Breast cancer metastasis to thyroid: a retrospective analysis

Background: Breast cancers metastasizing to thyroid gland are relatively uncommon in clinical practice.Objective: Retrospective analysis of data from breast cancer patients with thyroid metastasis (TM).Methods: The US suspected, fine-needle aspiration cytology (FNAC) confirmed TM in breast cancer patients, treated between 2005 and 2015 at our hospital, was retrospectively analyzed. The data were re-evaluated by the pathologist and radiologist who were blinded to the patients’ data.Results: FNAC and immunohistochemistry confirmed the ultrasonography (US) suspected TM in eight breast cancer patients. Clinically both unilateral and bilateral TM was seen, which were symptomless and metachronously (6-121 months) metastasized. Six of eight cases exhibited recurrence/distant metastasis and were treated with chemotherapy/ thyroidectomy of which two cases passed away. The remaining two patients had no recurrences/distant metastases and were treated with partial/total thyroidectomy. Post-chemotherapy US showed more homogenous thyroid parenchyma with gathering of calcification that reduced in size, revealing the sensitiveness of TM to chemotherapy.Conclusion: US was useful in screening TM in breast cancer patients. Both partial and total thyroidectomy was effective in disease free survival of isolated TM cases, with controlled primary condition. TM responded well to chemotherapy in most of the recurrent breast cancer cases with or without distant metastasis.Keywords: Thyroid, ultrasonography, breast cancer, metastasis

Simultaneous electrical-field-effect modulation of both top and bottom Dirac surface states of epitaxial thin films of three-dimensional topological insulators

It is crucial for the studies of the transport properties and quantum effects related to Dirac surface states of three-dimensional topological insulators (3D TIs) to be able to simultaneously tune the chemical potentials of both top and bottom surfaces of a 3D TI thin film. We have realized this in molecular beam epitaxy-grown thin films of 3D TIs, as well as magnetic 3D TIs, by fabricating dual-gate structures on them. The films could be tuned between n-type and p-type by each gate alone. Combined application of two gates can reduce the carrier density of a TI film to a much lower level than with only one of them and enhance the film resistance by 10000 %, implying that Fermi level is tuned very close to the Dirac points of both top and bottom surface states without crossing any bulk band. The result promises applications of 3D TIs in field effect devices.Comment: 19 pages, 4 figures, accepted by Nano Letters, forthcomin

A 4D-trajectory planning method based on hybrid optimization strategy for demand and capacity balancing

To effectively solve the Demand and Capacity Balancing (DCB) in future Trajectory-Based Operation (TBO) scenarios, this article first proposes a pre-tactical-and-tactical integrated Four-Dimensional Trajectory (4DT) planning framework. The framework decomposes large-scale 4DT planning into two stages, namely, the General 4DT (G4DT) planning in the pre-tactical stage and the Special 4DT (S4DT) planning in the tactical stage. A Hybrid Optimization Strategy (HOS) based planning method is designed for G4DT planning. In this method, the sequential decision architecture based on time window, heuristic strategy (greedy strategy) and optimization algorithm are combined to realize the fast trajectory planning of large-scale flights. In the optimization model based on continuous time, the nonlinear model is transformed into a linear model by constructing the flight conflict correlation matrix, which greatly improves the solving speed of the model. Real flight schedule data for French and Spanish airspace were used to verify the effectiveness and efficiency of the HOS method. This method is compared with Computer-Assisted Slot Allocation (CASA). The results show that the proposed method can effectively reduce the flight delay time and improve the flight on-time rate. Due to its fast operation speed, the proposed method has great potential to dynamically update the planning results according to the real-time air space operation status in actual operation

Cellular Internalization-Induced Aggregation of Porous Silicon Nanoparticles for Ultrasound Imaging and Protein-Mediated Protection of Stem Cells

Nanotechnology employs multifunctional engineered materials in the nanoscale range that provides many opportunities for translational stem cell research and therapy. Here, a cell-penetrating peptide (virus-1 transactivator of transcription)-conjugated, porous silicon nanoparticle (TPSi NP) loaded with the Wnt3a protein to increase both the cell survival rate and the delivery precision of stem cell transplantation via a combinational theranostic strategy is presented. The TPSi NP with a pore size of 10.7 nm and inorganic framework enables high-efficiency loading of Wnt3a, prolongs Wnt3a release, and increases antioxidative stress activity in the labeled mesenchymal stem cells (MSCs), which are highly beneficial properties for cell protection in stem cell therapy for myocardial infarction. It is confirmed that the intracellular aggregation of TPSi NPs can highly amplify the acoustic scattering of the labeled MSCs, resulting in a 2.3-fold increase in the ultrasound (US) signal compared with that of unlabeled MSCs. The translational potential of the designed nanoagent for real-time US imaging-guided stem cell transplantation is confirmed via intramyocardial injection of labeled MSCs in a nude mouse model. It is proposed that the intracellular aggregation of protein drug-loaded TPSi NPs could be a simple but robust strategy for improving the therapeutic effect of stem cell therapy.Peer reviewe