Sub-millimeter nuclear medical imaging with high sensitivity in positron emission tomography using beta-gamma coincidences

We present a nuclear medical imaging technique, employing triple-gamma trajectory intersections from beta^+ - gamma coincidences, able to reach sub-millimeter spatial resolution in 3 dimensions with a reduced requirement of reconstructed intersections per voxel compared to a conventional PET reconstruction analysis. This '$\gamma$-PET' technique draws on specific beta^+ - decaying isotopes, simultaneously emitting an additional photon. Exploiting the triple coincidence between the positron annihilation and the third photon, it is possible to separate the reconstructed 'true' events from background. In order to characterize this technique, Monte-Carlo simulations and image reconstructions have been performed. The achievable spatial resolution has been found to reach ca. 0.4 mm (FWHM) in each direction for the visualization of a 22Na point source. Only 40 intersections are sufficient for a reliable sub-millimeter image reconstruction of a point source embedded in a scattering volume of water inside a voxel volume of about 1 mm^3 ('high-resolution mode'). Moreover, starting with an injected activity of 400 MBq for ^76Br, the same number of only about 40 reconstructed intersections are needed in case of a larger voxel volume of 2 x 2 x 3~mm^3 ('high-sensitivity mode'). Requiring such a low number of reconstructed events significantly reduces the required acquisition time for image reconstruction (in the above case to about 140 s) and thus may open up the perspective for a quasi real-time imaging.Comment: 17 pages, 5 figutes, 3 table

Body Fat is Associated with Decreased Endocrine and Cognitive Resilience to Acute Emotional Stress

*Objective:* Cortisol is elevated both in individuals with increased emotional stress as well as with higher percentages of body fat. Cortisol is also known to affect cognitive performance, particularly spatial processing, selective attention, and working memory. We hypothesized that increased body fat might therefore be associated with decreased performance on a spatial processing task, in response to an acute real-world stressor. 

*Design:* We tested two separate samples of subjects undergoing their first (tandem) skydive. In the first sample (N=78), subjects were tested for salivary cortisol and state-anxiety (Spielberger State Anxiety Scale) during the plane's fifteen-minute ascent to altitude in immediate anticipation of the jump. In a second sample (N=20), subjects were tested for salivary cortisol, as well as cardiac variables (heart rate, autonomic regulation via heart rate variability) and performance on a cognitive task of spatial processing, selective attention, and working memory. 

*Results:* In response to the skydive, individuals with greater body fat percentages showed significantly increased reactivity for both cortisol (on both samples) and cognition, including decreased accuracy of our task of spatial processing, selective attention, and working memory. These cognitive effects were restricted to the stress response and were not found under baseline conditions. There were no body fat interactions with cardiac changes in response to the stressor, suggesting that the cognitive effects were specifically hormone-mediated rather than secondary to general activation of the autonomic nervous system. 

*Conclusions:* Our results indicate that, under real-world stress, increased body fat may be associated with endocrine stress-vulnerability, with consequences for deleterious cognitive performance

Novel imaging and quality assurance techniques for ion beam therapy: a Monte Carlo study

Ion beams exhibit a finite and well defined range in matter together with an “inverted” depth-dose profile, the so-called Bragg peak. These favourable physical properties may enable superior tumour-dose conformality for high precision radiation therapy. On the other hand, they introduce the issue of sensitivity to range uncertainties in ion beam therapy. Although these uncertainties are typically taken into account when planning the treatment, correct delivery of the intended ion beam range has to be assured to prevent undesired underdosage of the tumour or overdosage of critical structures outside the target volume. Therefore, it is necessary to define dedicated Quality Assurance procedures to enable in-vivo range verification before or during therapeutic irradiation. For these purposes, Monte Carlo transport codes are very useful tools to support the development of novel imaging modalities for ion beam therapy. In the present work, we present calculations performed with the FLUKA Monte Carlo code and preliminary experimental studies

Metabolism of ticagrelor in patients with acute coronary syndromes.

© The Author(s) 2018Ticagrelor is a state-of-the-art antiplatelet agent used for the treatment of patients with acute coronary syndromes (ACS). Unlike remaining oral P2Y12 receptor inhibitors ticagrelor does not require metabolic activation to exert its antiplatelet action. Still, ticagrelor is extensively metabolized by hepatic CYP3A enzymes, and AR-C124910XX is its only active metabolite. A post hoc analysis of patient-level (n = 117) pharmacokinetic data pooled from two prospective studies was performed to identify clinical characteristics affecting the degree of AR-C124910XX formation during the first six hours after 180 mg ticagrelor loading dose in the setting of ACS. Both linear and multiple regression analyses indicated that ACS patients presenting with ST-elevation myocardial infarction or suffering from diabetes mellitus are more likely to have decreased rate of ticagrelor metabolism during the acute phase of ACS. Administration of morphine during ACS was found to negatively influence transformation of ticagrelor into AR-C124910XX when assessed with linear regression analysis, but not with multiple regression analysis. On the other hand, smoking appears to increase the degree of ticagrelor transformation in ACS patients. Mechanisms underlying our findings and their clinical significance warrant further research.Peer reviewedFinal Published versio

Distance to the Active Galaxy NGC 6951 via the Type Ia Supernova 2000E

CCD-photometry and low-resolution spectroscopy of the bright supernova SN 2000E in NGC 6951 are presented. Both the light curve extending up to 150 days past maximum and the spectra obtained at 1 month past maximum confirm that SN 2000E is of Type Ia. The reddening of SN 2000E is determined as E(B-V)=0.36+/-0.15, its error is mainly due to uncertainties in the predicted SN (B-V) colour at late epochs. The V(RI)_C light curves are analyzed with the Multi-Colour Light Curve Shape (MLCS) method. The shape of the late light curve suggests that SN 2000E was overluminous by about 0.5 mag at maximum comparing with a fiducial SN Ia. This results in an updated distance of 33+/-8 Mpc of NGC 6951 (corrected for interstellar absorption). The SN-based distance modulus is larger by about +0.7 mag than the previous Tully-Fisher estimates. However, possible systematic errors due to ambiguities in the reddening determination and estimates of the maximum luminosity of SN 2000E may plague the present distance measurement.Comment: 9 p., 5 figs, accepted for publication in A&A. A reference correcte

Supernova type Ia luminosities, their dependence on second parameters, and the value of H_0

A sample of 35 SNe Ia with good to excellent photometry in B and V, minimum internal absorption, and 1200 < v < \approx 30000 km/s is compiled from the literature. As far as their spectra are known they are all Branch-normal. For 29 of the SNe Ia also peak magnitudes in I are known. The SNe Ia have uniform colors at maximum, i.e. =-0.012 mag (sigma=0.051) and =-0.276 mag (sigma=0.078). In the Hubble diagram they define a Hubble line with a scatter of $\sigma_M$=0.21-0.16 mag, decreasing with wavelength. The scatter is further reduced if the SNe Ia are corrected for differences in decline rate Delta_m_15 or color (B-V). A combined correction reduces the scatter to sigma<=0.13 mag. After the correction no significant dependence remains on Hubble type or galactocentric distance. The Hubble line suggests some curvature which can be differently interpreted. A consistent solution is obtained for a cosmological model with Omega_M=0.3, Omega_Lambda=0.7, which is indicated also by much more distant SNe Ia. Absolute magnitudes are available for eight equally blue (Branch-normal) SNe Ia in spirals, whose Cepheid distances are known. If their well defined mean values of M_B, M_V, and M_I are used to fit the Hubble line to the above sample of SNe Ia one obtains H_0=58.3 km/s/Mpc, or, after adjusting all SNe Ia to the average values of Delta_m_15 and (B-V), H_0=60.9 km/s/Mpc. Various systematic errors are discussed whose elimination tends to decrease H_0. The finally adopted value at the 90-percent level, including random and systematic errors, is H_0=58.5 +/- 6.3 km/s/Mpc. Several higher values of H_0 from SNe Ia, as suggested in the literature, are found to depend on large corrections for variations of the light curve parameter and/or on an unwarranted reduction of the Cepheid distances of the calibrating SNe Ia.Comment: 42 pages, including 9 figures; submitted to Ap

The UTfit Collaboration Report on the Status of the Unitarity Triangle beyond the Standard Model I. Model-independent Analysis and Minimal Flavour Violation

Starting from a (new physics independent) tree level determination of rhobar and etabar, we perform the Unitarity Triangle analysis in general extensions of the Standard Model with arbitrary new physics contributions to loop-mediated processes. Using a simple parameterization, we determine the allowed ranges of non-standard contributions to |Delta F|=2 processes. Remarkably, the recent measurements from B factories allow us to determine with good precision the shape of the Unitarity Triangle even in the presence of new physics, and to derive stringent constraints on non-standard contributions to |Delta F|=2 processes. Since the present experimental constraints favour models with Minimal Flavour Violation, we present the determination of the Universal Unitarity Triangle that can be defined in this class of extensions of the Standard Model. Finally, we perform a combined fit of the Unitarity Triangle and of new physics contributions in Minimal Flavour Violation, reaching a sensitivity to a new physics scale of about 5 TeV. We also extrapolate all these analyses into a "year 2010" scenario for experimental and theoretical inputs in the flavour sector. All the results presented in this paper are also available at the URL http://www.utfit.org, where they are continuously updated.Comment: 29 pages, 56 figure

Hermitian quark mass matrices with four texture zeros

We provide a complete and systematic analysis of hermitian, hierarchical quark mass matrices with four texture zeros. Using triangular mass matrices, each pattern of texture zeros is readily shown to lead to a definite relation between the CKM parameters and the quark masses. Nineteen pairs are found to be consistent with present data, and one other is marginally acceptable. In particular, no parallel structure between the up and down mass matrices is found to be favorable with data.Comment: 18 pages, no figure, references [8] and [10] adde