Search Results (34,525)

Management of ventricular tachycardia (VT) requires an integrated approach combining invasive therapy and cardiac imaging. This article reviews the principal imaging modalities and their integration with electroanatomical mapping systems to plan and guide procedures and to assess the success of VT ablation during follow-up. The central role of imaging in optimizing the efficacy and safety of VT ablation is emphasized. Studies demonstrating that imaging-supported workflows can improve substrate localization, reduce procedural times and radiation exposure, and lower recurrence rates are highlighted. Current limitations and future challenges are also discussed. Full article

Background: Radiation-induced cystic brain necrosis (RCN) can progress rapidly to life-threatening cerebral herniation. This study aimed to develop a predictive model integrating radiomic features and clinical variables to assess the risk of cerebral herniation in RCN patients. Methods: A total of 130 patients diagnosed with RCN following radiotherapy for nasopharyngeal carcinoma were retrospectively enrolled and randomly assigned to training (n = 91) and testing (n = 39) cohorts in a 7:3 ratio. Radiomic features were extracted from baseline T2-weighted magnetic resonance imaging (MRI), and a radiomic signature was constructed using least absolute shrinkage and selection operator regression. A multivariate Cox regression model was then developed by incorporating the radiomic signature and clinical variables to predict cerebral herniation. The model’s discriminative ability, calibration, and clinical utility were evaluated. Results: The radiomic signature based on five selected radiomic features demonstrated good predictive performance. The radiomic model, which integrated the radiomic signature and ratios of perilesional enhancement, exhibited favorable performance in both the training cohort (C-index: 0.841) and testing cohort (C-index: 0.867). The model successfully stratified patients into high- and low-risk groups. The calibration curves showed good agreement and the decision curve confirmed the clinical utility of the model. Conclusions: The MRI-based radiomic model, which integrates radiomic features and clinical variables, demonstrates robust performance in predicting cerebral herniation in RCN patients, offering a practical and user-friendly tool to support clinical decision-making. Full article

Leishmaniasis is a global health issue, especially in tropical and subtropical areas, with treatment challenges due to the development of resistance to current drugs. This has prompted the search for new antileishmanial compounds. Endoperoxides, due to parasites’ reliance on external iron and susceptibility to oxidative stress, are promising antileishmanial compounds. This study evaluated two sterol endoperoxides—ergosterol endoperoxide (ErgoEP) and dehydrocholesterol endoperoxide (DHCholEP)—for their antileishmanial activity and mechanism in vitro. Cell viability assays with Leishmania donovani and Leishmania tarentolae promastigotes showed IC₅₀ values in the low micromolar range (from 2.0 to 4.5 µM, respectively) with low toxicity to murine and J774A.1 macrophages. Electron paramagnetic resonance spectroscopy confirmed radical generation in the presence of low-molecular-weight iron compounds. However, this did not trigger the antileishmanial effect, as neither N-acetylcysteine nor pyridoxal isonicotinoyl hydrazone altered activity. Mitochondrial function(s) and superoxide production in Leishmania remained unaffected. Both endoperoxides significantly inhibited synthesis of 5-dehydroepisterol, the major sterol in Leishmania tarentolae, suggesting targeting of the sterol biosynthesis pathway. Their limited toxicity to mammalian macrophages makes ergosterol and dehydrocholesterol endoperoxides promising candidates for future antileishmanial drug development. Full article

Metallic contaminants in powdered foods represent a serious safety concern. Therefore, effective detection is crucial for food safety. This study aimed to develop an electric-field-based detection system and quantitatively evaluate its performance. An alternating (+/−) electrode array (gap 1–2 mm) was designed, and resonance analysis identified 15 kHz with a 2 mm gap as the optimal operating condition. Using an IGBT-based high-voltage source, 1.35 kV was selected to ensure stable operation without partial discharge. A real-time algorithm based on a minimum current-change threshold was implemented, and detection responses to stainless steel (SUS), aluminum (Al), and copper (Cu) particles in three size classes (<0.5, 0.5–1.0, and 1.0–2.0 mm) were evaluated using hit/miss modeling and logistic regression to obtain probability-of-detection (POD) curves and limits of detection (LOD). The system achieved POD ≥ 0.9 for 1.0–2.0 mm particles; in the 0.5–1.0 mm range, observed POD values were 84%, 90%, and 68% for SUS, Al, and Cu, respectively. Safety was assessed by COMSOL-based localized heating simulation validated by infrared thermography and by ozone monitoring for real-time operation. Compared with conventional inspection approaches, the proposed system provides a compact, cost-effective architecture while reporting inspection-oriented reliability metrics (POD/LOD) for process-line deployment. Full article

Background and Objectives: Chronic total occlusion (CTO) affects 30% of patients undergoing coronary angiography rendering poorer outcomes. While percutaneous coronary intervention (PCI) can be technically successful, RCTs show no survival benefit. Cardiovascular Magnetic Resonance (CMR) provides comprehensive myocardial phenotyping, offering prognostic insights in this high-risk cohort. Materials and Methods: Fifty-six patients with angiographically confirmed CTO underwent stress perfusion CMR with late gadolinium enhancement. Myocardial function, ischaemia and scar burden were quantified and compared across CTO territory and viability subgroups. Results: In patients with CTO, 27% of patients (15/56) had no viability. In patients with viable myocardium, 66% (27/41) demonstrated reversible ischaemia. Viable myocardium was associated with significantly higher LV stroke volumes (93.6 ± 20.1 mL vs. 80.9 ± 18.4 mL, p = 0.039), along with lower LV scar mass (18.7 ± 13.5g vs. 32.3 ± 12.8g; p = 0.002) and scar percentage (14.9 ± 8.3% vs. 25.9 ± 7.5%; p = 0.001). Viable myocardium showed more ischaemia both globally (11.6 ± 14.3g vs. 0.2 ± 9.3g; p = 0.005) and within the CTO territory (10.3 ± 10.3% vs. 2.3 ± 2.7%; p = 0.01). Non-viable myocardium was associated with significantly higher CTO-territory scar mass (9.4 ± 6.5 g vs. 5.1 ± 6.9 g; p = 0.046) and scar percentage (21.8 ± 13.3% vs. 11.7 ± 12.8%; p = 0.01), indicating extensive fibrosis. A scar burden threshold of 11.18% in CTO territory predicted non-viability with 80% sensitivity and 65.85% specificity (AUC = 0.701 [95% CI 0.54–0.87], p = 0.019). Conclusions: Among CTO patients, 27% harbour no viability, while patients with viable myocardium typically exhibit reversible ischaemia—representing a phenotype with preserved viability and inducible ischaemia. These findings support the use of multiparametric CMR to phenotype CTO territories prior to considering CTO-PCI. Full article

This work presents a compact microwave sensor for noninvasive blood glucose monitoring based on a substrate-integrated waveguide loaded with a complementary split-ring resonator on RO4350. The sensing principle uses shifts in resonance frequency and changes in S-parameters to track the dielectric dispersion of glucose-containing tissue. The resonator is constructed using Substrate-Integrated Waveguide (SIW) technology, which mimics the propagation characteristics of a conventional rectangular waveguide. To validate its versatility, the sensor implements three practical sample delivery modes: direct liquid contact with the sensing surface, a glass tube holder mounted over the active region, and a non-invasive fingertip interface. Electromagnetic simulations and benchtop measurements confirm clear glucose-dependent frequency shifts with stable matching and insertion levels. Across the physiological range of 20 to 200 mg·dL⁻¹, the sensor exhibits clear glucose-dependent resonance shifts in all configurations. In direct contact mode, the resonance frequency shifts from 10.83 GHz to 10.45 GHz with sensitivities up to 2.47 MHz per mg·dL⁻¹. The tube configuration shows a shift from 10.49 GHz to 10.38 GHz with sensitivity up to 0.80 MHz per mg·dL⁻¹, while reducing contamination. In the non-invasive fingertip mode, the resonance shifts from 2.56 GHz to 2.52 GHz with sensitivities up to 0.25 MHz per mg·dL⁻¹. These results confirm the sensor’s compactness, reliability, and suitability for portable, low-cost glucose monitoring. The results indicate that the proposed sensor can support practical continuous or spot monitoring and offers a clear path toward portable and low-cost glucose assessment. Full article

A novel catalyst, Tm₂FeSbO₇, was synthesized by employing the solid-phase high-temperature sintering method, and, for the first time, it was utilized to create a Z-type heterojunction with BiYO₃. A direct Z-scheme Tm₂FeSbO₇/BiYO₃ heterojunction photocatalyst (TBHP) was successfully produced by employing the ball-milling technique. X-ray diffraction analysis results indicated that Tm₂FeSbO₇ crystallized in a cubic pyrochlorestructure which owned the Fd-3m space group, with a unit cell parameter of 10.1769 Å, whereas BiYO₃ displayed a fluorite structure in the Fm-3m space group, with a unit cell parameter of 5.4222 Å. The Mossbauer spectrum of Tm₂FeSbO₇ showed that Fe³⁺ ions might locate at octahedral sites. The measured bandgap widths for the TBHP, Tm₂FeSbO_7, and BiYO₃ were 2.14 eV, 2.21 eV, and 2.30 eV, respectively. Multiple experimental results demonstrated that the TBHP exhibited a higher valence band ionization potential, a narrower band gap width, and a higher removal efficiency of the sulfamethoxazole (SMX) compared with the Dy₂TmSbO₇/BiHoO₃ heterojunction photocatalyst. Under visible-light irradiation (VISLI) of 115 min, the TBHP showcased exceptional photocatalytic elimination performance; therefore, the elimination rate of the SMX and the total organic carbon (TOC) mineralization rate reached 99.51% and 98.10%, respectively. In contrast to single-component Tm₂FeSbO₇, BiYO_3, or conventional nitrogen-doped titanium dioxide (N-TiO₂) catalyst, the TBHP exhibited removal efficiency enhancement for degrading the SMX by 1.17 times, 1.31 times, or 4.06 times. Simultaneously, the matching mineralization rate for removing the TOC density by employing the TBHP was 1.20 times, 1.34 times, or 4.73 times higher than that by employing Tm₂FeSbO₇, BiYO₃, or conventional N-TiO₂. Above experimental results indicated that the mineralization efficiency for removing TOC density by employing the TBHP was higher than that by employing Tm₂FeSbO₇, BiYO₃, or N-TiO₂. Radicals trapping experiments and the electron paramagnetic resonance spectroscopy results revealed that hydroxyl radicals, superoxide anions, and photoinduced holes were the primary active species during the catalytic elimination course of the SMX by employing the TBHP under VISLI. The results demonstrated that the direct Z-scheme TBHP, which was developed in this study, exhibited the maximal removal efficiency for degrading the SMX in contrast to Tm₂FeSbO₇, BiYO₃, or N-TiO₂. Additionally, the possible elimination routes and elimination mechanisms of the SMX were proposed. Therefore, an important scientific foundation for developing high-performance heterojunction catalysts was established. Full article

We investigate the optical response properties of an atom-assisted spinning optomechanical system, in which a spinning optical resonator is coupled simultaneously to a two-level atomic ensemble and a mechanical resonator driven by a weak pump field. Remarkably, we demonstrate that by simply reversing the rotation direction, the system can be switched between a low-absorption electromagnetic and optomechanically induced transparency state and a high-absorption state, constituting a form of non-reciprocal optical control at the quantum level. Furthermore, by tuning the phase difference between the mechanical pump and the probe field, direction-dependent switching between absorption and gain is achieved. These non-reciprocal effects originate from the Sagnac-induced frequency shift in the optical mode, which leads to distinct optomechanical and atom–cavity couplings for opposite spinning directions. We also show that the absorption spectrum can be modulated by the angular velocity and the atomic number. Our results indicate that the optical properties of the hybrid system can be manipulated via the angular velocity, phase difference, and atom number, with potential applications in chiral photonic communications. Full article

Radiation therapy is a crucial treatment method that delivers a high dose of radiation to localized areas. Therefore, ensuring the accuracy of the radiation dose from the radiation generator is essential. Alanine dosimetry offers the advantage of being equivalent to water and tissue and is thus a valuable tool for estimating radiation doses in the human body. In this study, we aimed to assess the feasibility of utilizing electron paramagnetic resonance (EPR)/alanine dosimetry for quality control of medical linear accelerators (LINACs). The EPR signal and slope of the dose-response curve were compared with the number of alanine dosimeters per dose using a 10 MV linear accelerator, and the measurement uncertainty was evaluated. The signal increased by approximately 0.03 per 1 Gy per count, in conjunction with the slope of the dose-response curve. The measurement uncertainty, estimated based on the synthesis of eight numerical factors of the uncertainty propagation law, was approximately 2.49–4.19% (k = 1). The findings of this study suggest that the EPR/alanine dosimetry system can be reliably applied for quality control of 10 MV photon beams under the investigated experimental conditions. Full article

The runner of a pump turbine features a relatively flat structural configuration. The clearance cavities formed between the upper crown, lower band, and surrounding stationary components play a critical role in its dynamic behavior and operational stability. Consequently, a detailed modal analysis of the runner is essential to ensure safe and stable operation. In this study, an acoustic–structure coupling method is adopted to investigate the wet modal characteristics of the pump-turbine runner, explicitly accounting for the added mass effect induced by the fluid in the external flow passages. By systematically varying the geometric parameters of the upper crown clearance cavity, the influence of seal clearance dimensions on the runner’s modal characteristics is examined. The results demonstrate that the radial clearance and the axial height of the seal cavity are the most influential parameters, reducing natural frequencies by up to 15.85% and 16.93%, respectively. The pitch of the seal teeth shows a secondary yet notable effect, inducing a frequency variation of 13.73%. In contrast, local labyrinth seal parameters, such as the number of teeth and tooth width, have a comparatively limited effect. This study provides practical guidance for vibration risk prediction, anti-resonance design, and operational stability assessment of high-head, large-capacity turbine runners by revealing the quantitative relationship between geometric parameters and modal frequencies. Full article

This study aims to address the acoustic resonance control problem of a three-dimensional nose landing gear (NLG) cavity. We propose a refined numerical approach based on an eigenvalue solver for the Helmholtz equation. A high-order finite element method (FEM) combined with perfectly matched layer (PML) boundary conditions was employed to accurately capture complex eigenmodes. The radiation damping characteristics of the system were then quantitatively characterized using the quality factor (Q-factor) and resonance frequency. Results indicate that the Helmholtz-type (0,0,0) mode dominates the cavity’s resonance response, with its frequency coinciding with the shear layer-driven Rossiter mode. This study reveals a strong coupling mechanism with the shear-layer-driven Rossiter mode at Mach 0.57, confirming that this interaction is the primary driver of cavity aeroacoustic tonal noise. Taking radiation damping as the core design parameter, a systematic sensitivity analysis was conducted on geometric modifications: aft door length, front door angle, cavity volume, and the introduction of a longitudinal gap. Key findings: shortening the aft door reduces the resonance peak by 8.5 dB; introducing a longitudinal gap with a 10% width reduces the Q-factor by approximately 50%; a combined control strategy (2.5% gap width and 6% cavity volume reduction) achieves 4.9 dB of noise attenuation. Finally, this study establishes a validated acoustic-damping control framework, providing quantitative design criteria and technical guidance for aeroacoustic noise control of NLG cavities. Full article

Streptococcus suis is an emerging zoonotic pathogen that typically causes bacteremia or meningitis in humans, whereas vertebral osteomyelitis with epidural abscess is exceedingly rare and may be missed. We describe a 65-year-old farmer with fever and severe low back pain after long-term bare-handed handling of raw pig lungs. Pre-treatment blood cultures yielded S. suis identified by matrix-assisted laser desorption/ionization time-of-flight mass spectrometry (MALDI-TOF MS). After transient improvement on empirical therapy, fever recurred with worsening lumbar pain. Contrast-enhanced magnetic resonance imaging (MRI) demonstrated multilevel thoracolumbar pyogenic spondylitis with an epidural abscess and a sub-ligamentous abscess beneath the posterior longitudinal ligament (PLL) extending from L2 to L5. Computed tomography-guided lumbar biopsy followed by tissue metagenomic next-generation sequencing (mNGS) detected S. suis, providing concordant evidence supporting pathogen involvement at the vertebral focus. The bloodstream isolate (SS-JX2025-01) was serotype 2, sequence type 7 (ST7). It remained susceptible to β-lactams and glycopeptides but was resistant to macrolide–lincosamide and tetracycline classes, consistent with erm(B), tet(O), tet(40), and ant(6)-Ia detected by whole-genome sequencing (WGS). Virulence profiling revealed an epf⁺/sly⁺/mrp⁻ pattern with multiple adhesins and immune-evasion factors, whereas canonical 89K pathogenicity island markers were absent. Core-genome phylogeny placed SS-JX2025-01 within the Chinese ST7 lineage associated with previous outbreaks. This biopsy-supported case expands the clinical spectrum of invasive S. suis infection, highlights the value of tissue mNGS as an adjunct for supporting deep-seated foci in zoonotic infections, and underscores the importance of occupational prevention in small-scale farming households. Full article

Gadolinium nanoparticles (GdNPs) have gained increasing attention as multifunctional metal-based nanoplatforms that extend far beyond their traditional use as magnetic resonance imaging (MRI) contrast agents. Their specific magnetic properties, tunable physicochemical features, and tunable biocompatibilities with biocompatible coatings give them great potential as drug delivery and theranostic applications. They offer greater stability, lower systemic toxicity, and more surface modification options compared to molecular gadolinium chelates. The functionalized GdNPs not only show excellent properties as drug carriers for their specific indications but also serve as agents in various imaging modalities with superior therapeutic efficacy by means of radio sensitization and magnetically assisted delivery. Note too that GdNP-based formulations have demonstrated synergistic activity when administered with chemotherapeutic agents such as doxorubicin. GdNPs have demonstrated promising preclinical outcomes, and their clinical translation remains restricted due to a number of scale-up constraints, long-term safety challenges, pharmacokinetics, and regulatory problems. This review provides information on the use of GdNPs, their key physicochemical and magnetic properties, ligand engineering for targeted delivery, and biological mechanisms of their theranostic performance. Full article

Background/Objectives: We investigated the feasibility of ductoscopy in diagnosis and management of patients presenting with clinically pathological nipple discharge (PND). Methods: Mammary ductoscopy was performed on 57 breasts with PND in 54 patients for diagnostic and therapeutic purposes. Ductoscopic abnormalities included ductal irregularities, presence of erythematous patches, or presence of intraductal papillomas, whereas duct ectasia or presence of dense fluid was considered a benign finding. Results: Age older than 40 and any pathology in ultrasound or ductoscopy were significantly associated with a decision of surgery. Surgical procedures included central duct excisions (n = 16) or specific duct excisions (n = 14) guided by either ultrasound (USG) or ductoscopy. Presence of an abnormal finding on ductoscopy was significantly associated with a specific lesion yield for PND in 18 patients, such as ductal carcinoma in situ with/without papillary cancer (n = 2, 11.1%), or intraductal papilloma/papillomatosis (n = 15, 83.3%) or periductal mastitis (n = 1, 5.6%) (specific lesion for PND; ductoscopic abnormality: 83.3% (15/18) vs. ductoscopic benign findings: 16.7% (2/12); p = 0.001) in patients undergoing surgical intervention. However, pathological findings in other imaging modalities including USG, magnetic resonance imaging (MRI) or mammogram were not associated with specific lesion yield for PND. The cancer detection rate in surgically excised lesions (n = 30) was 6.7% (n = 2). Overall, nipple discharge ceased in three patients who were conservatively observed after benign findings on ductoscopy at a median of 58 months (IQR, 39–77). Conclusions: The use of ductoscopy facilitated surgical decision-making in patients with PND, helping to distinguish patients requiring surgical excision from those suitable for conservative follow-up. In this cohort, ductoscopy findings were frequently associated with specific lesions, including mostly intraductal papilloma, explaining nipple discharge in patients selected for surgery. Full article

Prostate cancer (PCa) remains a major global health challenge, yet conventional diagnostic methods are often limited by suboptimal accuracy and efficiency. Artificial intelligence (AI) has emerged as a rapidly developing technology capable of integrating multi-source data to enhance clinical decision-making. This narrative review synthesizes current evidence regarding AI applications across key diagnostic domains, including medical imaging, digital pathology, liquid biopsy, and multi-omics integration. Findings indicate that AI models for magnetic resonance imaging (MRI) can improve risk stratification and may reduce unnecessary biopsies in some cohorts, particularly when evaluated alongside structured radiology assessment and clinical variables. In digital pathology, deep learning algorithms have shown high agreement with expert genitourinary pathologists for automated Gleason grading in controlled and externally validated settings, with potential to reduce reporting time for high-volume workflows. Additionally, AI-powered liquid biopsy models may support non-invasive risk stratification, particularly for patients with prostate-specific antigen (PSA) levels in the diagnostic gray zone, while multi-omics integration is being investigated to enhance personalized assessment. Despite advances, challenges regarding data heterogeneity, algorithm interpretability, and workflow integration persist. Future research should prioritize multimodal data fusion, explainable AI development, robust calibration and decision-analytic evaluation, and large-scale prospective validation to standardize protocols and fully realize the potential of AI in precision prostate cancer care. Full article