Shortâ TR, Coherent, Gradient Echo Imaging

When a spin system is repeatedly disturbed by a fast repetition of RF pulses, the transverse magnetization after each new RF pulse approaches a steadyâ state value which is smaller than the thermal equilibrium value. The spin system takes a finite number of pulses before this steadyâ state is reached in a time that depends on both the T1 of the tissue and the flip angle of the RF pulse. The focus of this unit is on understanding the buildâ up of the magnetization to steadyâ state and the practical implementation of the simplest forms of imaging in the steadyâ state. Sequences utilizing a steadyâ state approach can be broadly classified as steadyâ state coherent (SSC) and steadyâ state incoherent (SSI) sequences. The SSC behavior is the subject of this unit.Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/145400/1/cpmib0502.pd

Gastrointestinal stromal tumors (GISTs): Point mutations matter in management, a review

The therapeutic implications of the genomic alterations seen within the drivers of gastrointestinal stromal tumors (GIST) are among the best understood in all of solid tumors. Sequencing of cKIT and PDGFRα should be considered standard practice for the treatment of GIST patients. In this article, we will review the common mutations and how they are utilized in clinical management. In addition, we will review the rare D842V PDGFRα mutation and the diverse molecular group that lacks a mutation in either cKIT or PDGFRα (wild-type GIST) which are best treated on clinical trial. Finally, we will look forward at the future therapies that are ever evolving for management of GIST. Taken together, the scientific advances in understanding the molecular basis of GIST validates the importance of knowing and understanding the mutations that are present in any one patient

Effect of drilling and wellbore geometry parameters on wellbore temperature profile: Implications for geothermal production

Prediction of the wellbore fluids and formation temperatures is crucial during drilling operation, especially for high temperature wells, such as geothermal applications. This work presents the applications of an improved comprehensive drilling simulator for predicting the wellbore system temperature during the drilling process. A fully transient numerical model of the wellbore temperature is developed for drilling and geothermal production applications. The model describes the dynamic behaviour of the thermal state of the wellbore during circulation and static conditions. The developed model is implemented with the commercial virtual drilling simulator through an application programming interface. This implementation allows the coupling of the thermal model with other physical models, which leads to more advanced and realistic simulations. The model has been previously validated through a direct comparison with field data from geothermal well located in the Hanover area in Germany. The results showed a good agreement between the predicted outlet fluid temperature and the measured one. Furthermore, an analysis of the effect of various parameters on the wellbore system temperature is performed. This analysis showed the impact of these parameters on the wellbore temperature profile including the critical areas such as the casing setting point and bottom hole assembly. This information may lead to enhancing the wellbore stability by monitoring the thermal stresses, especially in high-temperature wells. Moreover, predicting the drill bit temperature can result in increasing the lifetime of the bit by adjusting the operating conditions to keep the bit temperature within the specified range. Based on these results, the enhanced drilling simulator with the transient temperature model showed to be a suitable tool for effective well planning.Document Type: Original articleCited as: Abdelhafiz, M. M., Oppelt, J., Mahmoud, O., Hegele, L. A. Effect of drilling and wellbore geometry parameters on wellbore temperature profile: Implications for geothermal production. Advances in Geo-Energy Research, 2023, 8(3): 170-180. https://doi.org/10.46690/ager.2023.06.0

Multilayer perceptron neural networks model for meteosat second generation SEVIRI daytime cloud masking

A multilayer perceptron neural network cloud mask for Meteosat Second Generation SEVIRI (Spinning Enhanced Visible and Infrared Imager) images is introduced and evaluated. The model is trained for cloud detection on MSG SEVIRI daytime data. It consists of a multi-layer perceptron with one hidden sigmoid layer, trained with the error back-propagation algorithm. The model is fed by six bands of MSG data (0.6, 0.8, 1.6, 3.9, 6.2 and 10.8 μm) with 10 hidden nodes. The multiple-layer perceptrons lead to a cloud detection accuracy of 88.96%, when trained to map two predefined values that classify cloud and clear sky. The network was further evaluated using sixty MSG images taken at different dates. The network detected not only bright thick clouds but also thin or less bright clouds. The analysis demonstrated the feasibility of using machine learning models of cloud detection in MSG SEVIRI imagery

A retrospective analysis of the efficacy of immunotherapy in metastatic soft-tissue sarcomas

Although checkpoint inhibitors have been approved in multiple cancers, they are still under investigation in soft tissue sarcoma (STS). We conducted a retrospective review to report the safety, efficacy, and prognostic factors related to checkpoint inhibitors in STS. A sequential cohort of metastatic STS patients from four institutions treated with checkpoint inhibitors was assembled. Logistic and Cox regression models were applied to determine the effect of patient characteristics, prior treatment, and baseline factors on achieving the best overall response of complete response (CR), partial response (PR), or stable disease (SD) as determined by the treating physician. Eighty-eight patients with two median prior therapies received checkpoint inhibitors. Treatments included pembrolizumab in 47, nivolumab in 6, ipilimumab in 1, combination ipilimumab/nivolumab in 27, and other combination immunotherapies in 7 patients. Immunotherapy was discontinued in 54 patients-72.2% for progression, 16.7% for toxicity, and 11.1% for other reasons. Median progression-free survival (PFS) was 4.1 months and median overall survival was 19.1 months. One patient with undifferentiated pleomorphic sarcoma (UPS) achieved a CR, while 20 patients had a PR, including 7 UPS, 9 leiomyosarcoma (LMS), and 1 each with alveolar soft part sarcoma, fibroblastic sarcoma, sclerosing epithelioid fibrosarcoma, and myxofibrosarcoma. Forty-five percent (9 of 20) of LMS patients achieved a PR. Twenty-eight patients had SD. Our results confirm the activity and safety of anti-PD-1 therapy in metastatic STS. A notable response rate was observed in UPS and LMS subtypes. This study expands the knowledge base beyond what is currently available from clinical trials involving checkpoint inhibitors in metastatic STS

Can GPR4 be a potential therapeutic target for COVID-19?

This study was supported in part by the North Carolina COVID-19 Special State Appropriations. Research in the author's laboratory was also supported by a grant from the National Institutes of Health (R15DK109484, to LY).Coronavirus disease 19 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), first emerged in late 2019 and has since rapidly become a global pandemic. SARS-CoV-2 infection causes damages to the lung and other organs. The clinical manifestations of COVID-19 range widely from asymptomatic infection, mild respiratory illness to severe pneumonia with respiratory failure and death. Autopsy studies demonstrate that diffuse alveolar damage, inflammatory cell infiltration, edema, proteinaceous exudates, and vascular thromboembolism in the lung as well as extrapulmonary injuries in other organs represent key pathological findings. Herein, we hypothesize that GPR4 plays an integral role in COVID-19 pathophysiology and is a potential therapeutic target for the treatment of COVID-19. GPR4 is a pro-inflammatory G protein-coupled receptor (GPCR) highly expressed in vascular endothelial cells and serves as a “gatekeeper� to regulate endothelium-blood cell interaction and leukocyte infiltration. GPR4 also regulates vascular permeability and tissue edema under inflammatory conditions. Therefore, we hypothesize that GPR4 antagonism can potentially be exploited to mitigate the hyper-inflammatory response, vessel hyper-permeability, pulmonary edema, exudate formation, vascular thromboembolism and tissue injury associated with COVID-19.ECU Open Access Publishing Support Fun

Towards a New Science of a Clinical Data Intelligence

In this paper we define Clinical Data Intelligence as the analysis of data generated in the clinical routine with the goal of improving patient care. We define a science of a Clinical Data Intelligence as a data analysis that permits the derivation of scientific, i.e., generalizable and reliable results. We argue that a science of a Clinical Data Intelligence is sensible in the context of a Big Data analysis, i.e., with data from many patients and with complete patient information. We discuss that Clinical Data Intelligence requires the joint efforts of knowledge engineering, information extraction (from textual and other unstructured data), and statistics and statistical machine learning. We describe some of our main results as conjectures and relate them to a recently funded research project involving two major German university hospitals.Comment: NIPS 2013 Workshop: Machine Learning for Clinical Data Analysis and Healthcare, 201

Empirical comparison of high gradient achievement for different metals in DC and pulsed mode

For the SwissFEL project, an advanced high gradient low emittance gun is under development. Reliable operation with an electric field, preferably above 125 MV/m at a 4 mm gap, in the presence of an UV laser beam, has to be achieved in a diode configuration in order to minimize the emittance dilution due to space charge effects. In the first phase, a DC breakdown test stand was used to test different metals with different preparation methods at voltages up to 100 kV. In addition high gradient stability tests were also carried out over several days in order to prove reliable spark-free operation with a minimum dark current. In the second phase, electrodes with selected materials were installed in the 250 ns FWHM, 500 kV electron gun and tested for high gradient breakdown and for quantum efficiency using an ultra-violet laser.Comment: 25 pages, 13 figures, 5 tables. Follow up from FEL 2008 conference (Geyongju Korea 2008) New Title in JVST A (2010) : Vacuum breakdown limit and quantum efficiency obtained for various technical metals using DC and pulsed voltage source

Single shot cathode transverse momentum imaging in high brightness photoinjectors

In state of the art photoinjector electron sources, thermal emittance from photoemission dominates the final injector emittance. Therefore, low thermal emittance cathode developments and diagnostics are very important. Conventional thermal emittance measurements for the high gradient gun are time-consuming and thus thermal emittance is not measured as frequently as quantum efficiency during the lifetime of photocathodes, although both are important properties for the photoinjector optimizations. In this paper, a single shot measurement of photoemission transverse momentum, i.e., thermal emittance per rms laser spot size, is proposed for photocathode rf guns. By tuning the gun solenoid focusing, the electrons' transverse momenta at the cathode are imaged to a downstream screen, which enables a single shot measurement of both the rms value and the detailed spectra of the photoelectrons' transverse momenta. Both simulations and proof of principle experiments are reported