Feasibility of Sentinel Node Biopsy in Head and Neck Melanoma Using a Hybrid Radioactive and Fluorescent Tracer

This study was designed to examine the feasibility of combining lymphoscintigraphy and intraoperative sentinel node identification in patients with head and neck melanoma by using a hybrid protein colloid that is both radioactive and fluorescent. Eleven patients scheduled for sentinel node biopsy in the head and neck region were studied. Approximately 5 h before surgery, the hybrid nanocolloid labeled with indocyanine green (ICG) and technetium-99m ((99m)Tc) was injected intradermally in four deposits around the scar of the primary melanoma excision. Subsequent lymphoscintigraphy and single photon emission computed tomography with computed tomography (SPECT/CT) were performed to identify the sentinel nodes preoperatively. In the operating room, patent blue dye was injected in 7 of the 11 patients. Intraoperatively, sentinel nodes were acoustically localized with a gamma ray detection probe and visualized by using patent blue dye and/or fluorescence-based tracing with a dedicated near-infrared light camera. A portable gamma camera was used before and after sentinel node excision to confirm excision of all sentinel nodes. A total of 27 sentinel nodes were preoperatively identified on the lymphoscintigraphy and SPECT/CT images. All sentinel nodes could be localized intraoperatively. In the seven patients in whom blue dye was used, 43% of the sentinel nodes stained blue, whereas all were fluorescent. The portable gamma camera identified additional sentinel nodes in two patients. Ex vivo, all radioactive lymph nodes were fluorescent and vice versa, indicating the stability of the hybrid tracer. ICG-(99m)Tc-nanocolloid allows for preoperative sentinel node visualization and concomitant intraoperative radio- and fluorescence guidance to the same sentinel nodes in head and neck melanoma patient

On the odd-even staggering of mean square charge radii in the light krypton and strontium region

Recently isotope shifts of $^{72,74-96}$Kr and $^{77-100}$Sr have been measured at the ISOLDE/ CERN mass separator facility by collinear laser spectroscopy. The deduced changes in mean square charge radii reveal sharp transitions in nuclear shape from spherical near the magic neutron number N=50 towards strongly deformed for both the neutron deficient and neutron rich isotopes far from stability. The mean square charge radii of the neutron deficient isotopes exhibit a sign change of the odd-even staggering (OES), i.e. below the neutron number N=46 the radius is systematically larger for the odd-N nuclei than for their even-N neighbours. This is in contrast to the situation of normal OES which is observed for the heavier isotopes. The inversion of the OES is interpreted as an effect of polarization, triggered by the addition of an unpaired neutron and driving the soft even-even core into stable strong deformation

Sentinel Node Detection in Head and Neck Malignancies: Innovations in Radioguided Surgery

Sentinel node mapping is becoming a routine procedure for staging of various malignancies, because it can determine lymph node status more precisely. Due to anatomical problems, localizing sentinel nodes in the head and neck region on the basis of conventional images can be difficult. New diagnostic tools can provide better visualization of sentinel nodes. In an attempt to keep up with possible scientific progress, this article reviews new and innovative tools for sentinel node localization in this specific area. The overview comprises a short introduction of the sentinel node procedure as well as indications in the head and neck region. Then the results of SPECT/CT for sentinel node detection are described. Finally, a portable gamma camera to enable intraoperative real-time imaging with improved sentinel node detection is described

Measurement of the magnetic moment of the one-neutron halo nucleus 11^{11}Be

The magnetic moment of $^{11}$Be was measured by detecting nuclear magnetic resonance signals in a beryllium crystal lattice. The experimental technique applied to a $^{11}$Be$^+$ ion beam from a laser ion source includes in-beam optical polarization, implantation into a metallic single crystal and observation of rf resonances in the asymmetric angular distribution of the $\beta$-decay ($\beta$-NMR). The nuclear magnetic moment $\mu(^{11}{\rm Be}) = -1.6816(8)\,\mu_N$ provides a stringent test for theoretical models describing the structure of the 1/2$^+$ neutron halo state

Evidence for European presence in the Americas in ad 1021

Transatlantic exploration took place centuries before the crossing of Columbus. Physical evidence for early European presence in the Americas can be found in Newfoundland, Canada(1,2). However, it has thus far not been possible to determine when this activity took place(3–5). Here we provide evidence that the Vikings were present in Newfoundland in ad 1021. We overcome the imprecision of previous age estimates by making use of the cosmic-ray-induced upsurge in atmospheric radiocarbon concentrations in ad 993 (ref. (6)). Our new date lays down a marker for European cognisance of the Americas, and represents the first known point at which humans encircled the globe. It also provides a definitive tie point for future research into the initial consequences of transatlantic activity, such as the transference of knowledge, and the potential exchange of genetic information, biota and pathologies(7,8)