Atomic-Scale Terahertz Near Fields for Ultrafast Tunnelling Spectroscopy

Lightwave-driven terahertz scanning tunnelling microscopy (THz-STM) is capable of exploring ultrafast dynamics across a wide range of materials with angstrom resolution. In contrast to scanning near-field optical microscopy, where photons scattered by the tip apex are analyzed to access the local dielectric function on the nanoscale, THz-STM uses a strong-field single-cycle terahertz pulse to drive an ultrafast current across a tunnel junction, thereby probing the local density of electronic states. Yet, the terahertz field in a THz-STM junction may also be spectrally modified by the electromagnetic response of the sample. Here, we demonstrate a reliable and self-consistent approach for terahertz near-field waveform acquisition in an atomic tunnel junction that can be generally applied to electrically conductive surfaces. By combining waveform sampling and tailoring with terahertz scanning tunnelling spectroscopy (THz-STS), we comprehensively characterize the tunnel junction and distinguish local sample properties from effects due to terahertz pulse coupling and field enhancement. Through modelling, we verify the presence of an isolated unipolar terahertz-induced current pulse, facilitating straightforward interpretation for differential THz-STS with high spectral resolution. Finally, we demonstrate the feasibility of atomic-scale terahertz time-domain spectroscopy via the extremely localized near-fields in the tunnel junction

Left ventricular fibroma mimicking an acute coronary syndrome

Cardiac fibromas are exceedingly rare neoplasms. We report the case of a 21-year-old woman who presented with symptoms that were initially misinterpreted as an acute coronary syndrome. Radical surgical resection was undertaken and was considered curative, as the mass histology was consistent with a benign fibroma