F18-fluorodeoxyglucose positron emission tomography (FDG-PET) is a powerful tool to investigate the role of tumor metabolic activity and its suppression by therapy for cancer survival. As part of Total Therapy 3 for newly diagnosed multiple myeloma, metastatic bone survey, magnetic resonance imaging, and FDG-PET scanning were evaluated in 239 untreated patients. All 3 imaging techniques showed correlations with prognostically relevant baseline parameters: the number of focal lesions (FLs), especially when FDG-avid by PET-computed tomography, was positively linked to high levels of -2-microglobulin, C-reactive protein, and lactate dehydrogenase; among gene expression profiling parameters, high-risk and proliferation-related parameters were positively and low-bone-disease molecular subtype inversely correlated with FL. The presence of more than 3 FDG-avid FLs, related to fundamental features of myeloma biology and genomics, was the leading independent parameter associated with inferior overall and event-free survival. Complete FDG suppression in FL before first transplantation conferred significantly better outcomes and was only opposed by gene expression profilingdefined high-risk status, which together accounted for approximately 50% of survival variability (R 2 test). Our results provide a rationale for testing the hypothesis that myeloma survival can be improved by altering treatment in patients in whom FDG suppression cannot be achieved after induction
In Stroop color naming, color targets were accompanied by a color word or a color word plus a neutral word that reduces or "dilutes" the Stroop effect. Abrupt-onset cues called the focus of attention to one stimulus or another. Cuing influenced the size of the Stroop effect but never eliminated it. Unlike the Stroop effect itself, Stroop dilution from the neutral word could be eliminated, by cuing the color word. Focusing visual attention on the color word protected it from Stroop dilution; focusing visual attention on the neutral word did not prevent Stroop interference. Thus, spatial attention is a modulator, protecting visual data from crosstalk, but a word need not be the focus of visual attention to be recognized.
The Stroop effect is cut in half by adding a neutral word to the display. D. Kahneman and D. Chajczyk's (1983) "attention capture" account of "Stroop dilution" holds word recognition to be involuntary but strictly serial. The authors compared attention capture to 3 alternatives involving parallel rather than serial processing: In the lexicon, activation is divided among multiple words; postlexically, multiple words race for access to response processes; or prelexically, feature processing is degraded by multiple patterns whether or not they are words. Results support the latter. Multiple patterns are processed in parallel. If any are color words, Stroop effects occur but are reduced because any color word's input to lexical memory is lower in quality than if a single color word were the only pattern. Thus, lexical encoding is involuntary but can operate on several input representations in parallel, with effectiveness determined by input quality.
Key Points
Presence of more than 3 PET focal lesions after day 7 first cycle of induction chemotherapy can predict for inferior overall survival and progression free survival.
This study investigated the mechanisms that mediate changes in dual-task interference. Sixteen Ss in each of 4 transfer-of-training conditions completed 4 hrs of practice on a speeded keypressing task, with a block of concurrent digit-span trials administered early in practice to 3 groups and late in practice to all 4 groups. Changes in the amount of interference were examined in relation to the transfer conditions, the length of the keypressing sequences performed, the frequency of practice for specific sequences, and the amount of experience with dual-task trials. Results indicated that reductions of dual-task interference are consistent with formulations of intratask automaticity in which chunking and progressive information encapsulation underlie the formation of an intergrated motor program. They are not consistent with formulations of strategic deployment of resources between tasks based on attention switching or task integration. 'In choosing the first of our general labels, resource deployment strategies, for these alternates to automaticity, we are bucking a current trend away from using the term resources (see, e.g., Logan, 686 This document is copyrighted by the American Psychological Association or one of its allied publishers.This article is intended solely for the personal use of the individual user and is not to be disseminated broadly.
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