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Search Results (599)

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14 pages, 1446 KB  
Article
Optimizing In Vivo Perfusion Assessment by Laser Doppler Flowmetry—Effects of Probe Geometry and Signal Normalization
by Elisabete Silva, Marisa Nicolai and Luís Monteiro Rodrigues
Diagnostics 2026, 16(7), 1025; https://doi.org/10.3390/diagnostics16071025 (registering DOI) - 29 Mar 2026
Abstract
Background/Objectives: Laser Doppler flowmetry enables rapid and simple measurement of microcirculation. However, variations in probe configuration can influence signal acquisition, making it essential to understand each probe’s characteristics when selecting equipment for specific physiological assessments. Therefore, this study aimed to compare perfusion [...] Read more.
Background/Objectives: Laser Doppler flowmetry enables rapid and simple measurement of microcirculation. However, variations in probe configuration can influence signal acquisition, making it essential to understand each probe’s characteristics when selecting equipment for specific physiological assessments. Therefore, this study aimed to compare perfusion measurements obtained with single-fiber (VP1T) and multi-fiber (VP1T/7) probes and to evaluate the effects of normalization strategies. Methods: Nine healthy female volunteers were recruited. Probes were positioned on the palmar aspects of the index and middle fingers of both hands while participants underwent a standardized brachial artery occlusion protocol. Data are presented as mean ± standard error of the mean. Correlations were assessed using Pearson’s correlation coefficient. Coefficients of variation (CV) and intraclass correlation coefficients were calculated. Baseline normalization was applied to measurements. Statistical analyses were performed using Student’s t-test, with significance set at p < 0.05. Results: Analysis of the full protocol revealed significant positive correlations between probes, indicating consistent temporal perfusion patterns. The VP1T/7 probe yielded significantly higher perfusion values than the VP1T probe, although both exhibited similar CVs. Inter-probe reliability was good, and intra-probe reproducibility ranged from good to excellent, particularly for the VP1T/7 probe. During the reperfusion phase, significant differences were observed only for ipsilateral measurements obtained with the VP1T probe. Normalization effectively reduced variability, and significant differences during reperfusion were detected with both probes. Conclusions: Although the multi-fiber probe consistently recorded higher perfusion values, normalization was essential to reduce variability and to enhance the detection of microvascular reactivity parameters. Full article
(This article belongs to the Section Biomedical Optics)
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18 pages, 1930 KB  
Article
Frequency Error Analysis and Optimization in UXB Satellite TT&C Systems
by Haozhe Zhang, Ziyue Song, Min Wu, Wen Zhang, Guangzu Liu and Jun Zou
Electronics 2026, 15(7), 1413; https://doi.org/10.3390/electronics15071413 (registering DOI) - 28 Mar 2026
Abstract
High-precision Doppler measurement is essential for deep-space Unified X-band (UXB) tracking systems, yet digital implementations suffer from finite word-length quantization errors that degrade performance. This study analyzes frequency offset errors in UXB transponder systems, focusing on the phase-locked loop (PLL) and system-level digital [...] Read more.
High-precision Doppler measurement is essential for deep-space Unified X-band (UXB) tracking systems, yet digital implementations suffer from finite word-length quantization errors that degrade performance. This study analyzes frequency offset errors in UXB transponder systems, focusing on the phase-locked loop (PLL) and system-level digital processing. A digital system model is presented, featuring an FFT-based coarse acquisition and a digital Costas loop for carrier synchronization. The simulation results reveal that 32-bit quantization yields unacceptable frequency offset errors. By extending critical paths to 48 bits, the system reduces frequency offset error by approximately 216 and achieves sub-0.01 mm/s velocity accuracy, significantly improving coherence and meeting deep-space measurement requirements. Full article
21 pages, 2700 KB  
Article
A Multi-Source Radar Data Complementary Enhancement Generation Method Based on Diffusion Model
by Yuan Peng, Xiongbo Zheng, Zhilong Shang, Kaiqi He and Zhiyong Cheng
Remote Sens. 2026, 18(7), 992; https://doi.org/10.3390/rs18070992 - 25 Mar 2026
Viewed by 137
Abstract
Multi-source radar data fusion has become increasingly vital for advancing weather monitoring and forecasting. However, effectively integrating Doppler radar with an X-band phased-array radar remains challenging. Doppler radar offers only low and inconsistent spatial resolution, whereas an X-band phased-array radar provides high resolution [...] Read more.
Multi-source radar data fusion has become increasingly vital for advancing weather monitoring and forecasting. However, effectively integrating Doppler radar with an X-band phased-array radar remains challenging. Doppler radar offers only low and inconsistent spatial resolution, whereas an X-band phased-array radar provides high resolution but is limited by short detection range, severe signal attenuation, and high deployment costs, constraining its use to localized monitoring. To address the aforementioned challenges, this paper proposes the Multi-source Radar Reflectivity Complementary Enhancement method (MSR-CE). By constructing a paired training dataset, real X-band phased-array radar reflectivity data serve as the starting samples for the forward diffusion process, while paired S-band Doppler radar reflectivity data act as conditional guidance. Leveraging a conditional diffusion model, the method generates high-resolution pseudo X-band phased-array reflectivity fields. Additionally, a Radar-Physics-Aware Loss (RPA Loss) is introduced to enhance spatial detail fidelity and physical consistency. Experiments on multi-source radar observations from Northeast China in 2025 demonstrate that MSR-CE achieves an SSIM of 0.892 and a PSNR of 41.6 dB, outperforming traditional interpolation methods and state-of-the-art generative approaches in radar reflectivity enhancement. Full article
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28 pages, 8596 KB  
Article
Synergistic Cross-Level Multimodal Representation of Radar Echoes for Maritime Target Detection
by Junfang Wang, Yunhua Wang, Jianbo Cui and Yanmin Zhang
J. Mar. Sci. Eng. 2026, 14(6), 580; https://doi.org/10.3390/jmse14060580 - 20 Mar 2026
Viewed by 220
Abstract
To address the challenge of detecting weak targets with small radar cross-sections (RCS), this work explores an integrated framework that leverages cross-level multimodal fusion of radar echoes. This method considers the target’s motion properties via Doppler spectrum and phase sequences (direct physical level), [...] Read more.
To address the challenge of detecting weak targets with small radar cross-sections (RCS), this work explores an integrated framework that leverages cross-level multimodal fusion of radar echoes. This method considers the target’s motion properties via Doppler spectrum and phase sequences (direct physical level), and introduces the Gramian Angular Field (GAF) to map the echo amplitude sequence into two-dimensional (2D) structured images, thereby revealing the dynamic evolution characteristics of echo energy (abstract representation level). This approach integrates direct physical attributes and abstract system evolution features within a unified representation. To accommodate the structural differences among modalities, a heterogeneous branch processing network is designed: the Transformer is employed to capture long-range dependencies in one-dimensional (1D) sequences, while ResNet18 is used to extract spatial texture features from two-dimensional images. A self-attention mechanism is further introduced to achieve adaptive fusion of the multimodal data. Experimental results based on the IPIX dataset suggest that this cross-level strategy provides improved detection performance across various scenarios, as observed in complex marine environments. Full article
(This article belongs to the Section Ocean Engineering)
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15 pages, 1290 KB  
Article
Efficient Deep Learning-Based M-PSK Detection for OFDM V2V Systems Using MobileNetV3
by Luis E. Tonix-Gleason, José A. Del-Puerto-Flores, Fernando Peña-Campos, Dunstano del Puerto-Flores, Juan-Carlos López-Pimentel, Carolina Del-Valle-Soto and Luis René Vela-Garcia
Algorithms 2026, 19(3), 210; https://doi.org/10.3390/a19030210 - 11 Mar 2026
Viewed by 219
Abstract
This paper investigates M-PSK symbol detection in Orthogonal Frequency Division Multiplexing (OFDM) systems for wideband Vehicle-to-Vehicle (V2V) communications using lightweight convolutional neural networks. In doubly dispersive channels, Inter-Carrier Interference (ICI) degrades subcarrier orthogonality, rendering conventional equalization ineffective. Current ICI mitigation techniques face a [...] Read more.
This paper investigates M-PSK symbol detection in Orthogonal Frequency Division Multiplexing (OFDM) systems for wideband Vehicle-to-Vehicle (V2V) communications using lightweight convolutional neural networks. In doubly dispersive channels, Inter-Carrier Interference (ICI) degrades subcarrier orthogonality, rendering conventional equalization ineffective. Current ICI mitigation techniques face a trade-off between Bit-Error Rate (BER) performance and computational complexity, limiting their applicability in dynamic vehicular scenarios. To address this issue, a low-complexity MobileNetV3-based receiver is proposed, incorporating a signal-model-driven preprocessing stage that compensates for Doppler-induced phase distortions responsible for ICI. Simulation results show that the proposed receiver improves BER performance compared to conventional equalizers and recent neural-based schemes in the low-SNR regime (below 15 dB) while maintaining computational complexity close to linear least-squares detection. Full article
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11 pages, 350 KB  
Article
Practical Timing Synchronization for OTFS for NTN Scenario
by Vladislav Borshch, Eugeniy Rogozhnikov and Artem Konovalchikov
Electronics 2026, 15(5), 1120; https://doi.org/10.3390/electronics15051120 - 9 Mar 2026
Viewed by 255
Abstract
Accurate time and frequency acquisition is essential for deploying Orthogonal Time–Frequency Space (OTFS) modulation in non-terrestrial networks (NTNs), where severe Doppler shifts and low-SNR conditions are common. We propose a practical synchronization method that inserts an m-sequence-based pilot (illustrated using the 5G NR [...] Read more.
Accurate time and frequency acquisition is essential for deploying Orthogonal Time–Frequency Space (OTFS) modulation in non-terrestrial networks (NTNs), where severe Doppler shifts and low-SNR conditions are common. We propose a practical synchronization method that inserts an m-sequence-based pilot (illustrated using the 5G NR PSS) periodically in the delay–Doppler grid. Leveraging OTFS mapping properties, the method enables robust matched-filter detection for joint coarse time and frequency acquisition and continuous phase-drift tracking without increasing transmission redundancy. Numerical simulations show that the proposed method achieves a slightly lower PAPR and approximately a 3 dB improvement in detection threshold compared to a recent practical baseline. The algorithm is suitable for 5G/6G NTN links such as LEO constellations and operates reliably at low and negative SNR values. Full article
(This article belongs to the Section Microwave and Wireless Communications)
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13 pages, 1056 KB  
Article
Micro- and Macro-Vascular Disease in Systemic Sclerosis and Very Early SSc (VEDOSS): Results from a Monocentric Observational Study
by Vincenzo Zaccone, Silvia Contegiacomo, Silvia Agarbati, Chiara Paolini, Carolina Clementi, Matteo Mozzicafreddo, Silvia Svegliati, Lorenzo Falsetti, Devis Benfaremo and Gianluca Moroncini
Biomedicines 2026, 14(3), 607; https://doi.org/10.3390/biomedicines14030607 - 9 Mar 2026
Viewed by 312
Abstract
Background: Systemic sclerosis (SSc) is characterized by endothelial dysfunction leading to progressive vascular injury and fibrosis. While microvascular involvement is well established as an early disease feature, macrovascular disease has been historically underrecognized and poorly investigated in very early disease stages. Integrated [...] Read more.
Background: Systemic sclerosis (SSc) is characterized by endothelial dysfunction leading to progressive vascular injury and fibrosis. While microvascular involvement is well established as an early disease feature, macrovascular disease has been historically underrecognized and poorly investigated in very early disease stages. Integrated assessments across the SSc spectrum, including very early diagnosis of systemic sclerosis (VEDOSS), remain limited. Methods: In this cross-sectional observational study, patients with established SSc, VEDOSS, and primary Raynaud’s phenomenon (PRP) were prospectively enrolled between October 2023 and April 2025. Participants underwent comprehensive microvascular and macrovascular evaluation, including nailfold videocapillaroscopy, multisegmental arterial Doppler ultrasound (carotid, aortic, and lower limb districts), flow-mediated dilation, and measurement of endothelial biomarkers (vascular cell adhesion molecule 1 (VCAM-1), intercellular adhesion molecule 1 (ICAM-1), and circulating endothelial cells (CECs)). Traditional cardiovascular risk was estimated using Systematic Coronary Risk Estimation 2 (SCORE2). Results: Sixty-two female subjects were included (34 SSc, 14 VEDOSS, and 14 PRP). Microvascular abnormalities followed the expected disease continuum, with capillaroscopic changes present in 57% of VEDOSS and 91% of SSc patients. Although SCORE2 estimates and carotid intima–media thickness were comparable across groups, macrovascular abnormalities were more frequent in SSc (52.9%) and VEDOSS (50%) compared with PRP (21.4%). VCAM-1, ICAM-1, and CEC levels were significantly increased in SSc compared with PRP, whereas no significant differences were observed between VEDOSS and PRP. Conclusions: These findings support a unified micro- and macro-vascular disease model in SSc and demonstrate that macrovascular involvement is detectable already in the VEDOSS phase. Conventional cardiovascular risk scores underestimate the true vascular burden, highlighting the need for disease-specific risk stratification tools integrating vascular imaging and endothelial biomarkers. Full article
(This article belongs to the Section Cell Biology and Pathology)
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23 pages, 9338 KB  
Article
Geometry-Driven Phase Error Estimation for Azimuth Multi-Channel SAR via Global Radar Landmark Control Point Library
by Tingting Jin, Zheng Li, Feng Wang and Hui Long
Sensors 2026, 26(5), 1622; https://doi.org/10.3390/s26051622 - 5 Mar 2026
Viewed by 231
Abstract
Azimuth multi-channel synthetic aperture radar (SAR) is a core technology for achieving high-resolution wide-swath (HRWS) imaging. However, inter-channel phase inconsistency causes image amplitude distortion and phase accuracy degradation, which severely affects subsequent applications. Existing phase error estimation methods face specific limitations: the performance [...] Read more.
Azimuth multi-channel synthetic aperture radar (SAR) is a core technology for achieving high-resolution wide-swath (HRWS) imaging. However, inter-channel phase inconsistency causes image amplitude distortion and phase accuracy degradation, which severely affects subsequent applications. Existing phase error estimation methods face specific limitations: the performance of subspace-based approaches degrades in complex scenes due to unreliable covariance matrix estimation, while conventional frequency-domain correlation methods rely on manual selection of strong scatterers, introducing inefficiency and subjectivity that precludes autonomous deployment. To address these issues, this paper proposes a geometry-driven inter-channel phase error estimation framework based on Global Radar Landmark Control Point Library (GRL-CP). The proposed framework replaces scene-dependent target selection with geometric-prior-driven control point activation. The GRL-CP library stores only the geodetic coordinates and scattering stability attributes of globally persistent radar landmarks, rather than image patches. For a new SAR acquisition, the echo position of these landmarks are predicted using a range–Doppler geometric model, enabling fully automatic and reliable control point activation. Based on the activated radar landmarks, inter-channel phase error is estimated using a frequency-domain correlation scheme. Experimental results on multi-channel spaceborne SAR datasets demonstrate that the proposed method achieves improved stability and accuracy under complex terrain scenarios. Full article
(This article belongs to the Special Issue Advances in Multichannel Radar Systems)
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21 pages, 3234 KB  
Article
Analysis of the Impact of Doppler Frequency Shift on Phase Noise in Space-Borne Gravitational Wave Detection
by Zhenbang Xie, Zhaoxiang Yi, Huizong Duan and Kai Luo
Technologies 2026, 14(3), 160; https://doi.org/10.3390/technologies14030160 - 4 Mar 2026
Viewed by 393
Abstract
Space gravitational wave detection is performed via a laser interferometry system across hundreds of thousands to millions of kilometers for picometer-level displacement measurement, using phasemeters to read gravitational wave-induced displacement changes. A critical yet unresolved challenge is the coupling of Doppler frequency shift—resulting [...] Read more.
Space gravitational wave detection is performed via a laser interferometry system across hundreds of thousands to millions of kilometers for picometer-level displacement measurement, using phasemeters to read gravitational wave-induced displacement changes. A critical yet unresolved challenge is the coupling of Doppler frequency shift—resulting from relative satellite motion—into the phase measurements, as well as its consequent impact. To address this, we analyzed the Doppler effect principle, built a laser interferometry signal model, and obtained signal frequency ranges via orbit simulation. We then conducted time- and frequency-domain analyses of the phasemeter, theoretically deriving steady-state phase errors to clarify how Doppler shift affects phasemeter noise. A hardware system was constructed for verification, showing that phase noise curves rise significantly at a 100 Hz/s Doppler shift rate, and increasing phasemeter bandwidth increases low-frequency phase noise. This study provides a theoretical and experimental basis for phasemeter parameter optimization and ground experiments of phasemeters in space gravitational wave detection. Full article
(This article belongs to the Section Information and Communication Technologies)
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11 pages, 2139 KB  
Article
A DAS-Based Approach for Predicting Liquid Flow Velocity in Pipelines
by Tong Zhou, Kunpeng Zhang, Zhiwen Huang, Haibo Wang, Xin Huang, Juncheng Hu and Haochu Ku
Photonics 2026, 13(3), 225; https://doi.org/10.3390/photonics13030225 - 26 Feb 2026
Viewed by 371
Abstract
Accurate measurement of liquid flow velocity is crucial for pipeline management in the petroleum industry. Traditional flowmeters, such as ultrasonic, electromagnetic, and pressure-based devices, provide only point measurements and often require intrusive installation. Distributed Acoustic Sensing (DAS) offers a non-intrusive alternative by converting [...] Read more.
Accurate measurement of liquid flow velocity is crucial for pipeline management in the petroleum industry. Traditional flowmeters, such as ultrasonic, electromagnetic, and pressure-based devices, provide only point measurements and often require intrusive installation. Distributed Acoustic Sensing (DAS) offers a non-intrusive alternative by converting optical fibers into continuous acoustic sensors with meter-scale resolution. In this study, a High-Definition DAS system was applied in a laboratory flow loop to monitor single-phase liquid flow. The recorded signals were analyzed in both time and frequency domains. Results showed that the pump operating frequency dominated the spectral energy, accompanied by dispersive features. Power spectral density (PSD) increased linearly with flow rate, while Doppler-induced frequency shifts in the dominant component enabled velocity prediction. A regression model achieved a high coefficient of determination (R2 = 0.9928), confirming the strong predictive capability. These findings highlight DAS as a reliable and scalable solution for non-intrusive liquid flow monitoring in pipelines. Full article
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24 pages, 12400 KB  
Article
A Design of FMCW Fuze System and Ranging Algorithm Based on Frequency–Phase Composite Modulation Using Chaotic Codes
by Jincheng Zhang, Xinhong Hao, Chaowen Hou and Jianqiu Wang
Sensors 2026, 26(5), 1434; https://doi.org/10.3390/s26051434 - 25 Feb 2026
Viewed by 361
Abstract
To address the vulnerability of traditional linear frequency-modulated continuous wave (FMCW) fuze to jamming due to fixed modulation parameters, this paper proposes a novel fuze waveform design scheme using chaotic code-based frequency and phase composite modulation along with a Normalized Rate-Invariant Ranging algorithm [...] Read more.
To address the vulnerability of traditional linear frequency-modulated continuous wave (FMCW) fuze to jamming due to fixed modulation parameters, this paper proposes a novel fuze waveform design scheme using chaotic code-based frequency and phase composite modulation along with a Normalized Rate-Invariant Ranging algorithm (NRIR). Leveraging the ergodicity and initial value sensitivity of the Logistic chaotic map, a dual-dimensional composite modulation system is constructed. In the frequency domain, the frequency modulation slope undergoes periodic binary variation according to chaotic states to break the signal periodicity. In the phase domain, phase encoding is implemented based on chaotic binary sequences to further improve waveform entropy and complexity, effectively destabilizing the parameter stability required for coherent jamming. To resolve the distance–Doppler coupling challenges and spectral dispersion issues caused by variable-slope modulation, the NRIR algorithm is developed. By introducing a resampling transformation operator, the non-stationary rate-varying beat frequency signal is mapped to a normalized “constant-slope” space, enabling coherent accumulation and ranging of targets. Using the ambiguity function as an analytical tool, theoretical analyses, simulation experiments, and test results demonstrate that this design scheme exhibits excellent performance in suppressing DRFM jamming and sweep-frequency jamming, providing theoretical support and technical approaches for fuze anti-jamming design. Full article
(This article belongs to the Section Communications)
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20 pages, 1247 KB  
Article
Geometrical-Based Modeling for Aerial Intelligent Reflecting Surface-Based MIMO Channels
by Zhangfeng Ma, Shuaiqiang Lu, Yifei Peng, Jianhua Zhou, Jianming Xu, Gaofeng Luo and Meimei Luo
Electronics 2026, 15(4), 875; https://doi.org/10.3390/electronics15040875 - 19 Feb 2026
Viewed by 290
Abstract
Traditional multiple-input multiple-output (MIMO) systems are confronted with significant challenges in realizing ubiquitous connectivity for sixth-generation (6G) networks, particularly in environments characterized by severe signal blockage and dynamic co-mobility. While aerial intelligent reflecting surfaces (AIRS) offer a promising paradigm to address these difficulties, [...] Read more.
Traditional multiple-input multiple-output (MIMO) systems are confronted with significant challenges in realizing ubiquitous connectivity for sixth-generation (6G) networks, particularly in environments characterized by severe signal blockage and dynamic co-mobility. While aerial intelligent reflecting surfaces (AIRS) offer a promising paradigm to address these difficulties, the existing channel models often fail to capture fast channel changes, thereby leading to inefficient phase optimization in time-varying scenarios. To address these limitations, a geometric MIMO channel model is proposed for AIRS-assisted communications. This model comprises an indirect link from the base station (BS) via the AIRS to the receiver (Rx) and a direct BS-Rx link, whose direct propagation environment is rigorously characterized by a one-cylinder model specifically designed to tackle the complexities of dynamic co-mobility and intricate propagation. A joint optimization problem is formulated to maximize the achievable rate by optimizing the transmitted signal’s covariance matrix and the AIRS phase shift. Subsequently, an iterative algorithm employing the projected gradient method (PGM) is proposed for its solution, which is tailored for efficient operation in time-varying environments. Furthermore, expressions for the space–time correlation function and Doppler power spectrum are derived to evaluate the overall channel properties. Significant enhancements in achievable rates are demonstrated by AIRS, with substantial gains being observed even for a small number of reflecting elements. Consequently, crucial guidance for the design of robust AIRS-assisted MIMO systems is provided by these findings, and the broad applicability of the proposed algorithm is thereby confirmed. Full article
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28 pages, 4590 KB  
Article
Time-Division-Based Cooperative Positioning Method for Multi-UAV Systems
by Xue Li, Linlong Song and Linshan Xue
Drones 2026, 10(2), 94; https://doi.org/10.3390/drones10020094 - 28 Jan 2026
Viewed by 428
Abstract
This paper proposes a cooperative localization method based on time-division processing of interferometric measurements, in which the receiver updates the signals from multiple UAVs in separate time slots, thereby reducing spectrum usage and baseband hardware overhead. A Kalman-enhanced tracking loop is designed to [...] Read more.
This paper proposes a cooperative localization method based on time-division processing of interferometric measurements, in which the receiver updates the signals from multiple UAVs in separate time slots, thereby reducing spectrum usage and baseband hardware overhead. A Kalman-enhanced tracking loop is designed to achieve high-precision carrier-phase and Doppler estimation under low-SNR conditions. For angle estimation, a time-division update strategy is employed such that the receiver performs full carrier tracking for only one UAV in each time slot, while the carrier phases of the remaining UAVs are extrapolated from the Doppler states estimated in the previous epoch. This avoids the hardware complexity associated with maintaining multiple parallel tracking loops. By fusing the estimated azimuth, elevation, and pseudorange measurements with the master UAV’s high-precision GNSS observations, a factor-graph-based sliding-window cooperative localization algorithm is constructed. Simulation results show that the proposed method improves the RMSE of carrier-phase and Doppler estimation by nearly an order of magnitude compared with the traditional FLL-assisted PLL. The system maintains angle estimation accuracy better than 0.01° within a four-node configuration and achieves centimeter-level ranging accuracy when SNR ≥ 0 dB. In a cooperative flight scenario with one master and three follower UAVs, the method consistently delivers sub-decimeter 3D localization accuracy. Full article
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12 pages, 2264 KB  
Case Report
Branch-Critical Clipping of a Ruptured Carotid–Posterior Communicating Aneurysm with Fetal PCA Configuration
by Catalina-Ioana Tataru, Cosmin Pantu, Alexandru Breazu, Felix-Mircea Brehar, Matei Serban, Razvan-Adrian Covache-Busuioc, Corneliu Toader, Octavian Munteanu, Mugurel Petrinel Radoi and Adrian Vasile Dumitru
Diagnostics 2026, 16(2), 307; https://doi.org/10.3390/diagnostics16020307 - 18 Jan 2026
Viewed by 455
Abstract
Background/Objectives: Aneurysmal subarachnoid hemorrhage (aSAH) involves a sudden onset of a perfusion-pressure injury from the initial insult combined with a secondary injury phase produced by delayed cerebral ischemia, cerebrospinal fluid circulation disturbances, and generalized instability of the patient’s physiological state. The situation may [...] Read more.
Background/Objectives: Aneurysmal subarachnoid hemorrhage (aSAH) involves a sudden onset of a perfusion-pressure injury from the initial insult combined with a secondary injury phase produced by delayed cerebral ischemia, cerebrospinal fluid circulation disturbances, and generalized instability of the patient’s physiological state. The situation may be further complicated when there has been rupture of the aneurysm at the site of the carotid–posterior communicating (PCom) artery junction that occurs in conjunction with a fetal configuration of the posterior cerebral artery (fPCA), thereby making definitive treatment dependent on preserving the critical nature of the branches of the posterior circulation since the aneurysm’s neck plane coincides with the dominant posterior circulation conduit. Case Presentation: A 65-year-old female patient who was obese (Grade III BMI = 42), had chronic bronchial asthma, and arterial hypertension experienced a “thunderclap” type of headache in the right retro-orbital area followed by a syncopal episode and developed acute confusion with agitation. Upon admission to the hospital, her Glasgow Coma Scale (GCS) was 13, her FOUR score was 15, her Montreal Cognitive Assessment (MoCA) score was 12/30, her Hunt–Hess grade was 3, WFNS grade 2, and Fisher grade 4 SAH with intraventricular extension. Digital subtraction angiography (DSA) and three-dimensional rotational angiography revealed a posteriorly directed right carotid communicating aneurysm that had a relatively compact neck (approximately 2.5 mm) and sac size of approximately 7.7 × 6.6 mm, with the fPCA originating at the neck plane. Microsurgical treatment was performed with junction-preserving reconstruction with skull base refinement, temporary occlusion of the internal carotid artery for a few minutes, placement of clips reconstructing the carotid–PCom interface, and micro-Doppler verification of patent vessel. Postoperatively, the blood pressure was kept within the range of 110–130 mmHg with nimodipine and closely monitored. The neurological recovery was sequential (GCS of 15 by POD 2; MoCA of 22 by POD 5). By POD 5 CT scan, the clip remained positioned in a stable fashion without evidence of infarct, hemorrhage, or hydrocephalus; at three months she was neurologically intact (mRS 0; Barthel 100; MoCA 28/30), and CTA confirmed persistent exclusion of the aneurysm and preservation of fPCA flow. Conclusions: In cases where the ruptured aneurysm is located at the carotid communicating junction with the PCom artery in a configuration of the posterior cerebral artery that is described as fetal, clip treatment should be viewed as a form of branch-preserving junction reconstruction of the carotid–PCom junction supported by adherence to controlled postoperative physiology and close ppostoperativesurveillance. Full article
(This article belongs to the Special Issue Advances in Diagnostic Imaging for Cerebrovascular Diseases)
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27 pages, 12913 KB  
Article
Preserved Function of Endothelial Colony-Forming Cells in Female Rats with Intrauterine Growth Restriction: Protection Against Arterial Hypertension and Arterial Stiffness?
by Thea Chevalley, Floriane Bertholet, Marion Dübi, Maria Serena Merli, Mélanie Charmoy, Sybil Bron, Manon Allouche, Alexandre Sarre, Nicole Sekarski, Stéphanie Simoncini, Patrick Taffé, Umberto Simeoni and Catherine Yzydorczyk
Cells 2026, 15(2), 171; https://doi.org/10.3390/cells15020171 - 17 Jan 2026
Viewed by 604
Abstract
Individuals born after intrauterine growth restriction (IUGR) are at increased risk of long-term cardiovascular complications, including elevated blood pressure, endothelial dysfunction, and arterial stiffness. Endothelial progenitor cells (EPCs), particularly endothelial colony-forming cells (ECFCs), play a critical role in maintaining vascular homeostasis. Previously, Simoncini [...] Read more.
Individuals born after intrauterine growth restriction (IUGR) are at increased risk of long-term cardiovascular complications, including elevated blood pressure, endothelial dysfunction, and arterial stiffness. Endothelial progenitor cells (EPCs), particularly endothelial colony-forming cells (ECFCs), play a critical role in maintaining vascular homeostasis. Previously, Simoncini et al. observed that in a rat model of IUGR, six-month-old males exhibited elevated systolic blood pressure (SBP) and microvascular rarefaction compared with control (CTRL) rats. These vascular alterations were accompanied by reduced numbers and impaired function of bone marrow-derived ECFCs, which were associated with oxidative stress and stress-induced premature senescence (SIPS). In contrast, IUGR females of the same age and from the same litter did not exhibit higher SBP or microvascular rarefaction, raising the question of whether ECFC dysfunction in IUGR female rats can be present without vascular alterations. So, we investigated ECFCs isolated from six-month-old female IUGR offspring (maternal 9% casein diet) and CTRL females (23% casein diet). To complete the vascular assessment, we performed in vivo and in vitro investigations. No alteration in pulse wave velocity (measured by echo-Doppler) was observed; however, IUGR females showed decreased aortic collagen and increased elastin content compared with CTRL. Regarding ECFCs, those from IUGR females maintained their endothelial identity (CD31+/CD146+ ratio among viable CD45 cells) but exhibited slight alterations in progenitor marker expression (CD34) compared with those of CTRL females. Functionally, IUGR-ECFCs displayed a delayed proliferation phase between 6 and 24 h, while their ability to form capillary-like structures remained unchanged, however their capacity to form capillary-like structures was preserved. Regarding the nitric oxide (NO) pathway, a biologically relevant trend toward reduced NO levels and decreased endothelial nitric oxide synthase expression was observed, whereas oxidative stress and SIPS markers remained unchanged. Overall, these findings indicate that ECFCs from six-month-old female IUGR rats exhibit only minor functional alterations, which may contribute to vascular protection against increase SBP, microvascular rarefaction, and arterial stiffness. Full article
(This article belongs to the Special Issue Role of Endothelial Progenitor Cells in Vascular Dysfunction)
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