The phrase "alteration with a" is not complete and lacks context, making it difficult to assess its correctness in written English.
It could be used in contexts discussing changes or modifications involving a specific element, but it needs additional information to clarify its meaning.
Example: "The alteration with a new design significantly improved the product's appeal."
Alternatives: "change involving a" or "modification with a".
The unyielding scowl of Mr. T's B. A. invited alteration with a brick.
Mineralogic analysis of oceanic basalts elsewhere reveals significant alteration with a large potential for fluid incorporation (Kameda et al. 2011), which may lower the acoustic impedance across the TIC.
Study subject 5 had a complex alteration with a duplication and deletion, and study subject 6 had a complex alteration with three noncontiguous interstitial deletions.
LOI at IGF2, PEG1 and H19 was a frequent alteration, with a tendency to show a more hypermethylated status.
Normal cells should be spared since it is the combination of a drug-induced alteration with a cancer-related alteration that is lethal.
Tumors belonging to the G2I-3 group showed a high level of genetic alteration with a large number of small regions showing copy number variation, mainly losses.
On imaging, these lesions may show imaging features suggestive of a brain tumor or abscess displaying solitary or multiple focal areas of signal alteration with an irregular peripheral enhancement and a mild to moderate mass effect on adjacent brain structures.
Somatic alterations with a score ≥3 were selected for further evaluation in the postanalytical step.
She resolved to take up her instrument, she says, after a series of altercations with a boy at her primary school.
He's been provoked, they were heavily intoxicated and these guys had altercations with a number of guests at the hotel".
(If you moved the piece ten yards suddenly, you would expect permanent alterations, with a whole new set of modes created and many of the old ones destroyed. Let's hope we do not take the analogous experiment that far).
