DSS-28: a novel wide bandwidth radio telescope devoted to educational outreach

We have recently equipped the 34-meter DSS-28 radio telescope at the Goldstone Deep Space Communications Complex with a novel wide bandwidth radiometer and digital signal processor as part of the Goldstone Apple Valley Radio Telescope (GAVRT) educational outreach program operated by the Jet Propulsion Laboratory and the Lewis Center for Educational Research. The system employs a cryogenically cooled wide bandwidth quad-ridge feed and InP low noise amplifiers to achieve excellent noise performance from 2.7 to 14 GHz; a fractional bandwidth better than 4:1. Four independently tunable dual-polarization receivers each down-convert a 2 GHz block to baseband, providing access to 8 GHz of instantaneous bandwidth. A flexible FPGA-based signal processor has been constructed using CASPER FPGA hardware and tools to take advantage of this enormous bandwidth. This system demonstrates many of the enabling wide bandwidth technologies that will be crucial to maximizing the utility of future large centimeter-wavelength arrays, in particular the Square Kilometer Array. The GAVRT program has previously used narrow bandwidth total power radiometers to study flux variability of quasars and the outer planets. The versatility of DSS-28 will enable other projects including spectroscopy and SETI. Finally, the wide instantaneous bandwidth available makes this system uniquely suited for studying transient radio pulses. A configuration of the digital signal processor has been developed which provides the capability of recording a burst of raw baseband voltage data triggered by a real-time incoherent dedispersion system which is very sensitive to pulses from a known source, such as the Crab Nebula pulsar

Selective Referral Using CCTA Versus Direct Referral for Individuals Referred to Invasive Coronary Angiography for Suspected CAD : a Randomized, Controlled, Open-Label Trial

Objectives: This study compared the safety and diagnostic yield of a selective referral strategy using coronary computed tomographic angiography (CCTA) compared with a direct referral strategy using invasive coronary angiography (ICA) as the index procedure. Background: Among patients presenting with signs and symptoms suggestive of coronary artery disease (CAD), a sizeable proportion who are referred to ICA do not have a significant, obstructive stenosis. Methods: In a multinational, randomized clinical trial of patients referred to ICA for nonemergent indications, a selective referral strategy was compared with a direct referral strategy. The primary endpoint was noninferiority with a multiplicative margin of 1.33 of composite major adverse cardiovascular events (blindly adjudicated death, myocardial infarction, unstable angina, stroke, urgent and/or emergent coronary revascularization or cardiac hospitalization) at a median follow-up of 1-year. Results: At 22 sites, 823 subjects were randomized to a selective referral and 808 to a direct referral strategy. At 1 year, selective referral met the noninferiority margin of 1.33 (p = 0.026) with a similar event rate between the randomized arms of the trial (4.6% vs. 4.6%; hazard ratio: 0.99; 95% confidence interval: 0.66 to 1.47). Following CCTA, only 23% of the selective referral arm went on to ICA, which was a rate lower than that of the direct referral strategy. Coronary revascularization occurred less often in the selective referral group compared with the direct referral to ICA (13% vs. 18%; p < 0.001). Rates of normal ICA were 24.6% in the selective referral arm compared with 61.1% in the direct referral arm of the trial (p < 0.001). Conclusions: In stable patients with suspected CAD who are eligible for ICA, the comparable 1-year major adverse cardiovascular events rates following a selective referral and direct referral strategy suggests that both diagnostic approaches are similarly effective. In the selective referral strategy, the reduced use of ICA was associated with a greater diagnostic yield, which supported the usefulness of CCTA as an efficient and accurate method to guide decisions of ICA performance. (Coronary Computed Tomographic Angiography for Selective Cardiac Catheterization [CONSERVE]; NCT01810198