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ΣΜΗΜΑ ΜΗΦΑΝΙΚΩΝ Η/Τ & ΠΛΗΡΟΥΟΡΙΚΗ΢ - ΕΡΓΑ΢ΣΉΡΙΟ ΑΝΑΓΝΩΡΙ΢Η΢ ΠΡΟΣΤΠΩΝ
 This research has been co-financed by the European
Union (European Social Fund – ESF) and Greek
national funds through the Operational Program
"Education and Lifelong Learning" of the National
Strategic Reference Framework (NSRF) - Research
Funding Program: THALIS. Investing in knowledge
society through the European Social Fund.
ΜΟΝΣΕΛΑ ΔΙAΥΤ΢Η΢
ΚΑΡΚΙΝΙΚΩΝ ΟΓΚΩΝ ΕΓΚΕΦΑΛΟΤ
Σ. Λσκοθανάσης, Καθηγητής
Α. Κορυιάτη, Μηχ/κος Η/Τ & Πληρ/κής
(ΚΕΟ 3)
THE PROBLEM
Despite continual advances in imaging technology,
glioma cells invade far beyond the abnormality
shown on clinical imaging (e.g. CT, MRI, or PET)
and even beyond gross and microscopic
observations at autopsy. The extent is certainly
beyond that guiding present-day radiotherapy of
gliomas, which targets therapy to only an arbitrary 2
cm beyond the imaged bulk mass of the tumor.
Clearly, it is the invasion into the normal-appearing
surrounding tissue that is responsible for the tumor
recurrence even in those tumors that are radio-
sensitive.
HISTORY OF THE USE OF MATHEMATICAL
MODELING IN THE STUDY
OF THE PROLIFERATIVE-INVASIVE
GROWTH OF GLIOMAS
Hana L.P. Harpold, BS, Ellsworth C. Alvord, Jr., MD, and
Kristin R. Swanson, PhD, The Evolution of Mathematical
Modeling of Glioma Proliferation and Invasion, J
Neuropathol Exp Neurol, Vol. 66, No. 1, January 2007, pp.
1-9
EARLY GLIOMA MODEL DEVELOPMENT:
GROWTH AND DIFFUSION
 In the early 1990s, Murray’s group defined the
basic spatio-temporal model, based on the classical
definition of cancer, as uncontrolled proliferation of
cells with the capacity to invade and metastasize.
 This model was simplified by taking advantage of
the fact that gliomas practically never metastasize
outside the brain, producing a conservation
diffusion equation, written in words in Equation 1.
 rate of change of glioma cell density = net diffusion
(motility) of glioma cells in grey and white matter +
net proliferation of glioma cell
EARLY GLIOMA MODEL DEVELOPMENT:
GROWTH AND DIFFUSION
 Under the assumption of classical gradient-driven
Fickian diffusion, this word equation could be quantified
mathematically to produce Equation 2.
 Equation 2 describes the dynamics of glioma cells
where c(x,t) is the concentration of tumor cells at
location x and time t. D is the diffusion coefficient
representing the net motility of glioma cells and Q
represents the net proliferation rate of the glioma cells.
The ² term is the spatial differentiation operator, which is
in effect a gradient. Initial conditions for the model were
c(x,0) = f(x), where f(x) defined the initial spatial
distribution of malignant cells, presumably a point
source at the center of tumorigenesis.
BRAIN HETEROGENEITY: ISOTROPIC
MIGRATION
 The original analyses of the mathematical model
assumed homogenous brain tissue so that the diffusion
coefficient D, defining random motility of glioma cells,
was constant and uniform throughout the brain.
 Recognizing that the model had to be improved to
accommodate the advances in MRI technology that
were coming along in parallel, Swanson et al
reformulated the model to accept different diffusion rates
in grey and white matter.
 This modified model introduced the complex geometry
of the brain and presented diffusion (motility) as a
function of the spatial variable x to accommodate the
observation that glioma cells demonstrate greater
motility in white matter than in grey matter.
BRAIN HETEROGENEITY: ISOTROPIC
MIGRATION
 The original word equation, Equation 1, continued
to apply, but the mathematics changed to involve a
spatially varying diffusion parameter, D(x), as
shown in Equation 3.
 D(x) is still defined as the diffusion coefficient
defining the net motility of the glioma cells but with
D(x) = DG or DW, different constants for x in grey
and white matter, respectively.
AN EXAMPLE:
BRAIN TUMOR GROWTH PREDICTION
Md. Rajibul Islam, Norma Alias and Siew Young Ping, An
application of PDE to predict brain tumor growth using
high performance computing system, daffodil
international university journal of science and technology,
vol 6, issue 1, july 2011
THE MATHEMATICAL MODEL
Γ: generation coefficient, L: death/decay coefficient,
Q: diffusion coefficient, W: drift velocity field
 The explicit finite-difference method has been used
to solve the parabolic equation.
 The finite-differences equations are converted into
matrix form.
THE NUMERICAL SOLUTION
 Red Black Gauss Seidel Iteration Method is used to
solve the pde
 division of arrays among local processors.
 The simple Gauss Seidel Iterative method is more
appropriate for a sequential program.
 Time execution, speedup, efficiency, effectiveness
and temporal performance are the metrics used for
comparing parallel and sequential algorithms.
THE HIGH PERFORMANCE COMPUTING
SYSTEM
 The cluster contains
 6 Intel Pentium IV CPUs (each with a storage of 40GB,
speed 1.8MHz and memory 256 MB) and
 two servers (each with 2 processors, a storage of 40GB,
speed AMDAthlon (tm) MP processor 1700++ MHz and
memory 1024 MB)
 connected with internal network Intel 10/100 NIC under
RetHat Linux 9.2
 PVM: Parallel Virtual Machine
 master task
 worker tasks
PERFORMANCE ANALYSIS
Red-Black Gauss Seidel with
PVM (8 CPU)
Gauss Seidel with Sequence
Algorithm (1 CPU)
Time (second) 10.90019 83.153291
Convergence 2.3911e-2 2.3911 e-2
Number of iteration 200 200
Number of
processor
Time
execution
(Second)
Speedup Efficiency Effectivenes
s
Temporal
Performanc
e
1 83.153291 1 1 0.012025982 0.012025982
2 41.84082 1.987372 0.993686 0.023749205 0.023900195
3 27.8878808 2.981708 0.993903 0.035639322 0.035857963
4 20.98909 3.961739 0.990435 0.047188072 0.047643800
5 16.9 4.920313 0.984063 0.058228557 0.059171598
6 14.262847 5.830063 0.971677 0.068126448 0.070112229
7 12.362682 6.726153 0.960879 0.077724154 0.080888597
8 10.90019 7.628609 0.953576 0.087482527 0.091741520
RESULTS- EXPANSION RATE OF BRAIN TUMOR
CA2
CELLULAR AUTOMATA MODELS
AND
SELF-ORGANIZED CHAOS
IN CANCER GROWTH
INTRODUCTION 1/2
NOMENCLATURE
CA2 : Cellular Automaton (CA)
for CAncer Growth
in silico population dynamics
for cancer growth
INTRODUCTION 2/2
ASSUMPTIONS
2-dimensional generalized and probabilistic cellular
automata with fixed lattice structure
Each unit (cell) is a 4-state element and at any
instance can be found in one of the following
conditions: normal, immature cancer, matured
cancer, or dead.
METHODS 1/5
2-D CA, 4-STATE ELEMENTS
2-dimensional CA with 4-state elements
 Normal, denoted by N
 cancer, denoted by c (immature phase)
 cancer, in division phase denoted by C
 dead, denoted by D
METHODS 2/5
CELL TIME CHARACTERISTICS
Each cell is characterized by a triplet of
values
 lifetime, (TL) : the total period that a specific cell is
alive
 maturity period or reproduction age, (TR) :
time necessary a cell to become “mature enough”
to divide and proliferate
 dissolution time, (TD) :
the time necessary the remainings of a dead cell to
be exported and the specific grid site to set free
METHODS 3/5
RANDOM INITIALIZATION
The triplet (TL, TR, TD) for each cell are individually
defined in a random fashion
Each one of these values is selected randomly from a
range of corresponding permitted values with the
use of the pseudo-random number generator
METHODS 4/5
CELL DYNAMICS
Local interactions of the CA that are simulating the
real inter- and intra-cellular cellular dynamics:
 N c a grid position that was occupied by a normal cell (N) is
taken by a new cancer cell (c)
 c C an immature cancer (c) cell gets in the proliferation phase (C)
 C 2c division to two immature cancer cells (2c) of a mature cancer cell (C)
 c D death (D) of an immature cancer cell (c)
 C D death (D) of a mature cancer cell (C)
 N D death (D) of a normal cell (N)
 D N a new normal cell (N) occupies an empty position of a dead cell (D)
 D c a new cancer cell (c) occupies an empty grid position of a dead cell (D)
METHODS 5/5
INITIALIZATION
Initially, (for t = 0), the CA is consisted of normal cells,
except a user-defined number of cells that turned to
cancer cells.
If the number of cancer cells is larger than one for t =
0, then a corresponding number of cancer cells
subpopulations are evolving simultaneously on the
same lattice.
The precise grid position of the cancer cell(s) is (are)
randomly selected
RESULTS 1/4
SINGLE CANCER CELL – NO
PROLIFERATION
RESULTS 2/4
PROLIFERATION OF A SINGLE CANCER
CELL
RESULTS 3/4
MULTIFOCAL PROLIFERATION OF 5 SUBPOPULATIONS
RESULTS 4/4
POPULATION EVOLUTION OF CANCER AND DEAD CELLS
DISCUSSION 1/5
REALISTIC BEHAVIOR
The model is able to provide a simple and
realistic explanation for the elimination of
cancer cells at their early stage of
development.
The model is able to provide realistic
simulations of cancer proliferation of a
single cancer cell.
The model is able to simulate simultaneous
growth of multiple subpopulations within the
same lattice
DISCUSSION 2/5
GOMPERTZ MODEL
Our findings is in agreement to the Gompertz mathematical
model for cancer growth given by:
(1 )
0( )
BtA
e
B
V t V e
DISCUSSION 3/5
SQUID BIOMAGNETOMETRY - BIOMAGNETIC MEASUREMENTS OF MAGNETIC FIELDS EMITTED
BY TUMORS IN BRAIN, BREAST, VAGINA, OVARIES, PROSTATE
DISCUSSION 4/5
CHAOTIC DYNAMICS IN BIOMAGNETIC MEASUREMENTS OF CANCER
0 100 200 300 400 500 600 700 800 900 1000
-3
-2
-1
0
1
2
3
TIME (samples)
MGG(pT)
-4
-2
0
2
-4
-2
0
2
-2
-1
0
1
2
-2 -1.5 -1 -0.5 0 0.5 1 1.5 2 2.5 3
-5
-4.5
-4
-3.5
-3
-2.5
-2
-1.5
-1
-0.5
0
Ln(r)
CORRELATIONINTEGRALS
-2 -1.5 -1 -0.5 0 0.5 1 1.5
0
2
4
6
8
10
12
14
Ln(r)
SLOPESOFCORRELATIONINTEGRALS
Fig. 1 Biomagnetic signal of MALT carcinoma
of 4 sec durations (sampling frequency 256 Hz)
Fig. 2 A 3-D reconstruction of the signal
reveals a strange attractor
Fig. 3 Correlation integrals Fig. 4 Slopes of correlation integrals and evidence for
convergence to low-dimensional chaotic dynamics
DISCUSSION 5/5
CONCLUSIONS
Our simulation findings provide evidence for emerging non-linear
complexity and self-organized chaotic dynamics in cancer
growth.
The hypothesis, of non-linear dynamics has been proposed for
cancer dynamics at sub-cellular and cellular level.
The same hypothesis seems to stand at the systemic level as
well.
Supported by non-linear analysis of biomagnetic measurements
performed in vivo for various types of cancer with the use of
SQUIDs that indicated the existence of low-dimensional
chaotic dynamics in the biomagnetic activity of malignant
lesions.
REFERENCES
 P.A. Anninos, A. Kotini, N. Koutlaki, A. Adamopoulos, G. Galazios, & P. Anastasiadis (2000)
Differential diagnosis of breast lesions, by the use of biomagnetic activity and non-linear analysis
Eur. J. of Gyn. Oncol., Vol. XXI, Nr. 6, pp. 591-595.
 P.A. Anninos, A. Kotini, N. Koutlaki, A. Adamopoulos, G. Galazios, P. Anastasiadis (2000)
Differential diagnosis of breast lesions by use of biomagnetic activity and non-linear analysis.
European Journal of Gynaecological Oncology, XXI(6):591-595
 K. Simopoulos, P. Anninos, A. Polychronidis, A. Kotini, A. Adamopoulos, & D. Tamiolakis (2003)
Pre- and postsurgical biomagnetic activity in MALT-type gastric lesions
Acta Radiol., Vol. 44, pp. 1-4.
 P. Anninos, I. Papadopoulos, A. Kotini, & A. Adamopoulos (2003)
Differential diagnosis of prostate lesions with the use of biomagnetic measurements and non-linear analysis
Urol. Res. Vol. 31, pp. 32-36.
 P. Antoniou, P. Anninos, H. Piperidou, A. Adamopoulos, A. Kotini, M. Koukourakis, E. Sivridis (2004)
Non-linear analysis of magnetoencephalographic signals as a tool for assessing malignant lesions of the brain: first results
Brain Topography, 17(2):117-123

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Μοντέλα διάχυσης καρκινικών όγκων εγκεφάλου

  • 1. ΣΜΗΜΑ ΜΗΦΑΝΙΚΩΝ Η/Τ & ΠΛΗΡΟΥΟΡΙΚΗ΢ - ΕΡΓΑ΢ΣΉΡΙΟ ΑΝΑΓΝΩΡΙ΢Η΢ ΠΡΟΣΤΠΩΝ  This research has been co-financed by the European Union (European Social Fund – ESF) and Greek national funds through the Operational Program "Education and Lifelong Learning" of the National Strategic Reference Framework (NSRF) - Research Funding Program: THALIS. Investing in knowledge society through the European Social Fund. ΜΟΝΣΕΛΑ ΔΙAΥΤ΢Η΢ ΚΑΡΚΙΝΙΚΩΝ ΟΓΚΩΝ ΕΓΚΕΦΑΛΟΤ Σ. Λσκοθανάσης, Καθηγητής Α. Κορυιάτη, Μηχ/κος Η/Τ & Πληρ/κής (ΚΕΟ 3)
  • 2. THE PROBLEM Despite continual advances in imaging technology, glioma cells invade far beyond the abnormality shown on clinical imaging (e.g. CT, MRI, or PET) and even beyond gross and microscopic observations at autopsy. The extent is certainly beyond that guiding present-day radiotherapy of gliomas, which targets therapy to only an arbitrary 2 cm beyond the imaged bulk mass of the tumor. Clearly, it is the invasion into the normal-appearing surrounding tissue that is responsible for the tumor recurrence even in those tumors that are radio- sensitive.
  • 3. HISTORY OF THE USE OF MATHEMATICAL MODELING IN THE STUDY OF THE PROLIFERATIVE-INVASIVE GROWTH OF GLIOMAS Hana L.P. Harpold, BS, Ellsworth C. Alvord, Jr., MD, and Kristin R. Swanson, PhD, The Evolution of Mathematical Modeling of Glioma Proliferation and Invasion, J Neuropathol Exp Neurol, Vol. 66, No. 1, January 2007, pp. 1-9
  • 4. EARLY GLIOMA MODEL DEVELOPMENT: GROWTH AND DIFFUSION  In the early 1990s, Murray’s group defined the basic spatio-temporal model, based on the classical definition of cancer, as uncontrolled proliferation of cells with the capacity to invade and metastasize.  This model was simplified by taking advantage of the fact that gliomas practically never metastasize outside the brain, producing a conservation diffusion equation, written in words in Equation 1.  rate of change of glioma cell density = net diffusion (motility) of glioma cells in grey and white matter + net proliferation of glioma cell
  • 5. EARLY GLIOMA MODEL DEVELOPMENT: GROWTH AND DIFFUSION  Under the assumption of classical gradient-driven Fickian diffusion, this word equation could be quantified mathematically to produce Equation 2.  Equation 2 describes the dynamics of glioma cells where c(x,t) is the concentration of tumor cells at location x and time t. D is the diffusion coefficient representing the net motility of glioma cells and Q represents the net proliferation rate of the glioma cells. The ² term is the spatial differentiation operator, which is in effect a gradient. Initial conditions for the model were c(x,0) = f(x), where f(x) defined the initial spatial distribution of malignant cells, presumably a point source at the center of tumorigenesis.
  • 6. BRAIN HETEROGENEITY: ISOTROPIC MIGRATION  The original analyses of the mathematical model assumed homogenous brain tissue so that the diffusion coefficient D, defining random motility of glioma cells, was constant and uniform throughout the brain.  Recognizing that the model had to be improved to accommodate the advances in MRI technology that were coming along in parallel, Swanson et al reformulated the model to accept different diffusion rates in grey and white matter.  This modified model introduced the complex geometry of the brain and presented diffusion (motility) as a function of the spatial variable x to accommodate the observation that glioma cells demonstrate greater motility in white matter than in grey matter.
  • 7. BRAIN HETEROGENEITY: ISOTROPIC MIGRATION  The original word equation, Equation 1, continued to apply, but the mathematics changed to involve a spatially varying diffusion parameter, D(x), as shown in Equation 3.  D(x) is still defined as the diffusion coefficient defining the net motility of the glioma cells but with D(x) = DG or DW, different constants for x in grey and white matter, respectively.
  • 8. AN EXAMPLE: BRAIN TUMOR GROWTH PREDICTION Md. Rajibul Islam, Norma Alias and Siew Young Ping, An application of PDE to predict brain tumor growth using high performance computing system, daffodil international university journal of science and technology, vol 6, issue 1, july 2011
  • 9. THE MATHEMATICAL MODEL Γ: generation coefficient, L: death/decay coefficient, Q: diffusion coefficient, W: drift velocity field  The explicit finite-difference method has been used to solve the parabolic equation.  The finite-differences equations are converted into matrix form.
  • 10. THE NUMERICAL SOLUTION  Red Black Gauss Seidel Iteration Method is used to solve the pde  division of arrays among local processors.  The simple Gauss Seidel Iterative method is more appropriate for a sequential program.  Time execution, speedup, efficiency, effectiveness and temporal performance are the metrics used for comparing parallel and sequential algorithms.
  • 11. THE HIGH PERFORMANCE COMPUTING SYSTEM  The cluster contains  6 Intel Pentium IV CPUs (each with a storage of 40GB, speed 1.8MHz and memory 256 MB) and  two servers (each with 2 processors, a storage of 40GB, speed AMDAthlon (tm) MP processor 1700++ MHz and memory 1024 MB)  connected with internal network Intel 10/100 NIC under RetHat Linux 9.2  PVM: Parallel Virtual Machine  master task  worker tasks
  • 12. PERFORMANCE ANALYSIS Red-Black Gauss Seidel with PVM (8 CPU) Gauss Seidel with Sequence Algorithm (1 CPU) Time (second) 10.90019 83.153291 Convergence 2.3911e-2 2.3911 e-2 Number of iteration 200 200 Number of processor Time execution (Second) Speedup Efficiency Effectivenes s Temporal Performanc e 1 83.153291 1 1 0.012025982 0.012025982 2 41.84082 1.987372 0.993686 0.023749205 0.023900195 3 27.8878808 2.981708 0.993903 0.035639322 0.035857963 4 20.98909 3.961739 0.990435 0.047188072 0.047643800 5 16.9 4.920313 0.984063 0.058228557 0.059171598 6 14.262847 5.830063 0.971677 0.068126448 0.070112229 7 12.362682 6.726153 0.960879 0.077724154 0.080888597 8 10.90019 7.628609 0.953576 0.087482527 0.091741520
  • 13. RESULTS- EXPANSION RATE OF BRAIN TUMOR
  • 15. INTRODUCTION 1/2 NOMENCLATURE CA2 : Cellular Automaton (CA) for CAncer Growth in silico population dynamics for cancer growth
  • 16. INTRODUCTION 2/2 ASSUMPTIONS 2-dimensional generalized and probabilistic cellular automata with fixed lattice structure Each unit (cell) is a 4-state element and at any instance can be found in one of the following conditions: normal, immature cancer, matured cancer, or dead.
  • 17. METHODS 1/5 2-D CA, 4-STATE ELEMENTS 2-dimensional CA with 4-state elements  Normal, denoted by N  cancer, denoted by c (immature phase)  cancer, in division phase denoted by C  dead, denoted by D
  • 18. METHODS 2/5 CELL TIME CHARACTERISTICS Each cell is characterized by a triplet of values  lifetime, (TL) : the total period that a specific cell is alive  maturity period or reproduction age, (TR) : time necessary a cell to become “mature enough” to divide and proliferate  dissolution time, (TD) : the time necessary the remainings of a dead cell to be exported and the specific grid site to set free
  • 19. METHODS 3/5 RANDOM INITIALIZATION The triplet (TL, TR, TD) for each cell are individually defined in a random fashion Each one of these values is selected randomly from a range of corresponding permitted values with the use of the pseudo-random number generator
  • 20. METHODS 4/5 CELL DYNAMICS Local interactions of the CA that are simulating the real inter- and intra-cellular cellular dynamics:  N c a grid position that was occupied by a normal cell (N) is taken by a new cancer cell (c)  c C an immature cancer (c) cell gets in the proliferation phase (C)  C 2c division to two immature cancer cells (2c) of a mature cancer cell (C)  c D death (D) of an immature cancer cell (c)  C D death (D) of a mature cancer cell (C)  N D death (D) of a normal cell (N)  D N a new normal cell (N) occupies an empty position of a dead cell (D)  D c a new cancer cell (c) occupies an empty grid position of a dead cell (D)
  • 21. METHODS 5/5 INITIALIZATION Initially, (for t = 0), the CA is consisted of normal cells, except a user-defined number of cells that turned to cancer cells. If the number of cancer cells is larger than one for t = 0, then a corresponding number of cancer cells subpopulations are evolving simultaneously on the same lattice. The precise grid position of the cancer cell(s) is (are) randomly selected
  • 22. RESULTS 1/4 SINGLE CANCER CELL – NO PROLIFERATION
  • 23. RESULTS 2/4 PROLIFERATION OF A SINGLE CANCER CELL
  • 25. RESULTS 4/4 POPULATION EVOLUTION OF CANCER AND DEAD CELLS
  • 26. DISCUSSION 1/5 REALISTIC BEHAVIOR The model is able to provide a simple and realistic explanation for the elimination of cancer cells at their early stage of development. The model is able to provide realistic simulations of cancer proliferation of a single cancer cell. The model is able to simulate simultaneous growth of multiple subpopulations within the same lattice
  • 27. DISCUSSION 2/5 GOMPERTZ MODEL Our findings is in agreement to the Gompertz mathematical model for cancer growth given by: (1 ) 0( ) BtA e B V t V e
  • 28. DISCUSSION 3/5 SQUID BIOMAGNETOMETRY - BIOMAGNETIC MEASUREMENTS OF MAGNETIC FIELDS EMITTED BY TUMORS IN BRAIN, BREAST, VAGINA, OVARIES, PROSTATE
  • 29. DISCUSSION 4/5 CHAOTIC DYNAMICS IN BIOMAGNETIC MEASUREMENTS OF CANCER 0 100 200 300 400 500 600 700 800 900 1000 -3 -2 -1 0 1 2 3 TIME (samples) MGG(pT) -4 -2 0 2 -4 -2 0 2 -2 -1 0 1 2 -2 -1.5 -1 -0.5 0 0.5 1 1.5 2 2.5 3 -5 -4.5 -4 -3.5 -3 -2.5 -2 -1.5 -1 -0.5 0 Ln(r) CORRELATIONINTEGRALS -2 -1.5 -1 -0.5 0 0.5 1 1.5 0 2 4 6 8 10 12 14 Ln(r) SLOPESOFCORRELATIONINTEGRALS Fig. 1 Biomagnetic signal of MALT carcinoma of 4 sec durations (sampling frequency 256 Hz) Fig. 2 A 3-D reconstruction of the signal reveals a strange attractor Fig. 3 Correlation integrals Fig. 4 Slopes of correlation integrals and evidence for convergence to low-dimensional chaotic dynamics
  • 30. DISCUSSION 5/5 CONCLUSIONS Our simulation findings provide evidence for emerging non-linear complexity and self-organized chaotic dynamics in cancer growth. The hypothesis, of non-linear dynamics has been proposed for cancer dynamics at sub-cellular and cellular level. The same hypothesis seems to stand at the systemic level as well. Supported by non-linear analysis of biomagnetic measurements performed in vivo for various types of cancer with the use of SQUIDs that indicated the existence of low-dimensional chaotic dynamics in the biomagnetic activity of malignant lesions.
  • 31. REFERENCES  P.A. Anninos, A. Kotini, N. Koutlaki, A. Adamopoulos, G. Galazios, & P. Anastasiadis (2000) Differential diagnosis of breast lesions, by the use of biomagnetic activity and non-linear analysis Eur. J. of Gyn. Oncol., Vol. XXI, Nr. 6, pp. 591-595.  P.A. Anninos, A. Kotini, N. Koutlaki, A. Adamopoulos, G. Galazios, P. Anastasiadis (2000) Differential diagnosis of breast lesions by use of biomagnetic activity and non-linear analysis. European Journal of Gynaecological Oncology, XXI(6):591-595  K. Simopoulos, P. Anninos, A. Polychronidis, A. Kotini, A. Adamopoulos, & D. Tamiolakis (2003) Pre- and postsurgical biomagnetic activity in MALT-type gastric lesions Acta Radiol., Vol. 44, pp. 1-4.  P. Anninos, I. Papadopoulos, A. Kotini, & A. Adamopoulos (2003) Differential diagnosis of prostate lesions with the use of biomagnetic measurements and non-linear analysis Urol. Res. Vol. 31, pp. 32-36.  P. Antoniou, P. Anninos, H. Piperidou, A. Adamopoulos, A. Kotini, M. Koukourakis, E. Sivridis (2004) Non-linear analysis of magnetoencephalographic signals as a tool for assessing malignant lesions of the brain: first results Brain Topography, 17(2):117-123