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1.
Phys Rev Lett ; 133(4): 042501, 2024 Jul 26.
Artículo en Inglés | MEDLINE | ID: mdl-39121400

RESUMEN

We investigated decays of ^{51,52,53}K at the ISOLDE Decay Station at CERN in order to understand the mechanism of the ß-delayed neutron-emission (ßn) process. The experiment quantified neutron and γ-ray emission paths for each precursor. We used this information to test the hypothesis, first formulated by Bohr in 1939, that neutrons in the ßn process originate from the structureless "compound nucleus." The data are consistent with this postulate for most of the observed decay paths. The agreement, however, is surprising because the compound-nucleus stage should not be achieved in the studied ß decay due to insufficient excitation energy and level densities in the neutron emitter. In the ^{53}K ßn decay, we found a preferential population of the first excited state in ^{52}Ca that contradicted Bohr's hypothesis. The latter was interpreted as evidence for direct neutron emission sensitive to the structure of the neutron-unbound state. We propose that the observed nonstatistical neutron emission proceeds through the coupling with nearby doorway states that have large neutron-emission probabilities. The appearance of "compound-nucleus" decay is caused by the aggregated small contributions of multiple doorway states at higher excitation energy.

2.
Phys Rev Lett ; 131(2): 022501, 2023 Jul 14.
Artículo en Inglés | MEDLINE | ID: mdl-37505957

RESUMEN

The ß decays from both the ground state and a long-lived isomer of ^{133}In were studied at the ISOLDE Decay Station (IDS). With a hybrid detection system sensitive to ß, γ, and neutron spectroscopy, the comparative partial half-lives (logft) have been measured for all their dominant ß-decay channels for the first time, including a low-energy Gamow-Teller transition and several first-forbidden (FF) transitions. Uniquely for such a heavy neutron-rich nucleus, their ß decays selectively populate only a few isolated neutron unbound states in ^{133}Sn. Precise energy and branching-ratio measurements of those resonances allow us to benchmark ß-decay theories at an unprecedented level in this region of the nuclear chart. The results show good agreement with the newly developed large-scale shell model (LSSM) calculations. The experimental findings establish an archetype for the ß decay of neutron-rich nuclei southeast of ^{132}Sn and will serve as a guide for future theoretical development aiming to describe accurately the key ß decays in the rapid-neutron capture (r-) process.

3.
Phys Rev Lett ; 131(26): 262501, 2023 Dec 29.
Artículo en Inglés | MEDLINE | ID: mdl-38215380

RESUMEN

The excited states of unstable ^{20}O were investigated via γ-ray spectroscopy following the ^{19}O(d,p)^{20}O reaction at 8 AMeV. By exploiting the Doppler shift attenuation method, the lifetimes of the 2_{2}^{+} and 3_{1}^{+} states were firmly established. From the γ-ray branching and E2/M1 mixing ratios for transitions deexciting the 2_{2}^{+} and 3_{1}^{+} states, the B(E2) and B(M1) were determined. Various chiral effective field theory Hamiltonians, describing the nuclear properties beyond ground states, along with a standard USDB interaction, were compared with the experimentally obtained data. Such a comparison for a large set of γ-ray transition probabilities with the valence space in medium similarity renormalization group ab initio calculations was performed for the first time in a nucleus far from stability. It was shown that the ab initio approaches using chiral effective field theory forces are challenged by detailed high-precision spectroscopic properties of nuclei. The reduced transition probabilities were found to be a very constraining test of the performance of the ab initio models.

4.
Proc Natl Acad Sci U S A ; 117(48): 30107-30117, 2020 12 01.
Artículo en Inglés | MEDLINE | ID: mdl-33199646

RESUMEN

Colorimetric sensors offer the prospect for on-demand sensing diagnostics in simple and low-cost form factors, enabling rapid spatiotemporal inspection by digital cameras or the naked eye. However, realizing strong dynamic color variations in response to small changes in sample properties has remained a considerable challenge, which is often pursued through the use of highly responsive materials under broadband illumination. In this work, we demonstrate a general colorimetric sensing technique that overcomes the performance limitations of existing chromatic and luminance-based sensing techniques. Our approach combines structural color optical filters as sensing elements alongside a multichromatic laser illuminant. We experimentally demonstrate our approach in the context of label-free biosensing and achieve ultrasensitive and perceptually enhanced chromatic color changes in response to refractive index changes and small molecule surface attachment. Using structurally enabled chromaticity variations, the human eye is able to resolve ∼0.1-nm spectral shifts with low-quality factor (e.g., Q ∼ 15) structural filters. This enables spatially resolved biosensing in large area (approximately centimeters squared) lithography-free sensing films with a naked eye limit of detection of ∼3 pg/mm2, lower than industry standard sensors based on surface plasmon resonance that require spectral or angular interrogation. This work highlights the key roles played by both the choice of illuminant and design of structural color filter, and it offers a promising pathway for colorimetric devices to meet the strong demand for high-performance, rapid, and portable (or point-of-care) diagnostic sensors in applications spanning from biomedicine to environmental/structural monitoring.


Asunto(s)
Ojo/metabolismo , Percepción Visual/fisiología , Técnicas Biosensibles , Color , Colorimetría , Rayos Láser , Prueba de Estudio Conceptual , Teléfono Inteligente
5.
Phys Rev Lett ; 126(3): 032503, 2021 Jan 22.
Artículo en Inglés | MEDLINE | ID: mdl-33543956

RESUMEN

A nuclear spectroscopy experiment was conducted to study α-decay chains stemming from isotopes of flerovium (element Z=114). An upgraded TASISpec decay station was placed behind the gas-filled separator TASCA at the GSI Helmholtzzentrum für Schwerionenforschung in Darmstadt, Germany. The fusion-evaporation reactions ^{48}Ca+^{242}Pu and ^{48}Ca+^{244}Pu provided a total of 32 flerovium-candidate decay chains, of which two and eleven were firmly assigned to ^{286}Fl and ^{288}Fl, respectively. A prompt coincidence between a 9.60(1)-MeV α particle event and a 0.36(1)-MeV conversion electron marked the first observation of an excited state in an even-even isotope of the heaviest man-made elements, namely ^{282}Cn. Spectroscopy of ^{288}Fl decay chains fixed Q_{α}=10.06(1) MeV. In one case, a Q_{α}=9.46(1)-MeV decay from ^{284}Cn into ^{280}Ds was observed, with ^{280}Ds fissioning after only 518 µs. The impact of these findings, aggregated with existing data on decay chains of ^{286,288}Fl, on the size of an anticipated shell gap at proton number Z=114 is discussed in light of predictions from two beyond-mean-field calculations, which take into account triaxial deformation.

6.
Opt Express ; 28(21): 30597-30605, 2020 Oct 12.
Artículo en Inglés | MEDLINE | ID: mdl-33115057

RESUMEN

The wavefronts emerging from phase gradient metasurfaces are typically sensitive to incident beam properties such as angle, wavelength, or polarization. While this sensitivity can result in undesired wavefront aberrations, it can also be exploited to construct multifunctional devices which dynamically vary their behavior in response to tuning a specified degree of freedom. Here, we show how incident beam tilt in a one dimensional metalens naturally offers a means for changing functionality between diffraction limited focusing and the generation of non-paraxial accelerating light beams. This attractively offers enhanced control over accelerating beam characteristics in a simple and compact form factor.

7.
Opt Lett ; 45(17): 4730-4733, 2020 Sep 01.
Artículo en Inglés | MEDLINE | ID: mdl-32870843

RESUMEN

The wave nature and diffraction of light pose a significant bottleneck to the continued performance and efficiency scaling of a wide variety of integrated photonic devices, often necessitating solutions based on resonance, slow-light, or plasmonics to derive enhanced light-matter interaction. Here, we introduce all-dielectric waveguides that exploit the vectorial nature of light to achieve strong subdiffraction confinement in high index dielectrics, enabling characteristic mode dimensions below λ02/1000 without metals or plasmonics. We further show how these ultra-small mode areas may coincide or diverge from the nonlinear effective mode area. The work opens the door to new types of waveguide-based devices featuring strong near-field confinement, Purcell factors, and nonlinear effects, with broad applications spanning classical and quantum optics.

8.
Phys Rev Lett ; 125(19): 192501, 2020 Nov 06.
Artículo en Inglés | MEDLINE | ID: mdl-33216605

RESUMEN

The ß decay of ^{208}Hg into the one-proton hole, one neutron-particle _{81}^{208}Tl_{127} nucleus was investigated at CERN-ISOLDE. Shell-model calculations describe well the level scheme deduced, validating the proton-neutron interactions used, with implications for the whole of the N>126, Z<82 quadrant of neutron-rich nuclei. While both negative and positive parity states with spin 0 and 1 are expected within the Q_{ß} window, only three negative parity states are populated directly in the ß decay. The data provide a unique test of the competition between allowed Gamow-Teller and Fermi, and first-forbidden ß decays, essential for the understanding of the nucleosynthesis of heavy nuclei in the rapid neutron capture process. Furthermore, the observation of the parity changing 0^{+}→0^{-}ß decay where the daughter state is core excited is unique, and can provide information on mesonic corrections of effective operators.

9.
Opt Express ; 27(16): 22485-22498, 2019 Aug 05.
Artículo en Inglés | MEDLINE | ID: mdl-31510540

RESUMEN

Guided wave-optics has emerged as a promising platform for label free biosensing. However, device sensitivity toward surface-bound small molecules is directly limited by the evanescent interaction and low confinement factor with the active sensing region. Here, we report a mesoporous silicon waveguide design and inverse fabrication technique that resolves the evanescent field interaction limitation while achieving maximal transverse confinement factors and preserving single-mode operation. The waveguide sensors are characterized in a Fabry-Perot interferometer configuration and the ultra-high sensitivity to small molecule adlayers is demonstrated. We also identify dispersion to be a promising degree of freedom for exceeding the sensitivity limits predicted by the conventional non-dispersive effective medium theory.

10.
Phys Rev Lett ; 121(14): 142701, 2018 Oct 05.
Artículo en Inglés | MEDLINE | ID: mdl-30339438

RESUMEN

The ^{12}C(α,γ)^{16}O reaction plays a central role in astrophysics, but its cross section at energies relevant for astrophysical applications is only poorly constrained by laboratory data. The reduced α width, γ_{11}, of the bound 1^{-} level in ^{16}O is particularly important to determine the cross section. The magnitude of γ_{11} is determined via sub-Coulomb α-transfer reactions or the ß-delayed α decay of ^{16}N, but the latter approach is presently hampered by the lack of sufficiently precise data on the ß-decay branching ratios. Here we report improved branching ratios for the bound 1^{-} level [b_{ß,11}=(5.02±0.10)×10^{-2}] and for ß-delayed α emission [b_{ßα}=(1.59±0.06)×10^{-5}]. Our value for b_{ßα} is 33% larger than previously held, leading to a substantial increase in γ_{11}. Our revised value for γ_{11} is in good agreement with the value obtained in α-transfer studies and the weighted average of the two gives a robust and precise determination of γ_{11}, which provides significantly improved constraints on the ^{12}C(α,γ) cross section in the energy range relevant to hydrostatic He burning.

11.
BMC Urol ; 17(1): 34, 2017 Apr 27.
Artículo en Inglés | MEDLINE | ID: mdl-28449665

RESUMEN

BACKGROUND: Lymphoepithelioma-like carcinoma (LELC) is a rare high-grade carcinoma that resembles nasopharyngeal lymphoepithelioma and can occur throughout the body. First reported in 1991, bladder LELC has an incidence of about 1% of all bladder carcinomas. Due to its rare occurrence, prognoses and ideal treatment guidelines have not been clearly defined. METHODS: A PubMed search was performed using two terms, "lymphoepithelioma-like carcinoma" and "bladder." Review articles, articles in foreign languages, expression studies, and studies not performed in the bladder were excluded. We report a case of LELC of the bladder including treatment and outcome and performed a systematic review of all 36 available English literatures from 1991 to 2016 including the present case to identify factors affecting disease-free survival. RESULTS: One hundred forty cases of bladder LELC were analyzed. The mean age of the patients was 70.1 years ranging from 43 to 90 years with 72% males and 28% females. Pure LELC occurs most often at 46% followed by mixed LELC 28% and predominant LELC 26%. EBV testing was negative in all cases tested. Mean follow-up length for all cases was 33.8 months with no evidence of disease in 62.2%, while 11.1% died of disease, 10.4% alive with metastasis, and 8.2% died without disease. 5.0% of cases had recurrence at an average of 31.3 months. Prognosis is significantly favorable for patients presenting with pure or predominant forms of LELC compared to mixed type (p < 0.0001). The treatment significantly associated with the highest disease mortality and lowest disease-free survival was TURBT alone when compared to any multi-modality treatment (p < 0.01). CONCLUSION: We conclude that the best treatment modality associated with the highest disease-free survival is multi-modal treatment including radical cystectomy.


Asunto(s)
Carcinoma de Células Transicionales/terapia , Neoplasias de la Vejiga Urinaria/terapia , Anciano , Carcinoma de Células Transicionales/clasificación , Supervivencia sin Enfermedad , Femenino , Humanos , Neoplasias de la Vejiga Urinaria/clasificación
12.
J Membr Biol ; 249(6): 713-741, 2016 12.
Artículo en Inglés | MEDLINE | ID: mdl-27586664

RESUMEN

It is now clear that connexin-based, gap junction "hemichannels" in an undocked state are capable of opening and connecting cytoplasm to the extracellular milieu. Varied studies also suggest that such channel activity plays a vital role in diverse cell processes and abnormal hemichannel activity contributes to pathogenesis. To pursue fundamental questions in this area, investigators require methods for studying hemichannel permeability and dynamics that are quantitative, sensitive, versatile, and available to most cellular and molecular laboratories. Here we first provide a theoretical background for this work, including the role of cellular membrane potentials. We then describe in detail our computer-assisted methods for both dye uptake and leakage along with illustrative results from different cell systems. A key feature of our protocol is the inclusion of a mechanical stimulation step. We describe dye uptake, interpreted as connexin dependent, that is shown to be enhanced with reduced extracellular Ca2+, mechanically responsive, inhibited by TPA, inhibited by EL186 antibodies for Cx43 and sustained for more than 15 min following mechanical stimulation. We describe dye leakage that displays these same properties, with estimates of hemichannel numbers per cell being derived from leakage rates. We also describe dye uptake that is shown to be unaffected by a reduction in external Ca2+, insensitive to EL186 antibodies and relatively short-lived following mechanical stimulation; this uptake may occur via pannexin 1 channels expressed in the cells studied here. It is unlikely that cell damage plays a significant role in dye uptake following mechanical stimulation, given compelling results from various control experiments.


Asunto(s)
Conexinas/metabolismo , Algoritmos , Animales , Transporte Biológico , Calcio/metabolismo , Línea Celular , Colorantes/metabolismo , Conexina 43/genética , Conexina 43/metabolismo , Conexinas/genética , Uniones Comunicantes/metabolismo , Expresión Génica , Humanos , Cinética , Ratones , Microscopía Fluorescente , Modelos Teóricos , Permeabilidad
13.
Phys Rev Lett ; 115(22): 222502, 2015 Nov 27.
Artículo en Inglés | MEDLINE | ID: mdl-26650299

RESUMEN

The isospin mixing was deduced in the compound nucleus ^{80}Zr at an excitation energy of E^{*}=54 MeV from the γ decay of the giant dipole resonance. The reaction ^{40}Ca+^{40}Ca at E_{beam}=136 MeV was used to form the compound nucleus in the isospin I=0 channel, while the reaction ^{37}Cl+^{44}Ca at E_{beam}=95 MeV was used as the reference reaction. The γ rays were detected with the AGATA demonstrator array coupled with LaBr_{3}:Ce detectors. The temperature dependence of the isospin mixing was obtained and the zero-temperature value deduced. The isospin-symmetry-breaking correction δ_{C} used for the Fermi superallowed transitions was extracted and found to be consistent with ß-decay data.

14.
Opt Express ; 21(9): 10753-63, 2013 May 06.
Artículo en Inglés | MEDLINE | ID: mdl-23669932

RESUMEN

Vanadium dioxide (VO(2)) is a promising reconfigurable optical material and has long been a focus of condensed matter research owing to its distinctive semiconductor-to-metal phase transition (SMT), a feature that has stimulated recent development of thermally reconfigurable photonic, plasmonic, and metamaterial structures. Here, we integrate VO(2) onto silicon photonic devices and demonstrate all-optical switching and reconfiguration of ultra-compact broadband Si-VO(2) absorption modulators (L < 1 µm) and ring-resonators (R ~ λ(0)). Optically inducing the SMT in a small, ~0.275 µm(2), active area of polycrystalline VO(2) enables Si-VO(2) structures to achieve record values of absorption modulation, ~4 dB µm(-1), and intracavity phase modulation, ~π/5 rad µm(-1). This in turn yields large, tunable changes to resonant wavelength, |Δλ(SMT)| ~ 3 nm, approximately 60 times larger than Si-only control devices, and enables reconfigurable filtering and optical modulation in excess of 7 dB from modest Q-factor (~10(3)), high-bandwidth ring resonators (>100 GHz). All-optical integrated Si-VO(2) devices thus constitute platforms for reconfigurable photonics, bringing new opportunities to realize dynamic on-chip networks and ultrafast optical shutters and modulators.


Asunto(s)
Semiconductores , Silicio/química , Resonancia por Plasmón de Superficie/instrumentación , Diseño de Equipo , Análisis de Falla de Equipo , Miniaturización , Fotones
15.
Opt Express ; 20(12): 13215-25, 2012 Jun 04.
Artículo en Inglés | MEDLINE | ID: mdl-22714350

RESUMEN

We demonstrate photothermally induced optical switching of ultra-compact hybrid Si-VO2 ring resonators. The devices consist of a sub-micron length ~70 nm thick patch of phase-changing VO2 integrated onto silicon ring resonators as small as 1.5 µm in radius. The semiconductor-to-metal transition (SMT) of VO2 is triggered using a 532 nm pump laser, while optical transmission is probed using a tunable cw laser near 1550 nm. We observe optical modulation greater than 10dB from modest quality-factor (~10³) resonances, as well as a large -1.26 nm change in resonant wavelength Δλ, resulting from the large change in the dielectric function of VO2 in the insulator-to-metal transition achieved by optical pumping.

16.
Nano Lett ; 11(5): 1857-62, 2011 May 11.
Artículo en Inglés | MEDLINE | ID: mdl-20849094

RESUMEN

This work describes a technique for one-step, direct patterning of porous nanomaterials, including insulators, semiconductors, and metals without the need for intermediate polymer processing or dry etching steps. Our process, which we call "direct imprinting of porous substrates (DIPS)", utilizes reusable stamps with micro- and nanoscale features that are applied directly to a porous material to selectively compress or crush the porous network. The stamp pattern is transferred to the porous material with high fidelity, vertical resolution below 5 nm, and lateral resolution below 100 nm. The process is performed in less than one minute at room temperature and at standard atmospheric pressure. We have demonstrated structures ranging from subwavelength optical components to microparticles and present exciting avenues for applications including surface-enhanced Raman spectroscopy (SERS), label-free biosensors, and drug delivery.


Asunto(s)
Nanoestructuras , Nanotecnología/métodos , Porosidad , Materiales Biocompatibles , Sistemas de Liberación de Medicamentos , Microscopía Electrónica de Rastreo/métodos , Nanoestructuras/economía , Fotones , Polímeros/química , Silicio/química , Espectrometría Raman/métodos , Electricidad Estática , Propiedades de Superficie
17.
Sci Rep ; 12(1): 15653, 2022 Sep 19.
Artículo en Inglés | MEDLINE | ID: mdl-36123385

RESUMEN

We demonstrate the uniqueness, unclonability and secure authentication of N = 56 physical unclonable functions (PUFs) realized from silicon photonic moiré quasicrystal interferometers. Compared to prior photonic-PUF demonstrations typically limited in scale to only a handful of unique devices and on the order of 10 false authentication attempts, this work examines > 103 inter-device comparisons and false authentication attempts. Device fabrication is divided across two separate fabrication facilities, allowing for cross-fab analysis and emulation of a malicious foundry with exact knowledge of the PUF photonic circuit design and process. Our analysis also compares cross-correlation based authentication to the traditional Hamming distance method and experimentally demonstrates an authentication error rate AER = 0%, false authentication rate FAR = 0%, and an estimated probability of cloning below 10-30. This work validates the potential scalability of integrated photonic-PUFs which can attractively leverage mature wafer-scale manufacturing and automated contact-free optical probing. Such structures show promise for authenticating hardware in the untrusted supply chain or augmenting conventional electronic-PUFs to enhance system security.

18.
Adv Mater ; 34(43): e2206608, 2022 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-36075876

RESUMEN

Metal-assisted electrochemical nanoimprinting (Mac-Imprint) scales the fabrication of micro- and nanoscale 3D freeform geometries in silicon and holds the promise to enable novel chip-scale optics operating at the near-infrared spectrum. However, Mac-Imprint of silicon concomitantly generates mesoscale roughness (e.g., protrusion size ≈45 nm) creating prohibitive levels of light scattering. This arises from the requirement to coat stamps with nanoporous gold catalyst that, while sustaining etchant diffusion, imprints its pores (e.g., average diameter ≈42 nm) onto silicon. In this work, roughness is reduced to sub-10 nm levels, which is in par with plasma etching, by decreasing pore size of the catalyst via dealloying in far-from equilibrium conditions. At this level, single-digit nanometric details such as grain-boundary grooves of the catalyst are imprinted and attributed to the resolution limit of Mac-Imprint, which is argued to be twice the Debye length (i.e., 1.7 nm)-a finding that broadly applies to metal-assisted chemical etching. Last, Mac-Imprint is employed to produce single-mode rib-waveguides on pre-patterned silicon-on-insulator wafers with root-mean-square line-edge roughness less than 10 nm while providing depth uniformity (i.e., 42.9 ± 5.5 nm), and limited levels of silicon defect formation (e.g., Raman peak shift < 0.1 cm-1 ) and sidewall scattering.

19.
Front Chem ; 10: 976635, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-36092655

RESUMEN

Flerovium (Fl, element 114) is the heaviest element chemically studied so far. To date, its interaction with gold was investigated in two gas-solid chromatography experiments, which reported two different types of interaction, however, each based on the level of a few registered atoms only. Whereas noble-gas-like properties were suggested from the first experiment, the second one pointed at a volatile-metal-like character. Here, we present further experimental data on adsorption studies of Fl on silicon oxide and gold surfaces, accounting for the inhomogeneous nature of the surface, as it was used in the experiment and analyzed as part of the reported studies. We confirm that Fl is highly volatile and the least reactive member of group 14. Our experimental observations suggest that Fl exhibits lower reactivity towards Au than the volatile metal Hg, but higher reactivity than the noble gas Rn.

20.
J Urol ; 186(6): 2221-7, 2011 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-22014803

RESUMEN

PURPOSE: Gleason score upgrading between biopsy and surgical pathological specimens occurs in 30% to 50% of cases. Predicting upgrading in men with low risk prostate cancer may be particularly important since high grade disease influences management decisions and impacts prognosis. We determined whether prostate size predicts Gleason score upgrading in patients with low risk prostate cancer. MATERIALS AND METHODS: A total of 1,251 consecutive patients with D'Amico low risk disease and complete data available underwent radical prostatectomy at our institution between January 2000 and June 2008. Patients were divided into 3 groups by pathological Gleason score, including no, minor (3 + 4 = 7) and major (4 + 3 = 7 or greater) Gleason score upgrading. We developed bivariate and multivariate models to determine whether prostate size was an important predictor of upgrading while controlling for clinical and biopsy characteristics. RESULTS: Of 1,251 cases 387 (31.0%) were upgraded, including 324 (26%) and 63 (5%) with minor and major upgrading, respectively. As expected, Gleason score upgrading was associated with worse pathological and cancer control outcomes. On multivariate analysis smaller prostate size was an independent predictor of any and major upgrading (OR 0.58, 95% CI 0.48-0.69, p <0.01 and OR 0.67, 95% CI 0.49-0.96, p = 0.03, respectively). Men with prostate volume at the 25th percentile (36 cm(3)) were 50% more likely to experience upgrading than men with prostate volume at the 75th percentile (58 cm(3)). CONCLUSIONS: Of low risk cases 31% were upgraded at final pathology. Smaller prostate size predicts Gleason score upgrading in men with clinically low risk prostate cancer. This is important information when counseling patients on management and prognosis.


Asunto(s)
Próstata/patología , Neoplasias de la Próstata/patología , Estudios de Cohortes , Humanos , Masculino , Persona de Mediana Edad , Clasificación del Tumor , Tamaño de los Órganos , Valor Predictivo de las Pruebas , Estudios Retrospectivos , Riesgo
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