disorders, University of California at San Francisco, San Francisco, California
| | - Mai T. Tran
- Department of Neurosurgery and The California Center for Pituitary Disorders, University of California at San Francisco, San Francisco, California
| | - Liane M. Miller
- Department of Neurosurgery and The California Center for Pituitary Disorders, University of California at San Francisco, San Francisco, California
| | - MaxwelL W. Tom
- Department of Neurosurgery and The California Center for Pituitary Disorders, University of California at San Francisco, San Francisco, California
| | - Lauren R. Ostling
- Department of Neurosurgery, University of Cincinnati, Cincinnati, Ohio
| | - Sandeep Kunwar
- Department of Neurosurgery and The California Center for Pituitary Disorders, University of California at San Francisco, San Francisco, California
| | - Lewis Blevins
- Department of Neurosurgery and The California Center for Pituitary Disorders, University of California at San Francisco, San Francisco, California
| | - Manish K. Aghi
- Department of Neurosurgery and The California Center for Pituitary Disorders, University of California at San Francisco, San Francisco, California
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Jahangiri A, Wagner J, Han SW, Zygourakis CC, Han SJ, Tran MT, Miller LM, Tom MW, Kunwar S, Blevins LS, Aghi MK. Morbidity of repeat transsphenoidal surgery assessed in more than 1000 operations. J Neurosurg 2014; 121:67-74. [DOI: 10.3171/2014.3.jns131532] [Citation(s) in RCA: 43] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
Object
While transsphenoidal surgery is associated with low morbidity, the degree to which morbidity increases after reoperation remains unclear. The authors determined the morbidity associated with repeat versus initial transsphenoidal surgery after 1015 consecutive operations.
Methods
The authors conducted a 5-year retrospective review of the first 916 patients undergoing transsphenoidal surgery at their institution after a pituitary center of expertise was established, and they analyzed morbidities.
Results
The authors analyzed 907 initial and 108 repeat transsphenoidal surgeries performed in 916 patients (9 initial surgeries performed outside the authors' center were excluded). The most common diagnoses were endocrine inactive (30%) or active (36%) adenomas, Rathke's cleft cysts (10%), and craniopharyngioma (3%). Morbidity of initial surgery versus reoperation included diabetes insipidus ([DI] 16% vs 26%; p = 0.03), postoperative hyponatremia (20% vs 16%; p = 0.3), new postoperative hypopituitarism (5% vs 8%; p = 0.3), CSF leak requiring repair (1% vs 4%; p = 0.04), meningitis (0.4% vs 3%; p = 0.02), and length of stay ([LOS] 2.8 vs 4.5 days; p = 0.006). Of intraoperative parameters and postoperative morbidities, 1) some (use of lumbar drain and new postoperative hypopituitarism) did not increase with second or subsequent reoperations (p = 0.3–0.9); 2) some (DI and meningitis) increased upon second surgery (p = 0.02–0.04) but did not continue to increase for subsequent reoperations (p = 0.3–0.9); 3) some (LOS) increased upon second surgery and increased again for subsequent reoperations (p < 0.001); and 4) some (postoperative hyponatremia and CSF leak requiring repair) did not increase upon second surgery (p = 0.3) but went on to increase upon subsequent reoperations (p = 0.001–0.02). Multivariate analysis revealed that operation number, but not sex, age, pathology, radiation therapy, or lesion size, increased the risk of CSF leak, meningitis, and increased LOS. Separate analysis of initial versus repeat transsphenoidal surgery on the 2 most common benign pituitary lesions, pituitary adenomas and Rathke's cleft cysts, revealed that the increased incidence of DI and CSF leak requiring repair seen when all pathologies were combined remained significant when analyzing only pituitary adenomas and Rathke's cleft cysts (DI, 13% vs 35% [p = 0.001]; and CSF leak, 0.3% vs 9% [p = 0.0009]).
Conclusions
Repeat transsphenoidal surgery was associated with somewhat more frequent postoperative DI, meningitis, CSF leak requiring repair, and greater LOS than the low morbidity characterizing initial transsphenoidal surgery. These results provide a framework for neurosurgeons in discussing reoperation for pituitary disease with their patients.
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Sheehan JP, Starke RM, Kano H, Kaufmann AM, Mathieu D, Zeiler FA, West M, Chao ST, Varma G, Chiang VLS, Yu JB, McBride HL, Nakaji P, Youssef E, Honea N, Rush S, Kondziolka D, Lee JYK, Bailey RL, Kunwar S, Petti P, Lunsford LD. Gamma Knife radiosurgery for sellar and parasellar meningiomas: a multicenter study. J Neurosurg 2014; 120:1268-77. [DOI: 10.3171/2014.2.jns13139] [Citation(s) in RCA: 63] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
Object
Parasellar and sellar meningiomas are challenging tumors owing in part to their proximity to important neurovascular and endocrine structures. Complete resection can be associated with significant morbidity, and incomplete resections are common. In this study, the authors evaluated the outcomes of parasellar and sellar meningiomas managed with Gamma Knife radiosurgery (GKRS) both as an adjunct to microsurgical removal or conventional radiation therapy and as a primary treatment modality.
Methods
A multicenter study of patients with benign sellar and parasellar meningiomas was conducted through the North American Gamma Knife Consortium. For the period spanning 1988 to 2011 at 10 centers, the authors identified all patients with sellar and/or parasellar meningiomas treated with GKRS. Patients were also required to have a minimum of 6 months of imaging and clinical follow-up after GKRS. Factors predictive of new neurological deficits following GKRS were assessed via univariate and multivariate analyses. Kaplan-Meier analysis and Cox multivariate regression analysis were used to assess factors predictive of tumor progression.
Results
The authors identified 763 patients with sellar and/or parasellar meningiomas treated with GKRS. Patients were assessed clinically and with neuroimaging at routine intervals following GKRS. There were 567 females (74.3%) and 196 males (25.7%) with a median age of 56 years (range 8–90 years). Three hundred fifty-five patients (50.7%) had undergone at least one resection before GKRS, and 3.8% had undergone prior radiation therapy. The median follow-up after GKRS was 66.7 months (range 6–216 months). At the last follow-up, tumor volumes remained stable or decreased in 90.2% of patients. Actuarial progression-free survival rates at 3, 5, 8, and 10 years were 98%, 95%, 88%, and 82%, respectively. More than one prior surgery, prior radiation therapy, or a tumor margin dose < 13 Gy significantly increased the likelihood of tumor progression after GKRS.
At the last clinical follow-up, 86.2% of patients demonstrated no change or improvement in their neurological condition, whereas 13.8% of patients experienced symptom progression. New or worsening cranial nerve deficits were seen in 9.6% of patients, with cranial nerve (CN) V being the most adversely affected nerve. Functional improvements in CNs, especially in CNs V and VI, were observed in 34% of patients with preexisting deficits. New or worsened endocrinopathies were demonstrated in 1.6% of patients; hypothyroidism was the most frequent deficiency. Unfavorable outcome with tumor growth and accompanying neurological decline was statistically more likely in patients with larger tumor volumes (p = 0.022) and more than 1 prior surgery (p = 0.021).
Conclusions
Gamma Knife radiosurgery provides a high rate of tumor control for patients with parasellar or sellar meningiomas, and tumor control is accompanied by neurological preservation or improvement in most patients.
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Affiliation(s)
| | | | | | | | | | | | | | | | | | | | | | | | - Peter Nakaji
- 7Barrow Neurological Institute, Phoenix, Arizona
| | - Emad Youssef
- 7Barrow Neurological Institute, Phoenix, Arizona
| | | | | | | | | | | | - Sandeep Kunwar
- 9Taylor McAdam Bell Neuroscience Institute, Washington Hospital Healthcare System, Fremont, California; and
| | - Paula Petti
- 9Taylor McAdam Bell Neuroscience Institute, Washington Hospital Healthcare System, Fremont, California; and
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Jahangiri A, Wagner JR, Pekmezci M, Hiniker A, Chang EF, Kunwar S, Blevins L, Aghi MK. A comprehensive long-term retrospective analysis of silent corticotrophic adenomas vs hormone-negative adenomas. Neurosurgery 2014; 73:8-17; discussion 17-8. [PMID: 23685641 DOI: 10.1227/01.neu.0000429858.96652.1e] [Citation(s) in RCA: 61] [Impact Index Per Article: 6.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
Abstract
BACKGROUND Silent corticotrophic adenomas (SCAs) stain adrenocorticotropic hormone (ACTH)+ without causing Cushing disease. SCAs are reportedly more aggressive, but information comes from small series. OBJECTIVE To determine whether SCAs behave more aggressively than hormone-negative adenomas (HNAs), and characterize SCA ACTH production alterations. METHODS SCAs (n = 75) and HNAs (n = 1726) diagnosed at our institution from 1990 to 2011 were retrospectively reviewed. RT-PCR was used to compare expression of ACTH-producing factors. RESULTS SCA patients exhibited comparable sex and age as HNA patients (P = .7-.9). SCAs exhibited comparable size as HNAs (2.2 vs 2.0 cm, P = .2), with cavernous sinus invasion in 30% of SCAs vs 18% of HNAs (P = .03). SCA patients had higher mean preoperative serum ACTH (46 vs 19 ng/L; P = .005; normal = 5-27 ng/L), but comparable serum cortisol (13 vs 12 μg/dL; normal = 4-22 μg/dL; P < .05) as HNA patients. SCAs were gross totally resected 59% of the time, vs 53% for HNAs (P = .8). Kaplan-Meier 3-year progression/recurrence rates were 34% for strongly ACTH-positive Type I SCAs, 10% for weakly ACTH-positive Type II SCAs, and 6% for HNAs (P < .001 SCA vs HNA; P < .001 Type I vs HNA; and P = .08 Type II vs HNA). Expression of ACTH precursor pro-opiomelanocortin was 900-fold elevated in SCAs and 1300-fold elevated in Cushing disease-causing adenomas (CDCAs) vs HNAs (P < .001). Transcription of PC1/3, which cleaves pro-opiomelanocortin into ACTH, was 30-fold higher in CDCAs than SCAs (P = .02). CONCLUSION In the largest series to date, SCAs exhibited comparable size, but increased cavernous sinus invasion and progression/recurrence vs HNAs. SCAs exhibit deficient pro-opiomelanocortin to ACTH conversion. Close follow-up is warranted for SCAs.
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Affiliation(s)
- Arman Jahangiri
- Department of Neurosurgery and The California Center for Pituitary Disorders (CCPD), University of California at San Francisco (UCSF), San Francisco, California, USA
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