Search Results (124)

Background/Objectives: Amplitude-modulated radiofrequency (AMRF) fields have emerged as promising non-temperature-induced strategies in oncology. While conventional hyperthermia (HT) relies on thermal stress, the biological impact of AMRF, particularly in combination with radiotherapy (RT), remains insufficiently characterized. Methods: We assessed RF and AMRF, alone or with RT, using phenotypic analyses of proliferation, apoptosis, and necrosis across four cancer cell lines (HT29, SW620, U343, U138). Transcriptomic profiling with Kyoto Encyclopedia of Genes and Genomes (KEGG), GO:BP, and Reactome enrichment was performed in SW620 and U138 cells, selected for their strong phenotypic responses. Results: Across the panel, AMRF was associated with broader cytotoxic responses than RF or HT in most but not all cell lines. AMRF+RT produced the strongest necrotic responses, with cell-line-specific exceptions identified explicitly in the Results (the absence of a significant AMRF+RT apoptotic effect in SW620 and the absence of a significant AMRF+RT necrotic response in U343). In SW620 cells, AMRF was associated with extensive transcriptional reprogramming involving immune modulation, extracellular matrix remodeling, and cell cycle regulation, whereas RF alone showed narrower and delayed effects. In contrast, U138 cells showed elevated apoptosis and necrosis but limited transcriptional changes—a phenotype–transcriptome divergence that points to mechanisms operating downstream of transcription and warrants functional investigation in dedicated follow-up studies. Conclusions: AMRF and AMRF+RT emerge as promising non-temperature-induced anticancer modalities in the cell-line models profiled here, with the pattern of response varying between cell lines. These findings expand the biological impact of RF-based treatments and set the grounds for further investigation in mechanistic and translational studies. Full article

Medical device manufacturing requires strict quality control, reliable traceability, and compliance with regulatory requirements. In many cases, inspection activities are still carried out manually and production information is recorded separately, which can result in inconsistent defect detection and limited visibility of manufacturing performance. This paper presents the development and industrial implementation of an integrated closed-loop quality control architecture for a sterile single-use medical device assembly line, addressing the lack of integration between inspection, traceability, and control systems in existing manufacturing approaches. In the proposed approach, we combine radio-frequency identification, machine vision inspection, programmable logic control, and centralized production monitoring. RFID tags store the status of each unit at individual stations so that defective products cannot proceed to downstream operations. Machine vision systems verify component presence, detect missing parts, and confirm color-specific assembly requirements during production. The architecture was tested through implementation on an assembly line and evaluated with comparative pilot studies against a traditional manual inspection process. The upgraded line achieved scrap cost reductions of 52.77% and 53.23% while also improving inspection consistency and production traceability. The results demonstrate that integrating machine vision inspection with RFID traceability can significantly improve quality control and manufacturing efficiency in regulated medical device production. Full article

Electro-optic frequency combs (EOFCs), generated through the microwave-driven modulation of continuous-wave lasers, have emerged as a highly reconfigurable and system-compatible class of optical frequency combs with growing importance in microwave photonics, coherent communications, spectroscopy, and precision metrology. In contrast to mode-locked lasers and Kerr microresonator combs, EOFCs offer electrically programmable repetition rates, deterministic phase coherence, and intrinsic compatibility with radiofrequency electronic systems, making them particularly attractive for integrated and application-oriented implementations. As EOFCs evolve toward broader bandwidths, lower power consumption, and full on-chip integration, their achievable performance is increasingly constrained by the interplay between electro-optic physical mechanisms, modulator architectures, and material platform properties. This review establishes a unified analytical framework that systematically connects EOFC generation mechanisms, device configurations, key performance metrics, and platform-level limitations. We first summarize the fundamental electro-optic effects underpinning EOFC generation and analytically examine representative modulator architectures, including phase modulators, Mach–Zehnder modulators, and microresonator-based schemes, to clarify their respective comb-generation characteristics. Key performance determinants, such as modulation depth, bandwidth, electro-optic efficiency, and optical loss, are then discussed to elucidate their coupled influence on comb-line count, spectral flatness, output power, and phase noise. Subsequently, the performance of EOFCs implemented on major integrated platforms, including Silicon on Insulator (SOI), Indium Phosphide on Insulator (InPOI), Lithium Niobate on Insulator (LNOI), and Lithium Tantalate on Insulator (LTOI), is comparatively reviewed to highlight the material-dependent advantages and constraints. Finally, emerging directions based on heterogeneous integration and ferroelectric materials with ultrahigh electro-optic coefficients are discussed as promising pathways to overcome the current performance bottlenecks. This review provides clear physical insights and engineering guidance for the future development of high-performance, integrated EOFC systems. Full article

Therapeutic endoscopic ultrasound (t-EUS) has transformed the management of biliopancreatic diseases by enabling minimally invasive access and intervention through the gastrointestinal wall. This narrative review summarizes current indications and evolving roles of t-EUS in benign and malignant biliary disease, with a focus on the different modalities of transmural drainage, EUS-guided gastroenterostomy (EUS-GE), and EUS-guided radiofrequency ablation (EUS-RFA). In benign settings, EUS-gallbladder drainage (EUS-GBD) has emerged as a minimally invasive alternative to percutaneous cholecystostomy for high-risk patients with acute cholecystitis, offering internal drainage with fewer tube-related adverse events. In malignant biliary obstruction, transmural drainages are consolidated alternatives of endoscopic retrograde cholangiopancreatography (ERCP) as first-line or rescue strategies, providing durable internal biliary drainage, avoiding post-ERCP pancreatitis without deteriorating quality of life. In surgically altered anatomy, t-EUS overcomes the limitations of enteroscopy-assisted ERCP by creating direct access routes to the biliary tree or pancreatic duct. EUS-guided pancreatic duct drainage offers a rescue or primary approach in benign strictures, anastomotic stenosis, and disconnected duct syndrome. EUS-GE has rapidly become a preferred modality for palliation of gastric outlet obstruction in pancreatic cancer, while EUS-RFA provides a platform for locoregional therapy in selected cases of pancreatic neuroendocrine tumors, adenocarcinoma, and pancreatic cystic neoplasms. Collectively, these applications position t-EUS as a central tool in the multidisciplinary management of complex biliopancreatic disease, with ongoing innovations expected to further expand its indications and safety and to refine patient selection and training pathways. Full article

Automated production lines are increasingly being expanded with Industrial Internet of Things (IIoT) devices, creating complex Cyber-Physical Systems (CPSs) that connect physical production with control and information infrastructure. However, the convergence of Information Technology (IT) and Operational Technology (OT) layers creates new entry points for attacks targeting communication availability. Most existing studies analyze Distributed Denial of Service (DDoS) attacks primarily in simulation or testbed environments, with limited experimental verification of their impact on real-world production systems. This article presents an experimental evaluation of the impact of DDoS and Distributed Reflection Denial of Service (DRDoS) attacks carried out directly on a physical automated production line with integrated IIoT infrastructure during real operation. Three attack scenarios (TCP SYN flood, TCP ACK flood, and ICMP reflected attack) were implemented, targeting Programmable Logic Controllers (PLCs), Radio-Frequency Identification (RFID) subsystems, and selected IIoT devices. The results showed rapid degradation of deterministic PROFINET communication, disruption of the link between the OT and IT layers, loss of digital product representation, and physical interruption of the production process. Based on the findings, a minimally invasive security solution based on perimeter protection was designed and experimentally verified. The results emphasize the need to design IIoT-based manufacturing systems with an emphasis on network segmentation and architectural separation of the IT and OT layers. Full article

Calcium phosphate–poly(methyl-methacrylate) composite layers have been synthetized on silicon substrates in magnetron sputtering discharge by adjusting the radio-frequency power. The electron energy distribution function measured at holder substrate position shifts to lower energies when the radio-frequency power applied to the magnetron source increases from 50 to 150 W and the poly(methyl-methacrylate) molecule dissociation is augmented. The optical emission spectral analysis indicated the dynamics of the excitation and ionization processes in the Ar–calcium phosphate–poly(methyl-methacrylate) plasma mixture, as well as the dissociation patterning of the polymer molecules. The Ca I, P I, and H_α atomic lines and CaO, PO, POH, CO, CH and C₂ molecular bands characteristic to the calcium phosphate and poly(methyl-methacrylate) decomposition were evidenced. At 150 W radio-frequency power a reduction in the polymer content in the composite layer volume was observed even if the α-CH₃ main chain and the C=O molecular bands are still present. More C-C/C-H, C-OH/C-O-C polymeric bonds were revealed at the layer surface, indicating the formation of plasma polymers. The Ca/P ratio changes from 1.72 to 1.9 at 50 to 150 W, respectively, maintaining the amorphous structure of the layers. In this power range, the transition of layer surface morphologies from grain-like to worm-like plasma polymer characteristics is connected to an increase in plasma ion density and layer thickness. Full article

5G deployment in Malaysia is increasing the need for safe and efficient radio-frequency (RF) scanning at telecommunication towers, but service providers lack a clear, structured way to choose among available methods. This study develops a decision framework using a hybrid Delphi–Analytic Hierarchy Process (AHP) approach. A literature review identified criteria, sub-criteria, and six RF scanning alternatives. Ten experts then participated in three Delphi rounds: Rounds 1 and 2 confirmed five criteria and twenty-five sub-criteria, while Round 3 produced an expert ranking of the six alternatives, with drone-based and human-based scanning as the top priorities. Thirty practitioners subsequently completed AHP pairwise comparisons based on the Delphi-validated hierarchy. The AHP results show that Safety and Environment are the most important criteria, with ‘Fall’ and ‘Thunderstorm’ having the highest global weights. Drone-based scanning ranks highest, followed by human-based and ground-based methods, and the AHP ranking closely matches the expert ranking. The study provides a clear decision method for industry and policymakers to improve worker safety, guide inspection decisions, and strengthen telecommunication infrastructure in line with SDG 8 (Decent Work), SDG 9 (Industry, Innovation, and Infrastructure), SDG 11 (Sustainable Cities), and SDG 13 (Climate Action). Full article

Cryotherapy involves flash freezing of tissue and removing unwanted tissue. Mechanism of injury is causing cell membrane rupture by rapid multiple freeze–thaw cycles, while reserving tissue architecture and the collagen matrix. This promotes favorable wound healing. In recent years, it has gained increasing attention as a treatment option for upper gastrointestinal diseases (Barrett’s Esophagus and early cancer). Currently, two FDA-approved delivery methods are available in the GI tract: Cryoballoon and spray cryotherapy, which will be discussed. In this review, we also propose to examine the expanding role of cryotherapy in gastrointestinal practice, drawing from both clinical studies and illustrative vignettes. In addition, we will highlight its established role in eradicating Barrett’s with low and high-grade dysplasia and compare its outcomes and safety profile with radiofrequency ablation (RFA). We will also discuss the application and safety of spray cryotherapy in the palliation of malignant esophageal strictures when compared with Esophageal stent placement. Cryotherapy may have immunological potential, and it may shrink both primary and metastatic diseases. Ongoing research in this field of Cryo-immunology will be highlighted. Beyond esophageal neoplasia, cryotherapy is increasingly utilized in other upper gastrointestinal precancerous conditions. Through this synthesis, our goal is to provide a timely and comprehensive overview of advancements in cryotherapy and its potential to reshape novel therapeutic approaches in upper gastrointestinal cancers. Finally, we highlight the evolution of a novel platform using nitrous oxide delivered by a handheld device, a contact balloon, and a small replaceable cartridge. This approach may make delivery of cryogen application favorable and a first-line approach in the management of Barrett’s esophagus and early cancer. In addition, Cryoballoon therapy for dysphagia palliation for malignant esophageal strictures may become a preferred approach as more data evolves. Full article

Electromagnetic phase reconfigurability is a critical functionality for many emerging applications in electronics, defence, and other disruptive technologies. This work addresses a significant challenge in developing nematic liquid crystal (NLC)-based phase shifters: inaccurate and ambiguous calculations of differential phase shift, which can jeopardise on-time, on-budget device development. We investigate and correct two vulnerable cases of these calculation errors, demonstrated using a 60 GHz strip line and a 300 GHz coaxial line. For completeness, we also present a third case—a 1 mm long 60 GHz strip line—that correctly calculates phase shift, illustrating a “false positive” scenario. A unique contribution of this paper is the statistical analysis of how often these different phase shift processing errors occur during NLC delay line parameterisation. This statistical insight provides practical guidance for research and development. By numerically testing common assumptions, we establish traceable know-how to support smarter design decisions for radiofrequency (RF) engineers and academics. This work aims to advance NLC devices beyond classical display applications towards commercial viability. It also serves as a valuable reference and educational resource for students, physicists, and designers working on the precise phase characterisation of NLC-based reconfigurable devices. Full article

This paper provides a comprehensive review of recent advancements in radio-frequency (RF) multifunctional components with integrated filtering characteristics, including tunable filtering attenuators, filtering power dividers, filtering couplers, and filtering Butler matrices, all of which play critical roles in wireless communication systems. With the increasing demand for miniaturization, integration, and low-loss performance in RF front-ends, multifunctional components with filtering characteristics have become essential. This review first introduces tunable attenuators and filtering attenuators based on various technologies such as PIN diodes, graphene-based structures, and RF-MEMS switches, and also analyzes their advantages, limitations, and performance. Then, we discuss filtering power dividers developed from Wilkinson structures, three-line coupled structures, resonator-based coupling matrix methods, and SSPP-waveguide hybrids. Furthermore, filtering couplers and filtering Butler matrices are reviewed, highlighting their capability to simultaneously achieve amplitude and phase control, making them suitable for multi-beam antenna feeding networks. Finally, a brief conclusion is summarized. Future research directions, such as hybrid technologies, novel materials, broadband and multi-band designs, and antenna-matrix co-design, are suggested to further enhance the performance and practicality of multifunctional RF components for next-generation wireless communication systems. Full article

Cholangiocarcinoma (CCA) is an aggressive malignancy originating from the epithelial lining of the intrahepatic or extrahepatic bile ducts. Although rare globally, its mortality closely mirrors incidence due to late-stage presentation of the disease and limited curative options. While surgical resection and liver transplantation remain the cornerstone treatments for those with resectable disease, endoscopic techniques have emerged as versatile tools for diagnosis, therapy, and palliation. In recent years, there have been major advancements in endoscopic therapies, including radiofrequency ablation (RFA), intraluminal brachytherapy (ILBT), and photodynamic therapy (PDT). The current narrative review serves to provide an overview of current and emerging endoscopic strategies for CCA, emphasizing diagnostic capabilities, therapeutic approaches, palliative interventions, and future directions. Full article

This technical report presents a compelling case for the use of very-high-power, very-short-duration (VHPSD) radiofrequency ablation as a promising and efficient strategy for treating symptomatic premature ventricular contractions (PVCs) originating from the right ventricular outflow tract (RVOT). The patient with frequent, symptomatic PVCs and a 24% burden underwent successful ablation using a 90 W/4 s recipe via the QDOT MICRO™ catheter. The procedure resulted in immediate and sustained elimination of PVCs, with only 4 s of ablation time, near-zero fluoroscopy, no complications, and no PVC recurrence at 6 months. VHPSD ablation, though originally developed for atrial fibrillation, demonstrated remarkable procedural efficiency, precision, and lesion efficacy in this case. Compared to standard power, long-duration (SPLD) ablation, VHPSD offers the potential to significantly reduce procedural time, minimize tissue edema, and lower complication risk, particularly advantageous in anatomically challenging areas or in situations where maintaining stable catheter contact for extended periods is difficult or unfeasible. This technical report suggests the transformative potential of VHPSD as a first-line ablation strategy for RVOT-PVCs, provided careful mapping and appropriate technique are used. It underscores the need for further prospective studies to validate its broader safety, efficacy, and role in PVC management, particularly in cases involving intramural origins. Full article

In this study, we provide a comparison of radiofrequency electromagnetic field exposure level maps as determined using two approaches: a broadband meter (NARDA EMR-300) equipped with an isotropic probe in the range of 100 kHz to 3 GHz, and a Personal Exposimeter (Satimo EME Spy 140) in the range of 88 MHz to 5.8 GHz. The aim of this research was to determine the necessary adjustments to the measurements made with personal exposimeters to obtain RF-EMF exposure maps equivalent to those made with broadband meters. We evaluated different possibilities to obtain the best equivalence of measurements between both devices. For this purpose, the datasets obtained in both cases were analyzed, as well as the possible correction factors. First, the possibility of establishing a single or double correction factor depending on the existence (or lack thereof) of a line of sight with respect to the base stations was analyzed by minimizing the average value of the error between the values of the broadband meter and the corrected values of the personal exposure meter. Due to the differences observed in the exposure maps, a second procedure was carried out, in which a genetic algorithm was used to determine the ratio between the measurements from both methods (the broadband meter and personal exposure meter), depending on the existence (or lack thereof) of a line of sight, and we compared the exposure maps generated using kriging interpolation. Full article

Electromagnetic hyper-sensitivity (EHS) and its causal link with radio-frequencies raise a major question of public health. In the frame of the clinical study DEMETER, 26 adult volunteers self-diagnosed as EHS-positive agreed to reply to a self-assessment questionnaire and to provide a skin biopsy sampling to establish a primary fibroblast cell line. The questionnaire and the biological data revealed, independently, 2 subsets of donors associated each with a low background, highly responsive (LBHR) and a high background, lowly responsive (HBLR) phenotype. A couple of subsets based on questionnaire data and based on the yield of spontaneous DNA double-strand breaks were found to be composed of the same donors at 64% identity. After exposure to X-rays, and application of anti-γH2AX, pATM, and MRE11 immunofluorescence, all the DEMETER fibroblasts (26/26) elicited a delayed radiation-induced ATM nucleoshuttling (RIANS). The use of RIANS biomarkers showed that the 2 phenotypes described above corresponded to DEMETER donors with a high risk of cancer (LBHR) or high risk of accelerated aging (HBLR). By exposing DEMETER cells to H₂O₂ followed by an antioxidative agent, we confirmed that EHS may be related to the management of DNA strand breaks. A preliminary molecular model of EHS inspired by the RIANS model was proposed. Full article

Background: Catheter ablation is a first-line treatment for rhythm control strategies in patients with atrial fibrillation (AF), with different energy sources available, including pulsed-field ablation (PFA), high-power short-duration radiofrequency (HPSD RF), conventional radiofrequency (RF), and cryoballoon ablation. Limited evidence exists on how different ablation techniques affect patient-reported outcomes, such as patients’ quality of life (QoL) and perceived symptoms. This study aims to assess the impact of ablation energy sources on reported QoL and symptom perception after AF ablation. Methods: The study included 148 patients who underwent catheter ablation in different centers. Patients were divided into four groups according to the energy source used. Follow-up was conducted during the 6 months post-procedure. Patients were asked to complete a 20-item questionnaire evaluating quality of life, activity resumption, recovery process, perceived symptoms, and satisfaction. Comparative analyses were performed across energy groups, anesthesia types, and anesthetic drugs. Results: PFA patients reported the highest improvement in QoL scores compared to RF, HPSD RF, and cryoablation (p < 0.001). Activity resumption and symptom relief were significantly better in the PFA group compared to others (p < 0.001). Anesthesia type and anesthetic drug influenced QoL outcomes, with patients under general anesthesia showing higher QoL scores compared to deep sedation (p < 0.001). The energy source and anesthetic drug resulted in independent predictors of QoL improvement. Conclusions: Ablation energy source could impact patients’ perceived QoL and symptom relief after AF ablation. PFA demonstrated superior performance scores in QoL and symptom perception compared to other techniques. Anesthetic drugs also play a role in patient-reported outcomes and activity resumption. Full article