Enantioselective synthesis of proline derivatives by 1,3-dipolar cycloadditions

Research devoted to the synthesis of highly substituted prolines, which are hepatitis C virus inhibitors, using 1,3-dipolar cycloadditions (1,3-DC) of azomethine ylides is described. In the first part, a diastereoselective approach using an inexpensive lactate-derived acrylate as dipolarophile is described. In the second part, our efforts using simple and easily accessible chiral silver(I) and gold(I) complexes as catalysts for enantioselective synthesis of proline derivatives are reviewed. In this case, chiral phosphoramidites and binap have been used as privileged ligands. Parallel to these experimental results, considerable effort was dedicated to run semiempirical density functional theory (DFT) calculations to explain and justify the stereoselectivity of each process.This work has been supported by the DGES of the Spanish Ministerio de Ciencia e Innovación (MICINN) (Consolider INGENIO 2010 CSD2007-00006, FEDER-CTQ2007-62771/BQU, and by the Hispano-Brazilian project PHB2008-0037-PC), Generalitat Valenciana (PROMETEO/2009/039), and by the University of Alicante (GITE-09020-UA)

Acurácia dos achados mamográficos do câncer de mama: correlação da classificação BI-RADS e achados histológicos Accuracy of mammographic findings in breast cancer: correlation between BI-RADS classification and histological findings

OBJETIVO: A proposta deste estudo foi avaliar a acurácia da classificação BI-RADS® na mamografia. Os pontos secundários foram descrever a frequência de apresentação dos diferentes achados mamográficos e avaliar a concordância entre observadores. MATERIAIS E MÉTODOS: Os exames de 115 pacientes, encaminhados para core biopsy, foram reavaliados independentemente por dois médicos especialistas, cegados, utilizando a recomendação do BI-RADS. Posteriormente, os exames foram comparados com a histologia. A acurácia da classificação BI-RADS na mamografia foi avaliada. A concordância entre os médicos foi calculada pela estatística kappa (&#954;) de Cohen e as diferenças nos grupos de comparação foram analisadas com teste qui-quadrado. RESULTADOS: Esta pesquisa demonstrou que a acurácia mamográfica oscilou de 75% a 62% na diferenciação entre lesões benignas de malignas com o uso do BI-RADS. Houve importante concordância na descrição das margens dos nódulos (&#954;= 0,66). Baixa concordância foi identificada na descrição dos contornos (formas) dos nódulos (&#954;= 0,40) e na descrição das calcificações, tanto em relação à sua distribuição (&#954;= 0,24) como também em relação à morfologia (&#954;= 0,36). CONCLUSÃO: O presente estudo demonstrou que o método é acurado na diferenciação de lesões benignas de malignas. A concordância foi fraca na análise das calcificações quanto a morfologia e distribuição, no entanto, identificou-se elevação progressiva dos valores preditivos positivos nas subcategorias 4.<br>OBJECTIVE: The present study was aimed at evaluating the BI-RADS® classification accuracy in mammography. Additionally, the frequency of different findings was described and the interobserver agreement was evaluated. MATERIALS AND METHODS: Mammographic images of 115 patients were independently and blindly reviewed by two specialists in compliance with BI-RADS recommendations, and later compared with histological data. The BI-RADS accuracy in mammography was evaluated. The interobserver agreement was analyzed with the Cohen's kappa (&#954;) test, and the differences between groups were evaluated with the chi-squared test. RESULTS: The present study demonstrated that the mammographic accuracy ranged from 75% to 62% in the differentiation between benign and malignant lesions with the utilization of the BI-RADS classification. Statistically significant interobserver agreement was observed in the description of masses margins (&#954;= 0.66). A low agreement rate was identified in the description of masses borders (shape) (&#954;= 0.40) and calcifications, both in relation to their distribution (&#954;= 0.24) and morphology (&#954;= 0.36). CONCLUSION: The present study demonstrated the BI-RADS accuracy in the differentiation between benign and malignant lesions. The interobserver agreement was poor in the analysis of calcifications morphology and distribution, but a progressive increase in the positive predictive values was observed in the subcategory 4