Identifying studies for systematic reviews - An example from medical imaging

Objectives: To determine if published figures on the proportion of articles included in systematic reviews and identified in electronic databases are applicable to an example from medical imaging. Methods: A systematic review was performed. Additionally, sensitivity and precision of a MEDLINE search were compared with values from three published searches, each customized for a specific field. Results: All articles included in the systematic review were in electronic databases. The MEDLINE search had low precision compared with searches in other fields. Conclusions: in a specific area of medical imaging, electronic databases, including MEDLINE, are reliable sources of articles

Confinement, Turbulence and Diffraction Catastrophes

Many features of large N_c transition that occurs in the spectral density of Wilson loops as a function of loop area (observed recently in numerical simulations of Yang-Mills theory by Narayanan and Neuberger) can be captured by a simple Burgers equation used to model turbulence. Spectral shock waves that precede this asymptotic limit exhibit universal scaling with N_c, with indices that can be related to Berry indices for diffraction catastrophes.Comment: Presented at PANIC 200

Uniform semiclassical wave function for coherent 2D electron flow

We find a uniform semiclassical (SC) wave function describing coherent branched flow through a two-dimensional electron gas (2DEG), a phenomenon recently discovered by direct imaging of the current using scanned probed microscopy. The formation of branches has been explained by classical arguments, but the SC simulations necessary to account for the coherence are made difficult by the proliferation of catastrophes in the phase space. In this paper, expansion in terms of "replacement manifolds" is used to find a uniform SC wave function for a cusp singularity. The method is then generalized and applied to calculate uniform wave functions for a quantum-map model of coherent flow through a 2DEG. Finally, the quantum-map approximation is dropped and the method is shown to work for a continuous-time model as well.Comment: 9 pages, 7 figure

Optical properties of tissue measured using terahertz pulsed imaging.

The first demonstrations of terahertz imaging in biomedicine were made several years ago, but few data are available on the optical properties of human tissue at terahertz frequencies. A catalogue of these properties has been established to estimate variability and determine the practicality of proposed medical applications in terms of penetration depth, image contrast and reflection at boundaries. A pulsed terahertz imaging system with a useful bandwidth 0.5-2.5 THz was used. Local ethical committee approval was obtained. Transmission measurements were made through tissue slices of thickness 0.08 to 1 mm, including tooth enamel and dentine, cortical bone, skin, adipose tissue and striated muscle. The mean and standard deviation for refractive index and linear attenuation coefficient, both broadband and as a function of frequency, were calculated. The measurements were used in simple models of the transmission, reflection and propagation of terahertz radiation in potential medical applications. Refractive indices ranged from 1.5 ± 0.5 for adipose tissue to 3.06 ± 0.09 for tooth enamel. Significant differences (P<0.05) were found between the broadband refractive indices of a number of tissues. Terahertz radiation is strongly absorbed in tissue so reflection imaging, which has lower penetration requirements than transmission, shows promise for dental or dermatological applications

How to Undertake a Clinically Relevant Systematic Review in a Rapidly Evolving Field: Magnetic Resonance Angiography

Objectives: The aim was to determine which generations of the evolving technology of magnetic resonance angiography (MRA) are currently of clinical relevance in two clinical applications. Our purpose was to plan a systematic review that would be valuable both to purchasers driven by cost-effectiveness and to practicing clinicians. Methods: Information was gathered from a search of major bibliographic databases, from a short questionnaire sent to 500 U.K. vascular radiologists and vascular surgeons, and from local clinical The authors thank A. Jackson and all those who completed a questionnaire. This work was carried out with the financial support of the Secretary of State for Health under the NHS Health Technology Assessment Programme, project 97/13/04. The views and opinions expressed do not necessarily reflect those of the Secretary of State for Health. In part, this work was undertaken by the Leeds Teaching Hospitals NHS Trust, which received funding from the NHS Executive. The views expressed in this publication are those of the authors and not necessarily those of the NHS Executive.experts. We asked which of the MRA techniques were currently used and, assuming availability, what would be their technique of choice. Results: There were 206 published articles that satisfied preliminary inclusion criteria: 69 discussed 2D time of flight (TOF); 47, 3D TOF; and 38, contrast-enhanced techniques. There were 162 questionnaires returned (60 radiologists, 102 surgeons). Of the total respondents, 77/162 (48%) used MRA in the assessment of carotid artery stenosis; 47/77 (61%) used 2D TOF; 32/77 (42%), 3D TOF; and 26/77 (34%), contrast-enhanced techniques. Thirty-five of 162 (22%) respondents used MRA in the assessment of peripheral vascular disease (PVD); 15/35 (43%) used 2D TOF, 4/35 (11%) used 3D TOF, and 22/35 (63%) used contrast-enhanced techniques. For those wishing to use MRA, contrast-enhanced techniques were the method of choice. Conclusions: The TOF methods that represent earlier generations of the technology remain clinically relevant, and will therefore be included in our systematic review. To ensure complete and relevant coverage in reviews of other evolving technologies, it would be advisable to obtain data for guidance in a similar way

Use of magnetic resonance angiography to select candidates with recently symptomatic carotid stenosis for surgery: systematic review

Objective To determine if sufficient evidence exists to support the use of magnetic resonance angiography as a means of selecting patients with recently symptomatic high grade carotid stenosis for surgery. Design Systematic review of published research on the diagnostic performance of magnetic resonance angiography, 1990-9. Main outcome measures Performance characteristics of diagnostic test. Results 126 potentially relevant articles were identified, but many articles failed to examine die performance of magnetic resonance angiography as a diagnostic test at the surgical decision thresholds used in major clinical trials on endarterectomy. 26 articles were included in a meta-analysis that showed a maximal joint sensitivity and specificity of 99% (95% confidence interval 98% to 100%) for identifying 70-99% stenosis and 90% (81% to 99%) for identifying 50-99% stenosis. Only four articles evaluated contrast enhanced magnetic resonance angiography. Conclusions Magnetic resonance angiography is accurate for selecting patients for carotid endarterectomy at the surgical decision thresholds established in the major endarterectomy trials, but the evidence is not very robust because of the heterogeneity of the studies included. Research is to determine the diagnostic performance of the most recent developments in magnetic resonance angiography, including contrast enhanced techniques, as well as to assess the impact of magnetic resonance angiography on surgical decision making and outcomes

On infinite walls in deformation quantization

We examine the deformation quantization of a single particle moving in one dimension (i) in the presence of an infinite potential wall, (ii) confined by an infinite square well, and (iii) bound by a delta function potential energy. In deformation quantization, considered as an autonomous formulation of quantum mechanics, the Wigner function of stationary states must be found by solving the so-called \*-genvalue (``stargenvalue'') equation for the Hamiltonian. For the cases considered here, this pseudo-differential equation is difficult to solve directly, without an ad hoc modification of the potential. Here we treat the infinite wall as the limit of a solvable exponential potential. Before the limit is taken, the corresponding \*-genvalue equation involves the Wigner function at momenta translated by imaginary amounts. We show that it can be converted to a partial differential equation, however, with a well-defined limit. We demonstrate that the Wigner functions calculated from the standard Schr\"odinger wave functions satisfy the resulting new equation. Finally, we show how our results may be adapted to allow for the presence of another, non-singular part in the potential.Comment: 22 pages, to appear in Annals of Physic

Ehrenfest times for classically chaotic systems

We describe the quantum mechanical spreading of a Gaussian wave packet by means of the semiclassical WKB approximation of Berry and Balazs. We find that the time scale $\tau$ on which this approximation breaks down in a chaotic system is larger than the Ehrenfest times considered previously. In one dimension \tau=\fr{7}{6}\lambda^{-1}\ln(A/\hbar), with $\lambda$ the Lyapunov exponent and $A$ a typical classical action.Comment: 4 page

Aharonov-Bohm Effect on Noncommutative Plane: A Coherent State Approach

We apply the coherent state approach to study Aharonov-Bohm effect in the field theory context. We verify that, contrarily to the commutative result, the scattering amplitude is ultraviolet finite. However, we have logarithmic singularities as the noncommutative parameter tends to zero. Thus, the inclusion of a quartic self-interaction for the scalar field is necessary to obtain a smooth commutative limit.Comment: 14 pages, 4 figures, minor correction