Search Results (42)

Initial correlations between a quantum system and its environment can strongly influence open-system dynamics and invalidate standard reduced-dynamics descriptions. Detecting such correlations is therefore an important problem, but most existing approaches require state tomography, multiple system preparations, or some degree of access to the environment. Here we show that initial system–environment correlations can be certified using only a single calibrated system observable when the interaction is known. For a qubit interacting with an environment via isotropic Heisenberg exchange, we derive exact bounds on the signal $z\left(t\right)=⟨{\sigma }_z^S⟩\left(t\right)$ that hold for all factorized initial states sharing the same calibrated reduced system state. These bounds define a factorized envelope: if an observed trajectory exits this envelope, initial correlations are unambiguously certified. The witness requires only single-axis measurements after a one-time calibration of ${\rho }_S\left(0\right)$ and does not rely on environment access or state tomography. We illustrate the method for several families of correlated initial states and show that the same single-observable logic extends to an exactly solvable pure-dephasing spin–boson model with an infinite environment. Full article

Background/Objectives: The use of quantitative neuroimaging to establish objective biomarkers in neurodegenerative diseases (NDD) has attracted increasing interest over the last decade. Advanced magnetic resonance imaging (MRI) such as arterial spin labeling (ASL) and diffusion tensor imaging (DTI), as well as [¹⁸F]fluorodeoxyglucose ([¹⁸F]FDG) positron emission tomography (PET), could provide clinically meaningful biomarkers and may support differential diagnosis. The aim of this investigator-initiated, single-center, retrospective comparative study was to implement a framework for multimodal neuroimaging to evaluate cases with rare NDD, using a methodological approach that integrates metabolic, perfusion, and microstructural parameters from simultaneous FDG-PET/MRI, and to investigate its potential to facilitate diagnosis. Methods: Three patients with pathological motor signs (1f/2m; 63, 73, and 52 years) and 19 control subjects with subjective cognitive deficits (SCDs) underwent combined FDG-PET/MRI with pseudo-continuous ASL and DTI. Standardized uptake values (SUVs), relative cerebral blood flow (rCBF), and fractional anisotropy (FA) were calculated to identify pattern alterations in individual patients based on parameterization mapping. The final diagnosis was corticobasal degeneration (CBD, n = 1) or primary lateral sclerosis (PLS, n = 2). Results: At the individual patient level, disease-specific changes in defined brain regions could be demonstrated and quantified compared to control subjects. All three patients showed significantly decreased FA, primarily along parts of the course of the corticospinal tract (CST). In the patient with CBD, asymmetric SUVR and rCBF decreases were observed, mostly overlapping with motor regions. In the two patients with PLS, SUVR revealed mostly unspecific findings (hypothetically due to a slow progression rate or due to potentially early disease stages), while ASL indicated decreased rCBF primarily overlapping within the motor cortex. Changes at the gray matter level were primarily located adjacent to changes in white matter, as indicated by the multimodal analysis approach using simultaneously acquired FDG-PET/MRI data. Conclusions: According to this proof-of-concept study, multimodal neuroimaging by the combination of quantitative MRI and FDG-PET has the potential to guide differential diagnosis in rare NDDs, especially if clinical diagnosis is not straightforward to achieve. Since particularly early diagnosis remains essential for patient counseling, effective treatment, and clinical management, the present framework appears helpful to be developed further until it aligns and integrates with clinical routine. Full article

Background: Acute focal neurological deficits require rapid differentiation between ischemic stroke and stroke mimics to avoid treatment delays and inappropriate therapy. Seizures, including ictal deficits, status epilepticus, and post-ictal/Todd’s phenomena, are among the most challenging mimics. This review summarizes the role of multimodal neuroimaging in distinguishing acute ischemic stroke from seizure-related deficits. Methods: We performed a focused narrative review of neuroimaging findings in acute stroke mimics, emphasizing non-contrast computed tomography (CT), CT angiography, CT perfusion, magnetic resonance imaging (MRI), including diffusion weighted imaging (DWI), apparent diffusion coefficient (ADC), fluid attenuated inversion recovery (FLAIR), and arterial spin labeling (ASL) sequences. Imaging patterns, diagnostic pitfalls, and practical clues for hyperacute stroke pathways were synthesized. Results: Acute ischemic stroke is typically suggested by vascular-territorial abnormalities, including arterial occlusion or stenosis, territorial hypoperfusion, and congruent DWI/ADC restriction. Seizure-related deficits more often show non-territorial cortical perfusion changes, ictal or status-related hyperperfusion, reversible MRI abnormalities, and absence of arterial occlusion. However, post-ictal hypoperfusion, peri-ictal diffusion restriction, and reperfusion-related hyperperfusion may overlap with ischemic patterns. Conclusions: A multimodal approach integrating vascular imaging, perfusion distribution, DWI/ADC, ASL, clinical timing, and EEG findings can improve diagnostic accuracy in the stroke–seizure differential without delaying treatment in true acute ischemic stroke. Full article

Background: Robotic-assisted navigational bronchoscopy (RNB) using the ION system (Intuitive Surgical, Sunnyvale, CA, USA) combined with cone-beam computed tomography (CBCT) (Cios Spin, Siemens Healthineers, Erlangen, Germany) and tool-in-lesion verification enables precise diagnosis of peripheral pulmonary nodules. Integrating RNB with intraoperative frozen section analysis may allow same-day resection, avoiding delays between diagnosis and treatment. Standard airway management with a single-lumen tube (SLT) limits immediate transition to lung resection, whereas initial double-lumen tube (DLT) placement could streamline workflow and improve safety. This study evaluated the diagnostic performance, procedural efficiency, and feasibility of an integrated ION-guided RNB workflow using either SLT or DLT. Methods: In this single-center retrospective study, 36 consecutive patients undergoing ION-guided RNB for pulmonary nodules between August 2024 and June 2025 were analyzed. Airway management (SLT vs. DLT) was selected based on surgical planning. Lesions were targeted using CBCT or C-arm fluoroscopy, and biopsies were performed via forceps or cryoprobes. Frozen section results guided immediate surgical resection when malignancy was confirmed. Results: Thirty-six patients (mean age 64.9 ± 7.9 years; female/male ratio 16/20) with 42 nodules (mean diameter 1.22 ± 0.76 cm) were included; 76.2% were peripheral. Mean RNB time was 58.3 ± 21.3 min. Overall diagnostic yield was 73.0%, significantly higher with DLT versus SLT (84.2% vs. 50.0%, p = 0.035), with more biopsies per patient (7.9 ± 2.2 vs. 3.2 ± 3.1, p = 0.035). No major complications occurred. Conclusions: ION-guided RNB with CBCT and intraoperative frozen section enables accurate, single-session diagnosis and treatment of pulmonary nodules. Upfront DLT placement facilitates procedural efficiency within a streamlined “one-stop-shop” workflow without compromising diagnostic yield. Full article

Background/Objectives: High-grade glioma shows marked metabolic heterogeneity. We performed a PRISMA-guided systematic review and meta-analysis to quantify PET accuracy for pseudoprogression (PsP) and for recurrence/progression versus treatment-related change (TRC), assess pool baseline associations with overall (OS) and progression-free survival (PFS), summarize PET-based prediction of molecular markers, and assess the PET–stereotactic biopsy–ex vivo metabolomics workflow. Methods: We searched PubMed/MEDLINE and the Web of Science Core Collection (Clarivate) from inception to 1 September 2025 for HGG cohorts with baseline PET. Eligibility: Adults with HGG; diagnostic syntheses required per-patient 2 × 2; prognostic syntheses required for HR with 95% CI. Risk of bias: QUADAS-2 (diagnostic) and QUIPS (prognostic). Random-effects models pooled log-HRs and sensitivity/specificity; molecular studies were summarized by AUCs. Imaging-to-omics concordance was reviewed narratively owing to the absence of co-registered PET–metabolite maps in human HGG. Results: The results included the following: OS k = 10; PFS k = 3; PsP k = 2 (N = 76); and TRC k = 3 (N = 152). For PsP, two amino acid PET cohorts yielded a sensitivity of 0.943 and a specificity of 0.826. For TRC, pooled FDOPA across two cohorts gave rise to a sensitivity of 0.879 and a specificity of 0.771. OS meta-analyses were non-significant under Hartung–Knapp modification—FDG HR of 1.09 (95% CI 0.69–1.73) and amino acid HR of 1.03 (0.72–1.46)—with substantial heterogeneity. PFS effects varied by tracer/metric; examples include FDOPA HR of 7.92 (2.17–28.90) and MET metabolic tumor volume HR of 1.60 (1.20–2.30). Conclusions: Amino acid PET is sensitive to PsP and, with FDOPA, aids TRC discrimination when MRI is equivocal, whereas baseline PET–survival associations are weak and heterogeneous. Prospective co-registered PET/MR with stereotactic biopsies and HR-MAS NMR spectroscopy/MALDI-MSI is required to quantify imaging-to-omics concordance and standardize spatial endpoints. Study registration: PROSPERO CRD420251113416. Funding: none. Full article

We investigate a non-Hermitian two-spin XY model driven by alternating real and imaginary transverse fields and derive an explicit analytic formula for the ground-state entanglement negativity. This provides a systematic analytic characterization of how ground-state entanglement behaves across PT-symmetry breaking in a non-Hermitian spin dimer. In the PT-symmetric regime, the anisotropy $\gamma$ enhances entanglement, whereas the real field h₀ suppresses it; in the PT-broken regime dominated by $\left|{\phi }_3\right.⟩$, the negativity decreases monotonically with the imaginary field ${\eta }_0$. Moreover, the first derivative of the negativity exhibits a cusp-type non-analyticity at the exceptional point (EP), consistent with the ground-state phase boundary and revealing a direct correspondence between entanglement transitions and exceptional-point physics. To facilitate implementation in integrated quantum photonics, we map $\left(h_0,{\eta }_0,\gamma \right)$ onto the device parameters $\left(\Delta \beta ,g,\kappa \right)$ of a PT-symmetric directional coupler and propose a two-qubit quantum state tomography readout based on local Pauli measurements, thereby offering a concrete entanglement-based probe of exceptional-point signatures in a realistic photonic platform. Within this model, we identify parameter regimes for observing this signature: a cusp feature is expected near $\Delta \beta \approx 0$ and $g\approx \kappa ,$ which remains observable under small detuning and moderate loss mismatch. These results offer a testable avenue for entanglement-based probing of PT-symmetry breaking and may inform device characterization and quantitative assessment in integrated quantum photonics. These combined advances provide both analytical insight into non-Hermitian entanglement structure and a feasible route toward experimentally diagnosing PT-symmetry breaking using entanglement. Full article

Developing detectors to enhance the timing resolution of positron emission tomography scanners can help reduce radioactive doses absorbed by patients and improve spatial resolution in medical imaging. Time resolution may be enhanced in heterostructures comprising a heavy scintillator for attenuation of 511 keV γ-quanta, as well as a fast scintillator converting recoiled electrons from the heavy scintillator to prompt light photons. In this study, ZnO films as fast scintillators with different thicknesses were obtained on substrates of a heavy bismuth germanate (Bi₄Ge₃O₁₂, BGO) scintillator using several film preparation techniques, such as spray-coating, drop-casting, and spin-coating. The design of heterostructures combined the key advantage of a low-cost film preparation technique with environmentally friendly and available precursors. This work proposes synthesis methods of highly nanocrystalline ZnO films on BGO, where a film thickness ranges from 6 to 18 μm. All ZnO studied films exhibit exciton luminescence peaked in UV (353 nm) and defect luminescence in the green (657 nm) range under 325 nm excitation. The best coincidence time resolution of 158 ± 8 ps was obtained with BGO@ZnO heterostructures fabricated by the spray-coating. The proposed approach allowed obtaining BGO@ZnO heterostructures for potential use as ultrafast scintillation detectors. Full article

Background: Regional cerebral blood flow (rCBF) is a putative biomarker for neuropsychiatric disorders, including major depressive disorder (MDD). Methods: Here, we show that rCBF can be predicted from resting-state functional MRI (rsfMRI) at the voxel level while correcting for partial volume averaging (PVA) artifacts. Cortical patterns of MDD-related CBF differences decoded from rsfMRI using a PVA-corrected approach showed excellent agreement with CBF measured using single-photon emission computed tomography (SPECT) and arterial spin labeling (ASL). A support vector machine algorithm was trained to decode cortical voxel-wise CBF from temporal and power-spectral features of voxel-level rsfMRI time series while accounting for PVA. Three datasets, Amish Connectome Project (N = 300; 179 M/121 F, both rsfMRI and ASL data), UK Biobank (N = 8396; 3097 M/5319 F, rsfMRI data), and Amen Clinics Inc. datasets (N = 372: N = 183 M/189 F, SPECT data), were used. Results: PVA-corrected CBF values predicted from rsfMRI showed significant correlation with the whole-brain (r = 0.54, p = 2 × 10⁻⁵) and 31 out of 34 regional (r = 0.33 to 0.59, p < 1.1 × 10⁻³) rCBF measures from 3D ASL. PVA-corrected rCBF values showed significant regional deficits in the UKBB MDD group (Cohen’s d = −0.30 to −0.56, p < 10⁻²⁸), with the strongest effect sizes observed in the frontal and cingulate areas. The regional deficit pattern of MDD-related hypoperfusion showed excellent agreement with CBF deficits observed in the SPECT data (r = 0.74, p = 4.9 × 10⁻⁷). Consistent with previous findings, this new method suggests that perfusion signals can be predicted using voxel-wise rsfMRI signals. Conclusions: CBF values computed from widely available rsfMRI can be used to study the impact of neuropsychiatric disorders such as MDD on cerebral neurophysiology. Full article

The dynamic nature of mitochondria makes live cell imaging an important tool in mitochondrial research. Although imaging using fluorescent probes is the golden standard in studying mitochondrial morphology, these probes might introduce aspecific features. In this study, live cell fluorescent imaging was applied to investigate a pearl-necklace-shaped mitochondrial phenotype that arises when mitochondrial fission is restricted. In this fibroblast-specific pearl-necklace phenotype, constricted and expanded mitochondrial regions alternate. Imaging studies revealed that the formation time of this pearl-necklace phenotype differs between laser scanning confocal, widefield and spinning disk confocal microscopy. We found that the phenotype formation correlates with the excitation of the fluorescent probe and is the result of phototoxicity. Interestingly, the phenotype only arises in cells stained with red mitochondrial dyes. Serial section electron tomography of the pearl-necklace mitochondria revealed that the mitochondrial membranes remained intact, while the cristae structure was altered. Furthermore, filaments and ER were present at the constricted sites. This study illustrates the importance of considering experimental conditions for live cell imaging to prevent imaging artifacts that can have a major impact on the obtained results. Full article

Polarized heavy ions in storage rings are seen as a valuable tool for a wide range of research, from the study of spin effects in relativistic atomic collisions to the tests of the Standard Model. For forthcoming experiments, several important challenges need to be addressed to work efficiently with such ions. Apart from the production and preservation of ion polarization in storage rings, its measurement is an extremely important issue. In this contribution, we employ the radiative recombination (RR) of polarized electrons into the ground state of initially hydrogen-like, finally helium-like, ions as a probe process for beam diagnostics. Our theoretical study clearly demonstrates that the RR cross section, integrated over photon emission angles, is highly sensitive to both the degree and the direction of ion polarization. Since the (integrated) cross-section measurements are well established, the proposed method offers promising prospects for ion spin tomography at storage rings. Full article

Mild traumatic brain injury (mTBI) is a common occurrence around the world, associated with a variety of blunt force and torsion injuries affecting all age groups. Most never reach medical attention, and the identification of acute injury and later clearance to return to usual activities is relegated to clinical evaluation—particularly in sports injuries. Advanced structural imaging is rarely performed due to the usual absence of associated acute anatomic/hemorrhagic changes. This review targets physiologic imaging techniques available to identify subtle blood–brain barrier dysfunction and white matter tract shear injury and their association with chronic traumatic encephalopathy. These techniques provide needed objective measures to assure recovery from injury in those patients with persistent cognitive/emotional symptoms and in the face of repetitive mTBI. Full article

Background/Objectives: Contrast-enhanced computed tomography (CT) is the standard radiologic examination for evaluating the extent of mediastinal tumors. If tumor infiltration into the large central thoracic vessels, the pericardium, or the myocardium is suspected, cine magnetic resonance imaging (cine-MRI) can provide additional valuable information. Methods: We conducted a retrospective study of patients with mediastinal tumors who were staged with CT, cine-MRI, and a T1-weighted turbo spin echo (T1TSE) prior to surgical resection. Imaging was re-evaluated regarding tumor infiltration into the pericardium, myocardium, superior vena cava, aorta, pulmonary arteries, and atria and compared with intraoperative findings and postoperative histopathological reports (gold standard). Unclear CT findings were further investigated. Results: Forty-seven patients (29 female and 18 male patients; median age: 58 years) met the inclusion criteria. Cine-MRI was able to predict infiltration of the aorta in 86%, pulmonary arteries in 85%, and atria in 80% of unclear CT cases. Aortic tumor infiltration in unclear CT cases was significantly more often correctly diagnosed with cine-MRI than with T1TSE sequence. Conclusions: Additional cine-MRI is of crucial benefit in unclear CT cases. We recommend performing cine-MRI if infiltration into the large central vessels and atria is suspected. T1TSE sequence is of very limited additional value. Full article

Craniosynostoses (CRS) are caused by the premature fusion of one or more cranial sutures, with isolated nonsyndromic CRS accounting for most of the clinical manifestations. Such premature suture fusion impacts both skull and brain morphology and involves regions far beyond the immediate area of fusion. The combined use of different neuroimaging tools allows for an accurate depiction of the most prominent clinical–radiological features in nonsyndromic CRS but can also contribute to a deeper investigation of more subtle alterations in the underlying nervous tissue organization that may impact normal brain development. This review paper aims to provide a comprehensive framework for a better understanding of the present and future potential applications of neuroimaging techniques for evaluating nonsyndromic CRS, highlighting strategies for optimizing their use in clinical practice and offering an overview of the most relevant technological advancements in terms of diagnostic performance, radiation exposure, and cost-effectiveness. Full article

This study reviews the two most important and frequently used systems of tomography used in dentistry today. These are the dental panoramic radiograph (DPR) and cone-beam computed tomography (CBCT). The importance of the DPR has been accentuated by the recent COVID-19 pandemic, as it does not produce an aerosol. Its clinical importance is derived from its panoramic display of the jaws and associated structures and should be examined for incidental findings that may portend a potentially serious outcome. An important recent spin-off of the DPR is the extra-oral bitewing, which can replace its traditional, uncomfortable and aerosol-generating intra-oral counterpart. Although much has been written about them, this paper reviews their essential attributes and limitations in clinical dentistry. Although attempts have been made to reproduce some of the attributes of CT in CBCT such as Hounsfield Units (HU) and improve the contrast resolution of the soft tissues, these remain elusive. Nevertheless, CBCT’s dataset should be appropriately reconstructed to fully display the clinical feature prompting its prescription. In certain cases, more than one mode of reconstruction is required. Full article

The umbilical or L3 vertebral body level is often used for body fat quantification using computed tomography. To explore the feasibility of using clinically acquired pelvic magnetic resonance imaging (MRI) for visceral fat measurement, we examined the correlation of visceral fat parameters at the umbilical and L5 vertebral body levels. We retrospectively analyzed T2-weighted half-Fourier acquisition single-shot turbo spin echo (HASTE) MR axial images from Crohn’s disease patients who underwent MRI enterography of the abdomen and pelvis over a three-year period. We determined the area/volume of subcutaneous and visceral fat from the umbilical and L5 levels and calculated the visceral fat ratio (VFR = visceral fat/subcutaneous fat) and visceral fat index (VFI = visceral fat/total fat). Statistical analyses involved correlation analysis between both levels, inter-rater analysis between two investigators, and inter-platform analysis between two image-analysis platforms. Correlational analysis of 32 patients yielded significant associations for VFI (r = 0.85; p < 0.0001) and VFR (r = 0.74; p < 0.0001). Intraclass coefficients for VFI and VFR were 0.846 and 0.875 (good agreement) between investigators and 0.831 and 0.728 (good and moderate agreement) between platforms. Our study suggests that the L5 level on clinically acquired pelvic MRIs may serve as a reference point for visceral fat quantification. Full article