Detecting Dark Matter In The MSSM With Non-Universal Higgs Masses

We discuss the direct detection prospects for neutralino dark matter via elastic scattering in variations of the MSSM with non-universal supersymmetry-breaking contributions to the Higgs masses Taking as our starting point the CMSSM, in which supersymmetry-breaking contributions to all scalar masses are universal, we examine scenarios in which both Higgs scalar masses are non-universal by the same amount (NUHM1) and scenarios in which the Higgs scalar masses are independently non-universal (NUHM2)Astronom

What if supersymmetry breaking appears below the GUT scale?

We consider the possibility that the soft supersymmetry-breaking parameters m_{1/2} and m_0 of the MSSM are universal at some scale M_{in} below the supersymmetric grand unification scale M_{GUT}, as might occur in scenarios where either the primordial supersymmetry-breaking mechanism or its communication to the observable sector involve a dynamical scale below M_{GUT}. We analyze the (m_{1/2}, m_0) planes of such sub-GUT CMSSM models, noting the dependences of phenomenological, experimental and cosmological constraints on M_{in}. In particular, we find that the coannihilation, focus-point and rapid-annihilation funnel regions of the GUT-scale CMSSM approach and merge when M_{in} \sim 10^{12} GeV. We discuss sparticle spectra and the possible sensitivity of LHC measurements to the value of M_{in}

Detection Prospects for Majorana Fermion WIMPless Dark Matter

We consider both velocity-dependent and velocity-independent contributions to spin-dependent (SD) and spin-independent (SI) nuclear scattering (including one-loop corrections) of WIMPless dark matter, in the case where the dark matter candidate is a Majorana fermion. We find that spin-independent scattering arises only from the mixing of exotic squarks, or from velocity-dependent terms. Nevertheless (and contrary to the case of MSSM neutralino WIMPs), we find a class of models which cannot be detected through SI scattering, but can be detected at IceCube/DeepCore through SD scattering. We study the detection prospects for both SI and SD detection strategies for a large range of Majorana fermion WIMPless model parameters.Comment: 14 pages, 3 figures. v2: updated to match published versio

Dark matter powered stars: Constraints from the extragalactic background light

The existence of predominantly cold non-baryonic dark matter is unambiguously demonstrated by several observations (e.g., structure formation, big bang nucleosynthesis, gravitational lensing, and rotational curves of spiral galaxies). A candidate well motivated by particle physics is a weakly interacting massive particle (WIMP). Self-annihilating WIMPs would affect the stellar evolution especially in the early universe. Stars powered by self-annihilating WIMP dark matter should possess different properties compared with standard stars. While a direct detection of such dark matter powered stars seems very challenging, their cumulative emission might leave an imprint in the diffuse metagalactic radiation fields, in particular in the mid-infrared part of the electromagnetic spectrum. In this work the possible contributions of dark matter powered stars (dark stars; DSs) to the extragalactic background light (EBL) are calculated. It is shown that existing data and limits of the EBL intensity can already be used to rule out some DS parameter sets.Comment: Accepted for publication in ApJ; 7 pages, 5 figure

Neutralino Dark Matter in Mirage Mediation

We study the phenomenology of neutralino dark matter (DM) in mirage mediation scenario of supersymmetry breaking which results from the moduli stabilization in some string/brane models. Depending upon the model parameters, especially the anomaly to modulus mediation ratio determined by the moduli stabilization mechanism, the nature of the lightest supersymmetric particle (LSP) changes from Bino-like neutralino to Higgsino-like one via Bino-Higgsino mixing region. For the Bino-like LSP, the standard thermal production mechanism can give a right amount of relic DM density through the stop/stau-neutralino coannihilation or the pseudo-scalar Higgs resonance process. We also examine the prospect of direct and indirect DM detection in various parameter regions of mirage mediation. Neutralino DM in galactic halo might be detected by near future direct detection experiments in the case of Bino-Higgsino mixed LSP. The gamma ray flux from Galactic Center might be detectable also if the DM density profile takes a cuspy shape.Comment: One reference adde

Probing EWSB Naturalness in Unified SUSY Models with Dark Matter

We have studied Electroweak Symmetry Breaking (EWSB) fine-tuning in the context of two unified Supersymmetry scenarios: the Constrained Minimal Supersymmetric Model (CMSSM) and models with Non-Universal Higgs Masses (NUHM), in light of current and upcoming direct detection dark matter experiments. We consider both those models that satisfy a one-sided bound on the relic density of neutralinos, $\Omega_{\chi} h^2 < 0.12$, and also the subset that satisfy the two-sided bound in which the relic density is within the 2 sigma best fit of WMAP7 + BAO + H0 data. We find that current direct detection searches for dark matter probe the least fine-tuned regions of parameter-space, or equivalently those of lowest Higgs mass parameter $\mu$, and will tend to probe progressively more and more fine-tuned models, though the trend is more pronounced in the CMSSM than in the NUHM. Additionally, we examine several subsets of model points, categorized by common mass hierarchies; M_{\chi_0} \sim M_{\chi^\pm}, M_{\chi_0} \sim M_{\stau}, M_{\chi_0} \sim M_{\stop_1}, the light and heavy Higgs poles, and any additional models classified as "other"; the relevance of these mass hierarchies is their connection to the preferred neutralino annihilation channel that determines the relic abundance. For each of these subsets of models we investigated the degree of fine-tuning and discoverability in current and next generation direct detection experiments.Comment: 26 pages, 10 figures. v2: references added. v3: matches published versio

Gamma-Ray Constraints on the First Stars from Annihilation of Light WIMPs

We calculate the limits on the fraction of viable dark matter minihalos in the early universe to host Population III.1 stars, surviving today as dark matter spikes in our Milky Way halo. Motivated by potential hints of light dark matter from the DAMA and CoGeNT direct dark matter searches, we consider thermal relic WIMP dark matter with masses of 5, 10, and 20 GeV, and annihilation to mu^+ mu^-, tau^+ tau^-, and q bar{q}. From this brief study we conclude that, if dark matter is light, either the typical black hole size is \lesssim 100 M_\odot (i.e. there is no significant Dark Star phase), and/or dark matter annihilates primarily to mu^+ mu^- or other final states that result in low gamma-ray luminosity, and/or that an extremely small fraction of minihalos in the early universe that seem suitable to host the formation of the first stars actually did.Comment: 12 pages, 3 figures; matches published versio

A Population-based Study on Lymph Node Retrieval in Patients with Esophageal Cancer: Results from the Dutch Upper Gastrointestinal Cancer Audit

Background: For esophageal cancer, the number of retrieved lymph nodes (LNs) is often used as a quality indicator. The aim of this study is to analyze the number of retrieved LNs in The Netherlands, assess factors associated with LN yield, and explore the association with short-term outcomes. This is a population-based study on lymph node retrieval in patients with esophageal cancer, presenting results from the Dutch Upper Gastrointestinal Cancer Audit. Study Design: For this retrospective national cohort study, patients with esophageal carcinoma who underwent esophagectomy between 2011 and 2016 were included. The primary outcome was the number of retrieved LNs. Univariable and multivariable regression analyses were used to test for association with ≥ 15 LNs. Patients and Results: 3970 patients were included. Between 2011 and 2016, the median number of LNs increased from 15 to 20. Factors independently associated with ≥ 15 LNs were: 0–10 kg preoperative weight loss (versus: unknown weight loss, odds ratio [95% confidence interval]: 0.71 [0.57–0.88]), Charlson score 0 (versus: Charlson score 2: 0.76 [0.63–0.92]), cN2 category (reference: cN0, 1.32 [1.05–1.65]), no neoadjuvant therapy and neoadjuvant chemotherapy (reference: neoadjuvant chemoradiotherapy, 1.73 [1.29–2.32] and 2.15 [1.54–3.01]), minimally invasive transthoracic (reference: open transthoracic, 1.46 [1.15–1.85]), open transthoracic (versus open and minimally invasive transhiatal, 0.29 [0.23–0.36] and 0.43 [0.32–0.59]), hospital volume of 26–50 or > 50 resections/year (reference: 0–25, 1.94 [1.55–2.42] and 3.01 [2.36–3.83]), and year of surgery [reference: 2011, odds ratios (ORs) 1.48, 1.53, 2.28, 2.44, 2.54]. There was no association of ≥ 15 LNs with short-term outcomes. Conclusions: The number of LNs retrieved increased between 2011 and 2016. Weight loss, Charlson score, cN category, neoadjuvant therapy, surgical approach, year of resection, and hospital volume were all associated with increased LN yield. Retrieval of ≥ 15 LNs was not associated with increased postoperative morbidity/mortality

Preoperative image-guided identification of response to neoadjuvant chemoradiotherapy in esophageal cancer (PRIDE):a multicenter observational study

BACKGROUND: Nearly one third of patients undergoing neoadjuvant chemoradiotherapy (nCRT) for locally advanced esophageal cancer have a pathologic complete response (pCR) of the primary tumor upon histopathological evaluation of the resection specimen. The primary aim of this study is to develop a model that predicts the probability of pCR to nCRT in esophageal cancer, based on diffusion-weighted magnetic resonance imaging (DW-MRI), dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI) and (18)F-fluorodeoxyglucose positron emission tomography with computed tomography ((18)F-FDG PET-CT). Accurate response prediction could lead to a patient-tailored approach with omission of surgery in the future in case of predicted pCR or additional neoadjuvant treatment in case of non-pCR. METHODS: The PRIDE study is a prospective, single arm, observational multicenter study designed to develop a multimodal prediction model for histopathological response to nCRT for esophageal cancer. A total of 200 patients with locally advanced esophageal cancer - of which at least 130 patients with adenocarcinoma and at least 61 patients with squamous cell carcinoma - scheduled to receive nCRT followed by esophagectomy will be included. The primary modalities to be incorporated in the prediction model are quantitative parameters derived from MRI and (18)F-FDG PET-CT scans, which will be acquired at fixed intervals before, during and after nCRT. Secondary modalities include blood samples for analysis of the presence of circulating tumor DNA (ctDNA) at 3 time-points (before, during and after nCRT), and an endoscopy with (random) bite-on-bite biopsies of the primary tumor site and other suspected lesions in the esophagus as well as an endoscopic ultrasonography (EUS) with fine needle aspiration of suspected lymph nodes after finishing nCRT. The main study endpoint is the performance of the model for pCR prediction. Secondary endpoints include progression-free and overall survival. DISCUSSION: If the multimodal PRIDE concept provides high predictive performance for pCR, the results of this study will play an important role in accurate identification of esophageal cancer patients with a pCR to nCRT. These patients might benefit from a patient-tailored approach with omission of surgery in the future. Vice versa, patients with non-pCR might benefit from additional neoadjuvant treatment, or ineffective therapy could be stopped. TRIAL REGISTRATION: The article reports on a health care intervention on human participants and was prospectively registered on March 22, 2018 under ClinicalTrials.gov Identifier: NCT03474341

Neoadjuvant chemoradiotherapy plus surgery versus active surveillance for oesophageal cancer: A stepped-wedge cluster randomised trial

Background: Neoadjuvant chemoradiotherapy (nCRT) plus surgery is a standard treatment for locally advanced oesophageal cancer. With this treatment, 29% of patients have a pathologically complete response in the resection specimen. This provides the rationale for investigating an active surveillance approach. The aim of this study is to assess the (cost-)effectiveness of active surveillance vs. standard oesophagectomy after nCRT for oesophageal cancer. Methods: This is a phase-III multi-centre, stepped-wedge cluster randomised controlled trial. A total of 300 patients with clinically complete response (cCR, i.e. no local or disseminated disease proven by histology) after nCRT will be randomised to show non-inferiority of active surveillance to standard oesophagectomy (non-inferiority margin 15%, intra-correlation coefficient 0.02, power 80%, 2-sided α 0.05, 12% drop-out). Patients will undergo a first clinical response evaluation (CRE-I) 4-6 weeks after nCRT, consisting of endoscopy with bite-on-bite biopsies of the primary tumour site and other suspected lesions. Clinically complete responders will undergo a second CRE (CRE-II), 6-8 weeks after CRE-I. CRE-II will include 18F-FDG-PET-CT, followed by endoscopy with bite-on-bite biopsies and ultra-endosonography plus fine needle aspiration of suspected lymph nodes and/or PET- positive lesions. Patients with cCR at CRE-II will be assigned to oesophagectomy (first phase) or active surveillance (second phase of the study). The duration of the first phase is determined randomly over the 12 centres, i.e., stepped-wedge cluster design. Patients in the active surveillance arm will undergo diagnostic evaluations similar to CRE-II at 6/9/12/16/20/24/30/36/48 and 60 months after nCRT. In this arm, oesophagectomy will be offered only to patients in whom locoregional regrowth is highly suspected or proven, without distant dissemination. The main study parameter is overall survival; secondary endpoints include percentage of patients who do not undergo surgery, quality of life, clinical irresectability (cT4b) rate, radical resection rate, postoperative complications, progression-free survival, distant dissemination rate, and cost-effectiveness. We hypothesise that active surveillance leads to non-inferior survival, improved quality of life and a reduction in costs, compared to standard oesophagectomy. Discussion: If active surveillance and surgery as needed after nCRT leads to non-inferior survival compared to standard oesophagectomy, this organ-sparing approach can be implemented as a standard of care