Burden and trend of dietary risk-related colorectal cancer in China and its provinces: findings from the Global Burden of Disease Study 2019

OBJECTIVES

The objective of this experiment was to evaluate the spatial pattern and temporal trend of colorectal cancer (CRC) burden attributed to dietary risk factors in China from 1990 to 2019 using data from the Global Burden of Diseases, Injuries, and Risk Factors study (GBD) 2019.

METHODS

Numbers and age-standardised rates of deaths, disability-adjusted life years (DALYs) and corresponding average annual percentage change (AAPC) were determined. The joinpoint regression analysis was used to assess the temporal trends of CRC deaths and DALYs from 1990 to 2019.

RESULTS

In China, the number of diet-attributable CRC deaths and DALYs in 2019 were 90.41 (95% uncertainty interval: 65.69, 114.67) and 2234.06 (1609.96, 2831.24) per-1000 population, marking 2.05% and 1.68% annual increases since 1990, respectively. The region with the highest increase in age-standardised rates (ASRs) of diet-related CRC deaths and DALYs was in Taiwan with an AAPC of 2.00% (1.51, 2.48), whereas the highest decline in ASRs of CRC deaths and DALYs was observed in Hong Kong with an AAPC of -0.63% (-0.90, -0.35) (all P < 0.05). Nationally, men suffered higher CRC deaths and DALY burdens attributable to dietary risks than did women. Regarding the specific diet group, diets low in calcium, milk, and whole grains contributed to CRC deaths and DALYs the most.

CONCLUSIONS

Diet is an important contributor to increasing CRC burden in China. Necessary measures should be taken to kerb the growing burden attributed to dietary factors, particularly in males and in regions with middle Socio-demographic Index or lower.

Selenium alloyed tellurium oxide for amorphous p-channel transistors

Compared to polycrystalline semiconductors, amorphous semiconductors offer inherent cost-effective, simplicity, and uniform manufacturing. Traditional amorphous hydrogenated Si falls short in electrical properties, necessitating the exploration of new materials. The creation of high-mobility amorphous n-type metal oxides, such as a-InGaZnO1, and their integration into thin-film transistors (TFTs) have propelled advancements in modern large-area electronics and new-generation displays2-8. However, finding comparable p-type counterparts poses significant challenges, impeding the progress of complementary metal-oxide-semiconductor (CMOS) technology and integrated circuits9-11. Here, we introduce a pioneering design strategy for amorphous p-type semiconductors, incorporating high-mobility tellurium within an amorphous tellurium sub-oxide matrix, and demonstrate its utility in high-performance, stable p-channel TFTs, and complementary circuits. Theoretical analysis unveils a delocalised valence band from tellurium 5p bands with shallow acceptor states, enabling excess hole doping and transport. Selenium alloying suppresses hole concentrations and facilitates the p orbital connectivity, realising high-performance p-channel TFTs with an average field-effect hole mobility of ~15 cm2 V-1 s-1 and on/off current ratios of 106 ~ 107, along with wafer-scale uniformity and long-term stabilities under bias stress and ambient aging. This study represents a crucial stride towards establishing commercially viable amorphous p-channel TFT technology and complementary electronics in a low-cost and industry-compatible manner.

Fatty acyl-coenzyme A activates mitochondrial division through oligomerization of MiD49 and MiD51

Mitochondrial fission occurs in many cellular processes, but the regulation of fission is poorly understood. We show that long-chain acyl-coenzyme A (LCACA) activates two related mitochondrial fission proteins, MiD49 and MiD51, by inducing their oligomerization, which activates their ability to stimulate the DRP1 GTPase. The 1:1 stoichiometry of LCACA:MiD in the oligomer suggests interaction in the previously identified nucleotide-binding pocket, and a point mutation in this pocket reduces LCACA binding and LCACA-induced oligomerization for MiD51. In cells, this LCACA binding mutant does not assemble into puncta on mitochondria or rescue MiD49/51 knockdown effects on mitochondrial length and DRP1 recruitment. Furthermore, cellular treatment with BSA-bound oleic acid, which causes increased LCACA, promotes mitochondrial fission in an MiD49/51-dependent manner. These results suggest that LCACA is an endogenous ligand for MiDs, inducing mitochondrial fission and providing a potential mechanism for fatty-acid-induced mitochondrial division. Finally, MiD49 or MiD51 oligomers synergize with Mff, but not with actin filaments, in DRP1 activation, suggesting distinct pathways for DRP1 activation.

Anion-Cation Competition Chemistry for Comprehensive High-Performance Prussian Blue Analogs Cathodes

The extensively studied Prussian blue analogs (PBAs) in various batteries are limited by their low discharge capacity, or subpar rate etc., which are solely reliant on the cation (de)intercalation mechanism. In contrast to the currently predominant focus on cations, we report the overlooked anion-cation competition chemistry (Cl-, K+, Zn2+) stimulated by high-voltage scanning. With our designed anion-cation combinations, the KFeMnHCF cathode battery delivers comprehensively superior discharge performance, including voltage plateau >2.0 V (vs. Zn/Zn2+), capacity >150 mAh g-1, rate capability with capacity maintenance above 96 % from 0.6 to 5 A g-1, and cyclic stability exceeding 3000 cycles. We further verify that such comprehensive improvement of electrochemical performance utilizing anion-cation competition chemistry is universal for different types of PBAs. Our work would pave a new and efficient road towards the next-generation high-performance PBAs cathode batteries.

The role of spleen radiomics model for predicting prognosis in esophageal squamous cell carcinoma patients receiving definitive radiotherapy

BACKGROUND

The spleen plays an important role in systemic antitumor immune response, but whether spleen imaging features have predictive effect for prognosis and immune status was unknown. The aim of this study was to investigate computed tomography (CT)-based spleen radiomics to predict the prognosis of patients with esophageal squamous cell carcinoma (ESCC) underwent definitive radiotherapy (dRT) and to try to find its association with systemic immunity.

METHODS

This retrospective study included 201 ESCC patients who received dRT. Patients were randomly divided into training (n = 142) and validation (n = 59) groups. The pre- and delta-radiomic features were extracted from enhanced CT images. LASSO-Cox regression was used to select the radiomics signatures most associated with progression-free survival (PFS) and overall survival (OS). Independent prognostic factors were identified by univariate and multivariate Cox analyses. The ROC curve and C-index were used to evaluate the predictive performance. Finally, the correlation between spleen radiomics and immune-related hematological parameters was analyzed by spearman correlation analysis.

RESULTS

Independent prognostic factors involved TNM stage, treatment regimen, tumor location, pre- or delta-Rad-score. The AUC of the delta-radiomics combined model was better than other models in the training and validation groups in predicting PFS (0.829 and 0.875, respectively) and OS (0.857 and 0.835, respectively). Furthermore, some spleen delta-radiomic features are significantly correlated with delta-ALC (absolute lymphocyte count) and delta-NLR (neutrophil-to-lymphocyte ratio).

CONCLUSIONS

Spleen radiomics is expected to be a useful noninvasive tool for predicting the prognosis and evaluating systemic immune status for ESCC patients underwent dRT.

Effect of left bundle branch pacing on right ventricular function: A 3-dimensional echocardiography study

BACKGROUND

The effect of left bundle branch pacing (LBBP) on right ventricular (RV) function is not well known, and there is conflicting evidence regarding whether cardiac resynchronization therapy improves RV function.

OBJECTIVES

The study aimed to investigate the effect of LBBP on RV function and to evaluate the response of RV dysfunction (RVD) to LBBP.

METHODS

Sixty-five LBBP candidates were prospectively included in the study and underwent echocardiography at baseline and 6-month follow-up. LBBP response was left ventricular (LV) reverse remodeling, defined as a reduction in LV end-systolic volume of ≥15% at follow-up.

RESULTS

Patients were assigned to 2 subgroups on the basis of 3-dimensional echocardiography-derived RV ejection fraction (EF) before LBBP implantation: 30 patients (46%) in the no RVD group and 35 patients (54%) in the RVD group. The RVD group was characterized by higher N-terminal pro-brain natriuretic peptide levels, New York Heart Association functional class, and larger LV/RV size. LBBP induced a significant reduction in QRS duration, LV size, and improvement in LVEF and mechanical dyssynchrony in both the no RVD and RVD groups, and a significant improvement in RV volumes and RVEF in the RVD group (all P<.01). LBBP resulted in a similar percentage reduction in QRS duration, LV dimensions, LV volumes, and percentage improvement in LVEF in RVD and no RVD groups (all P＞.05). LV reverse remodeling (29 of 35 patients vs 27 of 30 patients; P = .323) in the RVD group was similar to that in the no RVD group after LBBP.

CONCLUSION

LBBP induces excellent electrical and mechanical resynchronization, with a significant improvement in RV volumes and function. RVD did not diminish the beneficial effects on LV reverse remodeling after LBBP.

The value of high-risk clinicopathologic features for chemotherapy in stage I non-small cell lung cancer: a propensity score-matched study

Background

Surgical resection is the main treatment for early-stage non-small cell lung cancer (NSCLC), but recurrence remains a concern. Adjuvant chemotherapy has been shown to have survival benefits for resected stage II and III NSCLC, but debate continues regarding its use in stage I NSCLC. High-risk features, such as tumor size and stage, are considered in deciding whether to administer adjuvant chemotherapy.

Methods

The data of 666,689 patients diagnosed with lung cancer from 2004 to 2016 were collected from the Surveillance, Epidemiology, and End Results database. Ultimately, 26,160 patients diagnosed with stage I NSCLC were included in the study based on a screening procedure.

Results

After matching, 4,285 patients were identified, of whom 1,440 (33.6%) received chemotherapy. High-risk clinicopathologic features, including a high histologic grade, visceral pleural invasion (VPI), the examination of an insufficient number of lymph nodes (LNs), and limited resection, were independent risk factors for a poor prognosis. Chemotherapy significantly improved lung cancer-specific survival (LCSS) and overall survival (OS) in stage I patients with VPI [LCSS: hazard ratio (HR): 0.839, 95% confidence interval (CI): 0.706-0.998, P=0.047; OS: HR: 0.711, 95% CI: 0.612-0.826, P<0.001], regardless of whether or not the patient had fewer than 11 LNs (LCSS: HR: 0.809, 95% CI: 0.664-0.986, P=0.04; OS: HR: 0.677, 95% CI: 0.570-0.803, P<0.001). Chemotherapy was only observed to improve OS for stage IB patients with a high histologic grade when combined with either or both of the following high-risk factors: the presence of VPI and fewer than 11 LNs examined.

Conclusions

The presence of VPI was the dominant predictor and the examination of an insufficient number of LNs was the secondary indicator, and a high histologic grade was a potential indicator of the need to administer chemotherapy in the treatment of stage I NSCLC.

Direct Synthesis of α- and β-2'-Deoxynucleosides with Stereodirecting Phosphine Oxide via Remote Participation

2'-Deoxynucleosides and analogues play a vital role in drug development, but their preparation remains a significant challenge. Previous studies have focused on β-2'-deoxynucleosides with the natural β-configuration. In fact, their isomeric α-2'-deoxynucleosides also exhibit diverse bioactivities and even better metabolic stability. Herein, we report that both α- and β-2'-deoxynucleosides can be prepared with high yields and stereoselectivity using a remote directing diphenylphosphinoyl (DPP) group. It is particularly efficient to prepare α-2'-deoxynucleosides with an easily accessible 3,5-di-ODPP donor. Instead of acting as a H-bond acceptor on a 2-(diphenylphosphinoyl)acetyl (DPPA) group in our previous studies for syn-facial O-glycosylation, the phosphine oxide moiety here acts as a remote participating group to enable highly antifacial N-glycosylation. This proposed remote participation mechanism is supported by our first characterization of an important 1,5-briged P-heterobicyclic intermediate via variable-temperature NMR spectroscopy. Interestingly, antiproliferative assays led to a α-2'-deoxynucleoside with IC50 values in the low micromole range against central nervous system tumor cell lines SH-SY5Y and LN229, whereas its β-anomer exhibited no inhibition at 100 μM. Furthermore, the DPP group significantly enhanced the antitumor activities by 10 times.

Synthesis and Structural Revision of a Natural Tetrasaccharide from Starfish Asterias rollestoni Bell

Starfish provide important saponins with diverse bioactivities as the secondary metabolites, among which 2-O-glycosylated glycosides are commonly found. Preparation of those 1,2-trans 2-O-glycosylated glycosides usually relies on 2-O-acyl participation requiring the selective installation and cleavage of 2-O-acyl groups. A convergent synthesis using 2-O-glycosylated oligosaccharide donors would be more straightforward but also pose greater challenges. Herein, we report a convergent synthesis of a distinctive tetrasaccharide isolated from starfish Asterias rollestoni Bell. Dual 2-(diphenylphosphinoyl)acetyl (DPPA) groups at O3 and O4 on galactose moiety led to high β-selectivities (β/α=12/1 or β only) in the challenging [2+2] glycosylation, giving the desired tetrasaccharides in >90 % yields from the 2-O-glycosylated disaccharide donors. These synthetic studies have also unambiguously revised the structure of these natural tetrasaccharides. This work would facilitate further studies on new inhibitors of α-glucosidase as hypoglycemic drugs.

To live or die: "Fine-tuning" adaptation revealed by systemic analyses in symbiotic bathymodiolin mussels from diverse deep-sea extreme ecosystems

Hydrothermal vents (HVs) and cold seeps (CSs) are typical deep-sea extreme ecosystems with their own geochemical characteristics to supply the unique living conditions for local communities. Once HVs or CSs stop emission, the dramatic environmental change would pose survival risks to deep-sea organisms. Up to now, limited knowledge has been available to understand the biological responses and adaptive strategy to the extreme environments and their transition from active to extinct stage, mainly due to the technical difficulties and lack of representative organisms. In this study, bathymodiolin mussels, the dominant and successful species surviving in diverse deep-sea extreme ecosystems, were collected from active and extinct HVs (Southwest Indian Ocean) or CSs (South China Sea) via two individual cruises. The transcriptomic analysis and determination of multiple biological indexes in stress defense and metabolic systems were conducted in both gills and digestive glands of mussels, together with the metagenomic analysis of symbionts in mussels. The results revealed the ecosystem- and tissue-specific transcriptional regulation in mussels, addressing the autologous adaptations in antioxidant defense, energy utilization and key compounds (i.e. sulfur) metabolism. In detail, the successful antioxidant defense contributed to conquering the oxidative stress induced during the unavoidable metabolism of xenobiotics commonly existing in the extreme ecosystems; changes in metabolic rate functioned to handle toxic matters in different surroundings; upregulated gene expression of sulfide:quinone oxidoreductase indicated an active sulfide detoxification in mussels from HVs and active stage of HVs & CSs. Coordinately, a heterologous adaptation, characterized by the functional compensation between symbionts and mussels in energy utilization, sulfur and carbon metabolism, was also evidenced by the bacterial metagenomic analysis. Taken together, a new insight was proposed that symbiotic bathymodiolin mussels would develop a "finetuning" strategy combining the autologous and heterologous regulations to fulfill the efficient and effective adaptations for successful survival.

Data Linkages for Wildfire Exposures and Human Health Studies: A Scoping Review

Wildfires are increasing in frequency and intensity, with significant consequences that impact human health. A scoping review was conducted to: (a) understand wildfire-related health effects, (b) identify and describe environmental exposure and health outcome data sources used to research the impacts of wildfire exposures on health, and (c) identify gaps and opportunities to leverage exposure and health data to advance research. A literature search was conducted in PubMed and a sample of 83 articles met inclusion criteria. A majority of studies focused on respiratory and cardiovascular outcomes. Hospital administrative data was the most common health data source, followed by government data sources and health surveys. Wildfire smoke, specifically fine particulate matter (PM2.5), was the most common exposure measure and was predominantly estimated from monitoring networks and satellite data. Health data were not available in real-time, and they lacked spatial and temporal coverage to study health outcomes with longer latency periods. Exposure data were often available in real-time and provided better temporal and spatial coverage but did not capture the complex mixture of hazardous wildfire smoke pollutants nor exposures associated with non-air pathways such as soil, household dust, food, and water. This scoping review of the specific health and exposure data sources used to underpin these studies provides a framework for the research community to understand: (a) the use and value of various environmental and health data sources, and (b) the opportunities for improving data collection, integration, and accessibility to help inform our understanding of wildfires and other environmental exposures.

Decline in Cancer Diagnoses during the 'Zero COVID' Policy in Hong Kong: Indirect Spillover Impact of the COVID-19 Pandemic

AIMS

Despite a largely successful 'zero COVID' policy in 2020, the COVID-19 pandemic disrupted routine cancer services in the city of Hong Kong. The aims of this study were to examine the trends in cancer incidence before and during the COVID-19 pandemic and estimate missed cancer diagnoses.

MATERIALS AND METHODS

We used population-based data from the Hong Kong Cancer Registry 1983-2020 to examine the trends of age- and sex-standardised cancer incidence before and during the COVID-19 pandemic. We applied: (i) the annual average percentage change (AAPC) calculated using the Joinpoint regression model and (ii) the autoregressive integrated moving average (ARIMA) model to forecast cancer incidence rates in 2020. Missed cancer diagnoses in 2020 were estimated by comparing forecasted incidence rates to reported rates. A subgroup analysis was conducted by sex, age and cancer site.

RESULTS

The cancer incidence in Hong Kong declined by 4.4% from 2019 to 2020 (male 8.1%; female 1.1%) compared with the long-term AAPC of 0.5% from 2005 to 2019 (95% confidence interval 0.3, 0.7). The gap between the reported and forecasted incidence for 2020 ranged from 5.1 to 5.7% (male 8.5%, 9.8%; female 2.3%, 3.5%). We estimated 1525-1596 missed cancer diagnoses (ARIMA estimate -98, 3148; AAPC 514, 1729) in 2020. Most missed diagnoses were in males (ARIMA 1361 [327, 2394]; AAPC 1401 [1353, 1460]), with an estimated 479-557 missed cases of colorectal cancer (ARIMA 112, 837; AAPC 518, 597) and 256-352 missed cases of prostate cancer (AAPC 231, 280; ARIMA 110, 594).

CONCLUSION

The incidence of new cancer diagnoses declined in 2020 contrary to the long-term increase over the previous decades. Significantly lower diagnoses than expected were observed in males, particularly for colorectal and prostate cancers. Fewer reported cancer cases indicate missed diagnoses and could lead to delayed treatment that could impact future health outcomes.

Experience and impact of stigma in people with chronic hepatitis B: a qualitative study in Asia, Europe, and the United States

BACKGROUND

People with chronic hepatitis B (CHB) commonly experience social and self-stigma. This study sought to understand the impacts of CHB-related stigma and a functional cure on stigma.

METHODS

Adults with CHB with a wide range of age and education were recruited from 5 countries and participated in 90-minute qualitative, semi-structured interviews to explore concepts related to CHB-associated stigma and its impact. Participants answered open-ended concept-elicitation questions regarding their experience of social and self-stigma, and the potential impact of reduced CHB-related stigma.

RESULTS

Sixty-three participants aged 25 to 71 years (15 from the United States and 12 each from China, Germany, Italy, and Japan) reported emotional, lifestyle, and social impacts of living with CHB, including prejudice, marginalization, and negative relationship and work experiences. Self-stigma led to low self-esteem, concealment of CHB status, and social withdrawal. Most participants stated a functional cure for hepatitis B would reduce self-stigma.

CONCLUSIONS

CHB-related social and self-stigma are widely prevalent and affect many aspects of life. A functional cure for hepatitis B may reduce social and self-stigma and substantially improve the health-related quality of life of people with CHB. Incorporating stigma into guidelines along with infectivity considerations may broaden the patient groups who should receive treatment.

Screening and optimization of interpolation methods for mapping soil-borne polychlorinated biphenyls

There is yet no scientific consensus, and for now, on how to choose the optimal interpolation method and its parameters for mapping soil-borne organic pollutants. Take the polychlorinated biphenyls (PCBs) for instance, we present the comparison of some classic interpolation methods using a high-resolution soil monitoring database. The results showed that empirical Bayesian kriging (EBK) has the highest accuracy for predicting the total PCB concentration, while root mean squared error (RMSE) in inverse distance weighting (IDW) is among the highest in these interpolation methods. The logarithmic transformation of non-normally distributed data contributed to enhance considerably the semivariogram for modeling in kriging interpolation. The increasing of search neighborhood reduced IDW's RMSE, but slightly affected in ordinary kriging (OK), while both of them resulted in over smooth of prediction map. The existence of outliers made the difference between two points increase sharply, and thereby weakening spatial autocorrelation and decreasing the accuracy. As predicted error increased continuously, the prediction accuracy of different interpolation methods reached unanimity gradually. The attempt of the assisted interpolation algorithm did not significantly improve the prediction accuracy of the IDW method. This study constructed a standardized workflow for interpolation, which could reduce human error to reach higher interpolation accuracy for mapping soil-borne PCBs.

Effects of phosphorylation on Drp1 activation by its receptors, actin, and cardiolipin

Drp1 is a dynamin family GTPase required for mitochondrial and peroxisomal division. Oligomerization increases Drp1 GTPase activity through interactions between neighboring GTPase domains. In cells, Drp1 is regulated by several factors including Drp1 receptors, actin filaments, cardiolipin, and phosphorylation at two sites: S579 and S600. Commonly, phosphorylation of S579 is considered activating, while S600 phosphorylation is considered inhibiting. However, direct effects of phosphorylation on Drp1 GTPase activity have not been investigated in detail. Here, we compare effects of S579 and S600 phosphorylation on purified Drp1, using phosphomimetic mutants and in vitro phosphorylation. Both phosphomimetic mutants are shifted toward smaller oligomers. Both phosphomimetic mutations maintain basal GTPase activity, but eliminate GTPase stimulation by actin and decrease GTPase stimulation by cardiolipin, Mff, and MiD49. Phosphorylation of S579 by Erk2 produces similar effects. When mixed with wildtype Drp1, both S579D and S600D phosphomimetic mutants reduce the actin-stimulated GTPase activity of Drp1-WT. Conversely, a Drp1 mutant (K38A) lacking GTPase activity stimulates Drp1-WT GTPase activity under both basal and actin-stimulated conditions. These results suggest that the effect of S579 phosphorylation is not to activate Drp1 directly. In addition, our results suggest that nearest neighbor interactions within the Drp1 oligomer affect catalytic activity.

ψ(2S) Suppression in Pb-Pb Collisions at the LHC

The production of the ψ(2S) charmonium state was measured with ALICE in Pb-Pb collisions at sqrt[s_{NN}]=5.02  TeV, in the dimuon decay channel. A significant signal was observed for the first time at LHC energies down to zero transverse momentum, at forward rapidity (2.5 Collapse

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Affiliation(s)

S Acharya Université Clermont Auvergne, CNRS/IN2P3, LPC, Clermont-Ferrand, France
D Adamová Nuclear Physics Institute of the Czech Academy of Sciences, Husinec-Řež, Czech Republic
A Adler Johann-Wolfgang-Goethe Universität Frankfurt Institut für Informatik, Fachbereich Informatik und Mathematik, Frankfurt, Germany
G Aglieri Rinella European Organization for Nuclear Research (CERN), Geneva, Switzerland
M Agnello Dipartimento DISAT del Politecnico and Sezione INFN, Turin, Italy
N Agrawal INFN, Sezione di Bologna, Bologna, Italy
Z Ahammed Variable Energy Cyclotron Centre, Homi Bhabha National Institute, Kolkata, India
S Ahmad Department of Physics, Aligarh Muslim University, Aligarh, India
S U Ahn Korea Institute of Science and Technology Information, Daejeon, Republic of Korea
I Ahuja Faculty of Science, P.J. Šafárik University, Košice, Slovak Republic
A Akindinov Affiliated with an institute covered by a cooperation agreement with CERN
M Al-Turany Research Division and ExtreMe Matter Institute EMMI, GSI Helmholtzzentrum für Schwerionenforschung GmbH, Darmstadt, Germany
D Aleksandrov Affiliated with an institute covered by a cooperation agreement with CERN
B Alessandro INFN, Sezione di Torino, Turin, Italy
H M Alfanda Central China Normal University, Wuhan, China
R Alfaro Molina Instituto de Física, Universidad Nacional Autónoma de México, Mexico City, Mexico
B Ali Department of Physics, Aligarh Muslim University, Aligarh, India
A Alici Dipartimento di Fisica e Astronomia dell'Università and Sezione INFN, Bologna, Italy
N Alizadehvandchali University of Houston, Houston, Texas, USA
A Alkin European Organization for Nuclear Research (CERN), Geneva, Switzerland
J Alme Department of Physics and Technology, University of Bergen, Bergen, Norway
G Alocco INFN, Sezione di Cagliari, Cagliari, Italy
T Alt Institut für Kernphysik, Johann Wolfgang Goethe-Universität Frankfurt, Frankfurt, Germany
I Altsybeev Affiliated with an institute covered by a cooperation agreement with CERN
M N Anaam Central China Normal University, Wuhan, China
C Andrei Horia Hulubei National Institute of Physics and Nuclear Engineering, Bucharest, Romania
A Andronic Westfälische Wilhelms-Universität Münster, Institut für Kernphysik, Munster, Germany
V Anguelov Physikalisches Institut, Ruprecht-Karls-Universität Heidelberg, Heidelberg, Germany
F Antinori INFN, Sezione di Padova, Padova, Italy
P Antonioli INFN, Sezione di Bologna, Bologna, Italy
N Apadula Lawrence Berkeley National Laboratory, Berkeley, California, USA
L Aphecetche SUBATECH, IMT Atlantique, Nantes Université, CNRS-IN2P3, Nantes, France
H Appelshäuser Institut für Kernphysik, Johann Wolfgang Goethe-Universität Frankfurt, Frankfurt, Germany
C Arata Laboratoire de Physique Subatomique et de Cosmologie, Université Grenoble-Alpes, CNRS-IN2P3, Grenoble, France
S Arcelli Dipartimento di Fisica e Astronomia dell'Università and Sezione INFN, Bologna, Italy
M Aresti INFN, Sezione di Cagliari, Cagliari, Italy
R Arnaldi INFN, Sezione di Torino, Turin, Italy
I C Arsene Department of Physics, University of Oslo, Oslo, Norway
M Arslandok Yale University, New Haven, Connecticut, USA
A Augustinus European Organization for Nuclear Research (CERN), Geneva, Switzerland
R Averbeck Research Division and ExtreMe Matter Institute EMMI, GSI Helmholtzzentrum für Schwerionenforschung GmbH, Darmstadt, Germany
M D Azmi Department of Physics, Aligarh Muslim University, Aligarh, India
A Badalà INFN, Sezione di Catania, Catania, Italy
J Bae Sungkyunkwan University, Suwon City, Republic of Korea
Y W Baek Gangneung-Wonju National University, Gangneung, Republic of Korea
X Bai University of Science and Technology of China, Hefei, China
R Bailhache Institut für Kernphysik, Johann Wolfgang Goethe-Universität Frankfurt, Frankfurt, Germany
Y Bailung Indian Institute of Technology Indore, Indore, India
A Balbino Dipartimento DISAT del Politecnico and Sezione INFN, Turin, Italy
A Baldisseri Université Paris-Saclay Centre d'Etudes de Saclay (CEA), IRFU, Départment de Physique Nucléaire (DPhN), Saclay, France
B Balis AGH University of Science and Technology, Cracow, Poland
D Banerjee Bose Institute, Department of Physics, and Centre for Astroparticle Physics and Space Science (CAPSS), Kolkata, India
Z Banoo Physics Department, University of Jammu, Jammu, India
R Barbera Dipartimento di Fisica e Astronomia dell'Università and Sezione INFN, Catania, Italy
F Barile Dipartimento Interateneo di Fisica 'M. Merlin' and Sezione INFN, Bari, Italy
L Barioglio Physik Department, Technische Universität München, Munich, Germany
M Barlou National and Kapodistrian University of Athens, School of Science, Department of Physics, Athens, Greece
G G Barnaföldi Wigner Research Centre for Physics, Budapest, Hungary
L S Barnby Nuclear Physics Group, STFC Daresbury Laboratory, Daresbury, United Kingdom
V Barret Université Clermont Auvergne, CNRS/IN2P3, LPC, Clermont-Ferrand, France
L Barreto Universidade de São Paulo (USP), São Paulo, Brazil
C Bartels University of Liverpool, Liverpool, United Kingdom
K Barth European Organization for Nuclear Research (CERN), Geneva, Switzerland
E Bartsch Institut für Kernphysik, Johann Wolfgang Goethe-Universität Frankfurt, Frankfurt, Germany
F Baruffaldi Dipartimento di Fisica e Astronomia dell'Università and Sezione INFN, Padova, Italy
N Bastid Université Clermont Auvergne, CNRS/IN2P3, LPC, Clermont-Ferrand, France
S Basu Lund University Department of Physics, Division of Particle Physics, Lund, Sweden
G Batigne SUBATECH, IMT Atlantique, Nantes Université, CNRS-IN2P3, Nantes, France
D Battistini Physik Department, Technische Universität München, Munich, Germany
B Batyunya Affiliated with an international laboratory covered by a cooperation agreement with CERN
D Bauri Indian Institute of Technology Bombay (IIT), Mumbai, India
J L Bazo Alba Sección Física, Departamento de Ciencias, Pontificia Universidad Católica del Perú, Lima, Peru
I G Bearden Niels Bohr Institute, University of Copenhagen, Copenhagen, Denmark
C Beattie Yale University, New Haven, Connecticut, USA
P Becht Research Division and ExtreMe Matter Institute EMMI, GSI Helmholtzzentrum für Schwerionenforschung GmbH, Darmstadt, Germany
D Behera Indian Institute of Technology Indore, Indore, India
I Belikov Université de Strasbourg, CNRS, IPHC UMR 7178, F-67000 Strasbourg, France, Strasbourg, France
A D C Bell Hechavarria Westfälische Wilhelms-Universität Münster, Institut für Kernphysik, Munster, Germany
F Bellini Dipartimento di Fisica e Astronomia dell'Università and Sezione INFN, Bologna, Italy
R Bellwied University of Houston, Houston, Texas, USA
S Belokurova Affiliated with an institute covered by a cooperation agreement with CERN
V Belyaev Affiliated with an institute covered by a cooperation agreement with CERN
G Bencedi Wigner Research Centre for Physics, Budapest, Hungary
S Beole Dipartimento di Fisica dell'Università and Sezione INFN, Turin, Italy
A Bercuci Horia Hulubei National Institute of Physics and Nuclear Engineering, Bucharest, Romania
Y Berdnikov Affiliated with an institute covered by a cooperation agreement with CERN
A Berdnikova Physikalisches Institut, Ruprecht-Karls-Universität Heidelberg, Heidelberg, Germany
L Bergmann Physikalisches Institut, Ruprecht-Karls-Universität Heidelberg, Heidelberg, Germany
M G Besoiu Institute of Space Science (ISS), Bucharest, Romania
L Betev European Organization for Nuclear Research (CERN), Geneva, Switzerland
P P Bhaduri Variable Energy Cyclotron Centre, Homi Bhabha National Institute, Kolkata, India
A Bhasin Physics Department, University of Jammu, Jammu, India
M A Bhat Bose Institute, Department of Physics, and Centre for Astroparticle Physics and Space Science (CAPSS), Kolkata, India
B Bhattacharjee Gauhati University, Department of Physics, Guwahati, India
L Bianchi Dipartimento di Fisica dell'Università and Sezione INFN, Turin, Italy
N Bianchi INFN, Laboratori Nazionali di Frascati, Frascati, Italy
J Bielčík Faculty of Nuclear Sciences and Physical Engineering, Czech Technical University in Prague, Prague, Czech Republic
J Bielčíková Nuclear Physics Institute of the Czech Academy of Sciences, Husinec-Řež, Czech Republic
J Biernat The Henryk Niewodniczanski Institute of Nuclear Physics, Polish Academy of Sciences, Cracow, Poland
A P Bigot Université de Strasbourg, CNRS, IPHC UMR 7178, F-67000 Strasbourg, France, Strasbourg, France
A Bilandzic Physik Department, Technische Universität München, Munich, Germany
G Biro Wigner Research Centre for Physics, Budapest, Hungary
S Biswas Bose Institute, Department of Physics, and Centre for Astroparticle Physics and Space Science (CAPSS), Kolkata, India
N Bize SUBATECH, IMT Atlantique, Nantes Université, CNRS-IN2P3, Nantes, France
J T Blair The University of Texas at Austin, Austin, Texas, USA
D Blau Affiliated with an institute covered by a cooperation agreement with CERN
M B Blidaru Research Division and ExtreMe Matter Institute EMMI, GSI Helmholtzzentrum für Schwerionenforschung GmbH, Darmstadt, Germany
N Bluhme Frankfurt Institute for Advanced Studies, Johann Wolfgang Goethe-Universität Frankfurt, Frankfurt, Germany
C Blume Institut für Kernphysik, Johann Wolfgang Goethe-Universität Frankfurt, Frankfurt, Germany
G Boca Dipartimento di Fisica, Università di Pavia, Pavia, Italy INFN, Sezione di Pavia, Pavia, Italy
F Bock Oak Ridge National Laboratory, Oak Ridge, Tennessee, USA
T Bodova Department of Physics and Technology, University of Bergen, Bergen, Norway
A Bogdanov Affiliated with an institute covered by a cooperation agreement with CERN
S Boi Dipartimento di Fisica dell'Università and Sezione INFN, Cagliari, Italy
J Bok Inha University, Incheon, Republic of Korea
L Boldizsár Wigner Research Centre for Physics, Budapest, Hungary
A Bolozdynya Affiliated with an institute covered by a cooperation agreement with CERN
M Bombara Faculty of Science, P.J. Šafárik University, Košice, Slovak Republic
P M Bond European Organization for Nuclear Research (CERN), Geneva, Switzerland
G Bonomi INFN, Sezione di Pavia, Pavia, Italy Università di Brescia, Brescia, Italy
H Borel Université Paris-Saclay Centre d'Etudes de Saclay (CEA), IRFU, Départment de Physique Nucléaire (DPhN), Saclay, France
A Borissov Affiliated with an institute covered by a cooperation agreement with CERN
A G Borquez Carcamo Physikalisches Institut, Ruprecht-Karls-Universität Heidelberg, Heidelberg, Germany
H Bossi Yale University, New Haven, Connecticut, USA
E Botta Dipartimento di Fisica dell'Università and Sezione INFN, Turin, Italy
Y E M Bouziani Institut für Kernphysik, Johann Wolfgang Goethe-Universität Frankfurt, Frankfurt, Germany
L Bratrud Institut für Kernphysik, Johann Wolfgang Goethe-Universität Frankfurt, Frankfurt, Germany
P Braun-Munzinger Research Division and ExtreMe Matter Institute EMMI, GSI Helmholtzzentrum für Schwerionenforschung GmbH, Darmstadt, Germany
M Bregant Universidade de São Paulo (USP), São Paulo, Brazil
M Broz Faculty of Nuclear Sciences and Physical Engineering, Czech Technical University in Prague, Prague, Czech Republic
G E Bruno Dipartimento Interateneo di Fisica 'M. Merlin' and Sezione INFN, Bari, Italy Politecnico di Bari and Sezione INFN, Bari, Italy
D Budnikov Affiliated with an institute covered by a cooperation agreement with CERN
H Buesching Institut für Kernphysik, Johann Wolfgang Goethe-Universität Frankfurt, Frankfurt, Germany
S Bufalino Dipartimento DISAT del Politecnico and Sezione INFN, Turin, Italy
O Bugnon SUBATECH, IMT Atlantique, Nantes Université, CNRS-IN2P3, Nantes, France
P Buhler Stefan Meyer Institut für Subatomare Physik (SMI), Vienna, Austria
Z Buthelezi iThemba LABS, National Research Foundation, Somerset West, South Africa University of the Witwatersrand, Johannesburg, South Africa
S A Bysiak The Henryk Niewodniczanski Institute of Nuclear Physics, Polish Academy of Sciences, Cracow, Poland
M Cai Central China Normal University, Wuhan, China
H Caines Yale University, New Haven, Connecticut, USA
A Caliva Research Division and ExtreMe Matter Institute EMMI, GSI Helmholtzzentrum für Schwerionenforschung GmbH, Darmstadt, Germany
E Calvo Villar Sección Física, Departamento de Ciencias, Pontificia Universidad Católica del Perú, Lima, Peru
J M M Camacho Universidad Autónoma de Sinaloa, Culiacan, Mexico
P Camerini Dipartimento di Fisica dell'Università and Sezione INFN, Trieste, Italy
F D M Canedo Universidade de São Paulo (USP), São Paulo, Brazil
M Carabas University Politehnica of Bucharest, Bucharest, Romania
A A Carballo European Organization for Nuclear Research (CERN), Geneva, Switzerland
F Carnesecchi European Organization for Nuclear Research (CERN), Geneva, Switzerland
R Caron Université de Lyon, CNRS/IN2P3, Institut de Physique des 2 Infinis de Lyon, Lyon, France
J Castillo Castellanos Université Paris-Saclay Centre d'Etudes de Saclay (CEA), IRFU, Départment de Physique Nucléaire (DPhN), Saclay, France
F Catalano Dipartimento di Fisica dell'Università and Sezione INFN, Turin, Italy Dipartimento DISAT del Politecnico and Sezione INFN, Turin, Italy
C Ceballos Sanchez Affiliated with an international laboratory covered by a cooperation agreement with CERN
I Chakaberia Lawrence Berkeley National Laboratory, Berkeley, California, USA
P Chakraborty Indian Institute of Technology Bombay (IIT), Mumbai, India
S Chandra Variable Energy Cyclotron Centre, Homi Bhabha National Institute, Kolkata, India
S Chapeland European Organization for Nuclear Research (CERN), Geneva, Switzerland
M Chartier University of Liverpool, Liverpool, United Kingdom
S Chattopadhyay Variable Energy Cyclotron Centre, Homi Bhabha National Institute, Kolkata, India
S Chattopadhyay Saha Institute of Nuclear Physics, Homi Bhabha National Institute, Kolkata, India
T G Chavez High Energy Physics Group, Universidad Autónoma de Puebla, Puebla, Mexico
T Cheng Central China Normal University, Wuhan, China Research Division and ExtreMe Matter Institute EMMI, GSI Helmholtzzentrum für Schwerionenforschung GmbH, Darmstadt, Germany
C Cheshkov Université de Lyon, CNRS/IN2P3, Institut de Physique des 2 Infinis de Lyon, Lyon, France
B Cheynis Université de Lyon, CNRS/IN2P3, Institut de Physique des 2 Infinis de Lyon, Lyon, France
V Chibante Barroso European Organization for Nuclear Research (CERN), Geneva, Switzerland
D D Chinellato Universidade Estadual de Campinas (UNICAMP), Campinas, Brazil
E S Chizzali Physik Department, Technische Universität München, Munich, Germany
J Cho Inha University, Incheon, Republic of Korea
S Cho Inha University, Incheon, Republic of Korea
P Chochula European Organization for Nuclear Research (CERN), Geneva, Switzerland
P Christakoglou Nikhef, National institute for subatomic physics, Amsterdam, Netherlands
C H Christensen Niels Bohr Institute, University of Copenhagen, Copenhagen, Denmark
P Christiansen Lund University Department of Physics, Division of Particle Physics, Lund, Sweden
T Chujo University of Tsukuba, Tsukuba, Japan
M Ciacco Dipartimento DISAT del Politecnico and Sezione INFN, Turin, Italy
C Cicalo INFN, Sezione di Cagliari, Cagliari, Italy
F Cindolo INFN, Sezione di Bologna, Bologna, Italy
M R Ciupek Research Division and ExtreMe Matter Institute EMMI, GSI Helmholtzzentrum für Schwerionenforschung GmbH, Darmstadt, Germany
G Clai INFN, Sezione di Bologna, Bologna, Italy
F Colamaria INFN, Sezione di Bari, Bari, Italy
J S Colburn School of Physics and Astronomy, University of Birmingham, Birmingham, United Kingdom
D Colella Dipartimento Interateneo di Fisica 'M. Merlin' and Sezione INFN, Bari, Italy Politecnico di Bari and Sezione INFN, Bari, Italy
M Colocci European Organization for Nuclear Research (CERN), Geneva, Switzerland
M Concas INFN, Sezione di Torino, Turin, Italy
G Conesa Balbastre Laboratoire de Physique Subatomique et de Cosmologie, Université Grenoble-Alpes, CNRS-IN2P3, Grenoble, France
Z Conesa Del Valle Laboratoire de Physique des 2 Infinis, Irène Joliot-Curie, Orsay, France
G Contin Dipartimento di Fisica dell'Università and Sezione INFN, Trieste, Italy
J G Contreras Faculty of Nuclear Sciences and Physical Engineering, Czech Technical University in Prague, Prague, Czech Republic
M L Coquet Université Paris-Saclay Centre d'Etudes de Saclay (CEA), IRFU, Départment de Physique Nucléaire (DPhN), Saclay, France
T M Cormier Oak Ridge National Laboratory, Oak Ridge, Tennessee, USA
P Cortese INFN, Sezione di Torino, Turin, Italy Università del Piemonte Orientale, Vercelli, Italy
M R Cosentino Universidade Federal do ABC, Santo Andre, Brazil
F Costa European Organization for Nuclear Research (CERN), Geneva, Switzerland
S Costanza Dipartimento di Fisica, Università di Pavia, Pavia, Italy INFN, Sezione di Pavia, Pavia, Italy
J Crkovská Physikalisches Institut, Ruprecht-Karls-Universität Heidelberg, Heidelberg, Germany
P Crochet Université Clermont Auvergne, CNRS/IN2P3, LPC, Clermont-Ferrand, France
R Cruz-Torres Lawrence Berkeley National Laboratory, Berkeley, California, USA
E Cuautle Instituto de Ciencias Nucleares, Universidad Nacional Autónoma de México, Mexico City, Mexico
P Cui Central China Normal University, Wuhan, China
A Dainese INFN, Sezione di Padova, Padova, Italy
M C Danisch Physikalisches Institut, Ruprecht-Karls-Universität Heidelberg, Heidelberg, Germany
A Danu Institute of Space Science (ISS), Bucharest, Romania
P Das National Institute of Science Education and Research, Homi Bhabha National Institute, Jatni, India
P Das Bose Institute, Department of Physics, and Centre for Astroparticle Physics and Space Science (CAPSS), Kolkata, India
S Das Bose Institute, Department of Physics, and Centre for Astroparticle Physics and Space Science (CAPSS), Kolkata, India
A R Dash Westfälische Wilhelms-Universität Münster, Institut für Kernphysik, Munster, Germany
S Dash Indian Institute of Technology Bombay (IIT), Mumbai, India
A De Caro Dipartimento di Fisica 'E.R. Caianiello' dell' Università and Gruppo Collegato INFN, Salerno, Italy
G de Cataldo INFN, Sezione di Bari, Bari, Italy
J de Cuveland Frankfurt Institute for Advanced Studies, Johann Wolfgang Goethe-Universität Frankfurt, Frankfurt, Germany
A De Falco Dipartimento di Fisica dell'Università and Sezione INFN, Cagliari, Italy
D De Gruttola Dipartimento di Fisica 'E.R. Caianiello' dell' Università and Gruppo Collegato INFN, Salerno, Italy
N De Marco INFN, Sezione di Torino, Turin, Italy
C De Martin Dipartimento di Fisica dell'Università and Sezione INFN, Trieste, Italy
S De Pasquale Dipartimento di Fisica 'E.R. Caianiello' dell' Università and Gruppo Collegato INFN, Salerno, Italy
S Deb Indian Institute of Technology Indore, Indore, India
R J Debski AGH University of Science and Technology, Cracow, Poland
K R Deja Warsaw University of Technology, Warsaw, Poland
R Del Grande Physik Department, Technische Universität München, Munich, Germany
L Dello Stritto Dipartimento di Fisica 'E.R. Caianiello' dell' Università and Gruppo Collegato INFN, Salerno, Italy
W Deng Central China Normal University, Wuhan, China
P Dhankher Department of Physics, University of California, Berkeley, California, USA
D Di Bari Dipartimento Interateneo di Fisica 'M. Merlin' and Sezione INFN, Bari, Italy
A Di Mauro European Organization for Nuclear Research (CERN), Geneva, Switzerland
R A Diaz Centro de Aplicaciones Tecnológicas y Desarrollo Nuclear (CEADEN), Havana, Cuba Affiliated with an international laboratory covered by a cooperation agreement with CERN
T Dietel University of Cape Town, Cape Town, South Africa
Y Ding Central China Normal University, Wuhan, China Université de Lyon, CNRS/IN2P3, Institut de Physique des 2 Infinis de Lyon, Lyon, France
R Divià European Organization for Nuclear Research (CERN), Geneva, Switzerland
D U Dixit Department of Physics, University of California, Berkeley, California, USA
Ø Djuvsland Department of Physics and Technology, University of Bergen, Bergen, Norway
U Dmitrieva Affiliated with an institute covered by a cooperation agreement with CERN
A Dobrin Institute of Space Science (ISS), Bucharest, Romania
B Dönigus Institut für Kernphysik, Johann Wolfgang Goethe-Universität Frankfurt, Frankfurt, Germany
J M Dubinski Warsaw University of Technology, Warsaw, Poland
A Dubla Research Division and ExtreMe Matter Institute EMMI, GSI Helmholtzzentrum für Schwerionenforschung GmbH, Darmstadt, Germany
S Dudi Physics Department, Panjab University, Chandigarh, India
P Dupieux Université Clermont Auvergne, CNRS/IN2P3, LPC, Clermont-Ferrand, France
M Durkac Technical University of Košice, Košice, Slovak Republic
N Dzalaiova Comenius University Bratislava, Faculty of Mathematics, Physics and Informatics, Bratislava, Slovak Republic
T M Eder Westfälische Wilhelms-Universität Münster, Institut für Kernphysik, Munster, Germany
R J Ehlers Oak Ridge National Laboratory, Oak Ridge, Tennessee, USA
V N Eikeland Department of Physics and Technology, University of Bergen, Bergen, Norway
F Eisenhut Institut für Kernphysik, Johann Wolfgang Goethe-Universität Frankfurt, Frankfurt, Germany
D Elia INFN, Sezione di Bari, Bari, Italy
B Erazmus SUBATECH, IMT Atlantique, Nantes Université, CNRS-IN2P3, Nantes, France
F Ercolessi Dipartimento di Fisica e Astronomia dell'Università and Sezione INFN, Bologna, Italy
F Erhardt Physics department, Faculty of science, University of Zagreb, Zagreb, Croatia
M R Ersdal Department of Physics and Technology, University of Bergen, Bergen, Norway
B Espagnon Laboratoire de Physique des 2 Infinis, Irène Joliot-Curie, Orsay, France
G Eulisse European Organization for Nuclear Research (CERN), Geneva, Switzerland
D Evans School of Physics and Astronomy, University of Birmingham, Birmingham, United Kingdom
S Evdokimov Affiliated with an institute covered by a cooperation agreement with CERN
L Fabbietti Physik Department, Technische Universität München, Munich, Germany
M Faggin Dipartimento di Fisica e Astronomia dell'Università and Sezione INFN, Padova, Italy
J Faivre Laboratoire de Physique Subatomique et de Cosmologie, Université Grenoble-Alpes, CNRS-IN2P3, Grenoble, France
F Fan Central China Normal University, Wuhan, China
W Fan Lawrence Berkeley National Laboratory, Berkeley, California, USA
A Fantoni INFN, Laboratori Nazionali di Frascati, Frascati, Italy
M Fasel Oak Ridge National Laboratory, Oak Ridge, Tennessee, USA
P Fecchio Dipartimento DISAT del Politecnico and Sezione INFN, Turin, Italy
A Feliciello INFN, Sezione di Torino, Turin, Italy
G Feofilov Affiliated with an institute covered by a cooperation agreement with CERN
A Fernández Téllez High Energy Physics Group, Universidad Autónoma de Puebla, Puebla, Mexico
L Ferrandi Universidade de São Paulo (USP), São Paulo, Brazil
M B Ferrer European Organization for Nuclear Research (CERN), Geneva, Switzerland
A Ferrero Université Paris-Saclay Centre d'Etudes de Saclay (CEA), IRFU, Départment de Physique Nucléaire (DPhN), Saclay, France
C Ferrero INFN, Sezione di Torino, Turin, Italy
A Ferretti Dipartimento di Fisica dell'Università and Sezione INFN, Turin, Italy
V J G Feuillard Physikalisches Institut, Ruprecht-Karls-Universität Heidelberg, Heidelberg, Germany
V Filova Faculty of Nuclear Sciences and Physical Engineering, Czech Technical University in Prague, Prague, Czech Republic
D Finogeev Affiliated with an institute covered by a cooperation agreement with CERN
F M Fionda INFN, Sezione di Cagliari, Cagliari, Italy
F Flor University of Houston, Houston, Texas, USA
A N Flores The University of Texas at Austin, Austin, Texas, USA
S Foertsch iThemba LABS, National Research Foundation, Somerset West, South Africa
I Fokin Physikalisches Institut, Ruprecht-Karls-Universität Heidelberg, Heidelberg, Germany
S Fokin Affiliated with an institute covered by a cooperation agreement with CERN
E Fragiacomo INFN, Sezione di Trieste, Trieste, Italy
E Frajna Wigner Research Centre for Physics, Budapest, Hungary
U Fuchs European Organization for Nuclear Research (CERN), Geneva, Switzerland
N Funicello Dipartimento di Fisica 'E.R. Caianiello' dell' Università and Gruppo Collegato INFN, Salerno, Italy
C Furget Laboratoire de Physique Subatomique et de Cosmologie, Université Grenoble-Alpes, CNRS-IN2P3, Grenoble, France
A Furs Affiliated with an institute covered by a cooperation agreement with CERN
T Fusayasu Saga University, Saga, Japan
J J Gaardhøje Niels Bohr Institute, University of Copenhagen, Copenhagen, Denmark
M Gagliardi Dipartimento di Fisica dell'Università and Sezione INFN, Turin, Italy
A M Gago Sección Física, Departamento de Ciencias, Pontificia Universidad Católica del Perú, Lima, Peru
C D Galvan Universidad Autónoma de Sinaloa, Culiacan, Mexico
D R Gangadharan University of Houston, Houston, Texas, USA
P Ganoti National and Kapodistrian University of Athens, School of Science, Department of Physics, Athens, Greece
C Garabatos Research Division and ExtreMe Matter Institute EMMI, GSI Helmholtzzentrum für Schwerionenforschung GmbH, Darmstadt, Germany
J R A Garcia High Energy Physics Group, Universidad Autónoma de Puebla, Puebla, Mexico
E Garcia-Solis Chicago State University, Chicago, Illinois, USA
K Garg SUBATECH, IMT Atlantique, Nantes Université, CNRS-IN2P3, Nantes, France
C Gargiulo European Organization for Nuclear Research (CERN), Geneva, Switzerland
A Garibli National Nuclear Research Center, Baku, Azerbaijan
K Garner Westfälische Wilhelms-Universität Münster, Institut für Kernphysik, Munster, Germany
P Gasik Research Division and ExtreMe Matter Institute EMMI, GSI Helmholtzzentrum für Schwerionenforschung GmbH, Darmstadt, Germany
A Gautam University of Kansas, Lawrence, Kansas, USA
M B Gay Ducati Instituto de Física, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Brazil
M Germain SUBATECH, IMT Atlantique, Nantes Université, CNRS-IN2P3, Nantes, France
C Ghosh Variable Energy Cyclotron Centre, Homi Bhabha National Institute, Kolkata, India
M Giacalone Dipartimento di Fisica e Astronomia dell'Università and Sezione INFN, Bologna, Italy
P Giubellino INFN, Sezione di Torino, Turin, Italy Research Division and ExtreMe Matter Institute EMMI, GSI Helmholtzzentrum für Schwerionenforschung GmbH, Darmstadt, Germany
P Giubilato Dipartimento di Fisica e Astronomia dell'Università and Sezione INFN, Padova, Italy
A M C Glaenzer Université Paris-Saclay Centre d'Etudes de Saclay (CEA), IRFU, Départment de Physique Nucléaire (DPhN), Saclay, France
P Glässel Physikalisches Institut, Ruprecht-Karls-Universität Heidelberg, Heidelberg, Germany
E Glimos University of Tennessee, Knoxville, Tennessee, USA
D J Q Goh Nagasaki Institute of Applied Science, Nagasaki, Japan
V Gonzalez Wayne State University, Detroit, Michigan, USA
L H González-Trueba Instituto de Física, Universidad Nacional Autónoma de México, Mexico City, Mexico
M Gorgon AGH University of Science and Technology, Cracow, Poland
S Gotovac Faculty of Electrical Engineering, Mechanical Engineering and Naval Architecture, University of Split, Split, Croatia
V Grabski Instituto de Física, Universidad Nacional Autónoma de México, Mexico City, Mexico
L K Graczykowski Warsaw University of Technology, Warsaw, Poland
E Grecka Nuclear Physics Institute of the Czech Academy of Sciences, Husinec-Řež, Czech Republic
A Grelli Institute for Gravitational and Subatomic Physics (GRASP), Utrecht University/Nikhef, Utrecht, Netherlands
C Grigoras European Organization for Nuclear Research (CERN), Geneva, Switzerland
V Grigoriev Affiliated with an institute covered by a cooperation agreement with CERN
S Grigoryan A.I. Alikhanyan National Science Laboratory (Yerevan Physics Institute) Foundation, Yerevan, Armenia Affiliated with an international laboratory covered by a cooperation agreement with CERN
F Grosa European Organization for Nuclear Research (CERN), Geneva, Switzerland
J F Grosse-Oetringhaus European Organization for Nuclear Research (CERN), Geneva, Switzerland
R Grosso Research Division and ExtreMe Matter Institute EMMI, GSI Helmholtzzentrum für Schwerionenforschung GmbH, Darmstadt, Germany
D Grund Faculty of Nuclear Sciences and Physical Engineering, Czech Technical University in Prague, Prague, Czech Republic
G G Guardiano Universidade Estadual de Campinas (UNICAMP), Campinas, Brazil
R Guernane Laboratoire de Physique Subatomique et de Cosmologie, Université Grenoble-Alpes, CNRS-IN2P3, Grenoble, France
M Guilbaud SUBATECH, IMT Atlantique, Nantes Université, CNRS-IN2P3, Nantes, France
K Gulbrandsen Niels Bohr Institute, University of Copenhagen, Copenhagen, Denmark
T Gundem Institut für Kernphysik, Johann Wolfgang Goethe-Universität Frankfurt, Frankfurt, Germany
T Gunji University of Tokyo, Tokyo, Japan
W Guo Central China Normal University, Wuhan, China
A Gupta Physics Department, University of Jammu, Jammu, India
R Gupta Physics Department, University of Jammu, Jammu, India
S P Guzman High Energy Physics Group, Universidad Autónoma de Puebla, Puebla, Mexico
L Gyulai Wigner Research Centre for Physics, Budapest, Hungary
M K Habib Research Division and ExtreMe Matter Institute EMMI, GSI Helmholtzzentrum für Schwerionenforschung GmbH, Darmstadt, Germany
C Hadjidakis Laboratoire de Physique des 2 Infinis, Irène Joliot-Curie, Orsay, France
F U Haider Physics Department, University of Jammu, Jammu, India
H Hamagaki Nagasaki Institute of Applied Science, Nagasaki, Japan
A Hamdi Lawrence Berkeley National Laboratory, Berkeley, California, USA
M Hamid Central China Normal University, Wuhan, China
Y Han Yonsei University, Seoul, Republic of Korea
R Hannigan The University of Texas at Austin, Austin, Texas, USA
M R Haque Warsaw University of Technology, Warsaw, Poland
J W Harris Yale University, New Haven, Connecticut, USA
A Harton Chicago State University, Chicago, Illinois, USA
H Hassan Oak Ridge National Laboratory, Oak Ridge, Tennessee, USA
D Hatzifotiadou INFN, Sezione di Bologna, Bologna, Italy
P Hauer Helmholtz-Institut für Strahlen- und Kernphysik, Rheinische Friedrich-Wilhelms-Universität Bonn, Bonn, Germany
L B Havener Yale University, New Haven, Connecticut, USA
S T Heckel Physik Department, Technische Universität München, Munich, Germany
E Hellbär Research Division and ExtreMe Matter Institute EMMI, GSI Helmholtzzentrum für Schwerionenforschung GmbH, Darmstadt, Germany
H Helstrup Faculty of Engineering and Science, Western Norway University of Applied Sciences, Bergen, Norway
M Hemmer Institut für Kernphysik, Johann Wolfgang Goethe-Universität Frankfurt, Frankfurt, Germany
T Herman Faculty of Nuclear Sciences and Physical Engineering, Czech Technical University in Prague, Prague, Czech Republic
G Herrera Corral Centro de Investigación y de Estudios Avanzados (CINVESTAV), Mexico City and Merida, Mexico
F Herrmann Westfälische Wilhelms-Universität Münster, Institut für Kernphysik, Munster, Germany
S Herrmann Université de Lyon, CNRS/IN2P3, Institut de Physique des 2 Infinis de Lyon, Lyon, France
K F Hetland Faculty of Engineering and Science, Western Norway University of Applied Sciences, Bergen, Norway
B Heybeck Institut für Kernphysik, Johann Wolfgang Goethe-Universität Frankfurt, Frankfurt, Germany
H Hillemanns European Organization for Nuclear Research (CERN), Geneva, Switzerland
C Hills University of Liverpool, Liverpool, United Kingdom
B Hippolyte Université de Strasbourg, CNRS, IPHC UMR 7178, F-67000 Strasbourg, France, Strasbourg, France
B Hofman Institute for Gravitational and Subatomic Physics (GRASP), Utrecht University/Nikhef, Utrecht, Netherlands
B Hohlweger Nikhef, National institute for subatomic physics, Amsterdam, Netherlands
G H Hong Yonsei University, Seoul, Republic of Korea
M Horst Physik Department, Technische Universität München, Munich, Germany
A Horzyk AGH University of Science and Technology, Cracow, Poland
R Hosokawa Creighton University, Omaha, Nebraska, USA
Y Hou Central China Normal University, Wuhan, China
P Hristov European Organization for Nuclear Research (CERN), Geneva, Switzerland
C Hughes University of Tennessee, Knoxville, Tennessee, USA
P Huhn Institut für Kernphysik, Johann Wolfgang Goethe-Universität Frankfurt, Frankfurt, Germany
L M Huhta University of Jyväskylä, Jyväskylä, Finland
C V Hulse Laboratoire de Physique des 2 Infinis, Irène Joliot-Curie, Orsay, France
T J Humanic Ohio State University, Columbus, Ohio, USA
H Hushnud Department of Physics, Aligarh Muslim University, Aligarh, India Saha Institute of Nuclear Physics, Homi Bhabha National Institute, Kolkata, India
A Hutson University of Houston, Houston, Texas, USA
D Hutter Frankfurt Institute for Advanced Studies, Johann Wolfgang Goethe-Universität Frankfurt, Frankfurt, Germany
J P Iddon University of Liverpool, Liverpool, United Kingdom
R Ilkaev Affiliated with an institute covered by a cooperation agreement with CERN
H Ilyas COMSATS University Islamabad, Islamabad, Pakistan
M Inaba University of Tsukuba, Tsukuba, Japan
G M Innocenti European Organization for Nuclear Research (CERN), Geneva, Switzerland
M Ippolitov Affiliated with an institute covered by a cooperation agreement with CERN
A Isakov Nuclear Physics Institute of the Czech Academy of Sciences, Husinec-Řež, Czech Republic
T Isidori University of Kansas, Lawrence, Kansas, USA
M S Islam Saha Institute of Nuclear Physics, Homi Bhabha National Institute, Kolkata, India
M Ivanov Comenius University Bratislava, Faculty of Mathematics, Physics and Informatics, Bratislava, Slovak Republic
M Ivanov Research Division and ExtreMe Matter Institute EMMI, GSI Helmholtzzentrum für Schwerionenforschung GmbH, Darmstadt, Germany
V Ivanov Affiliated with an institute covered by a cooperation agreement with CERN
M Jablonski AGH University of Science and Technology, Cracow, Poland
B Jacak Lawrence Berkeley National Laboratory, Berkeley, California, USA
N Jacazio European Organization for Nuclear Research (CERN), Geneva, Switzerland
P M Jacobs Lawrence Berkeley National Laboratory, Berkeley, California, USA
S Jadlovska Technical University of Košice, Košice, Slovak Republic
J Jadlovsky Technical University of Košice, Košice, Slovak Republic
S Jaelani National Research and Innovation Agency - BRIN, Jakarta, Indonesia
L Jaffe Frankfurt Institute for Advanced Studies, Johann Wolfgang Goethe-Universität Frankfurt, Frankfurt, Germany
C Jahnke Universidade Estadual de Campinas (UNICAMP), Campinas, Brazil
M J Jakubowska Warsaw University of Technology, Warsaw, Poland
M A Janik Warsaw University of Technology, Warsaw, Poland
T Janson Johann-Wolfgang-Goethe Universität Frankfurt Institut für Informatik, Fachbereich Informatik und Mathematik, Frankfurt, Germany
M Jercic Physics department, Faculty of science, University of Zagreb, Zagreb, Croatia
S Jia China Institute of Atomic Energy, Beijing, China
A A P Jimenez Instituto de Ciencias Nucleares, Universidad Nacional Autónoma de México, Mexico City, Mexico
F Jonas Oak Ridge National Laboratory, Oak Ridge, Tennessee, USA
J M Jowett European Organization for Nuclear Research (CERN), Geneva, Switzerland Research Division and ExtreMe Matter Institute EMMI, GSI Helmholtzzentrum für Schwerionenforschung GmbH, Darmstadt, Germany
J Jung Institut für Kernphysik, Johann Wolfgang Goethe-Universität Frankfurt, Frankfurt, Germany
M Jung Institut für Kernphysik, Johann Wolfgang Goethe-Universität Frankfurt, Frankfurt, Germany
A Junique European Organization for Nuclear Research (CERN), Geneva, Switzerland
A Jusko School of Physics and Astronomy, University of Birmingham, Birmingham, United Kingdom
M J Kabus European Organization for Nuclear Research (CERN), Geneva, Switzerland Warsaw University of Technology, Warsaw, Poland
J Kaewjai Suranaree University of Technology, Nakhon Ratchasima, Thailand
P Kalinak Institute of Experimental Physics, Slovak Academy of Sciences, Košice, Slovak Republic
A S Kalteyer Research Division and ExtreMe Matter Institute EMMI, GSI Helmholtzzentrum für Schwerionenforschung GmbH, Darmstadt, Germany
A Kalweit European Organization for Nuclear Research (CERN), Geneva, Switzerland
V Kaplin Affiliated with an institute covered by a cooperation agreement with CERN
A Karasu Uysal KTO Karatay University, Konya, Turkey
D Karatovic Physics department, Faculty of science, University of Zagreb, Zagreb, Croatia
O Karavichev Affiliated with an institute covered by a cooperation agreement with CERN
T Karavicheva Affiliated with an institute covered by a cooperation agreement with CERN
P Karczmarczyk Warsaw University of Technology, Warsaw, Poland
E Karpechev Affiliated with an institute covered by a cooperation agreement with CERN
U Kebschull Johann-Wolfgang-Goethe Universität Frankfurt Institut für Informatik, Fachbereich Informatik und Mathematik, Frankfurt, Germany
R Keidel Zentrum für Technologie und Transfer (ZTT), Worms, Germany
D L D Keijdener Institute for Gravitational and Subatomic Physics (GRASP), Utrecht University/Nikhef, Utrecht, Netherlands
M Keil European Organization for Nuclear Research (CERN), Geneva, Switzerland
B Ketzer Helmholtz-Institut für Strahlen- und Kernphysik, Rheinische Friedrich-Wilhelms-Universität Bonn, Bonn, Germany
A M Khan Central China Normal University, Wuhan, China
S Khan Department of Physics, Aligarh Muslim University, Aligarh, India
A Khanzadeev Affiliated with an institute covered by a cooperation agreement with CERN
Y Kharlov Affiliated with an institute covered by a cooperation agreement with CERN
A Khatun Department of Physics, Aligarh Muslim University, Aligarh, India University of Kansas, Lawrence, Kansas, USA
A Khuntia The Henryk Niewodniczanski Institute of Nuclear Physics, Polish Academy of Sciences, Cracow, Poland
M B Kidson University of Cape Town, Cape Town, South Africa
B Kileng Faculty of Engineering and Science, Western Norway University of Applied Sciences, Bergen, Norway
B Kim Department of Physics, Pusan National University, Pusan, Republic of Korea
C Kim Department of Physics, Pusan National University, Pusan, Republic of Korea
D J Kim University of Jyväskylä, Jyväskylä, Finland
E J Kim Jeonbuk National University, Jeonju, Republic of Korea
J Kim Yonsei University, Seoul, Republic of Korea
J S Kim Gangneung-Wonju National University, Gangneung, Republic of Korea
J Kim Physikalisches Institut, Ruprecht-Karls-Universität Heidelberg, Heidelberg, Germany
J Kim Jeonbuk National University, Jeonju, Republic of Korea
M Kim Department of Physics, University of California, Berkeley, California, USA Physikalisches Institut, Ruprecht-Karls-Universität Heidelberg, Heidelberg, Germany
S Kim Department of Physics, Sejong University, Seoul, Republic of Korea
T Kim Yonsei University, Seoul, Republic of Korea
K Kimura Physics Program and International Institute for Sustainability with Knotted Chiral Meta Matter (SKCM2), Hiroshima University, Hiroshima, Japan
S Kirsch Institut für Kernphysik, Johann Wolfgang Goethe-Universität Frankfurt, Frankfurt, Germany
I Kisel Frankfurt Institute for Advanced Studies, Johann Wolfgang Goethe-Universität Frankfurt, Frankfurt, Germany
S Kiselev Affiliated with an institute covered by a cooperation agreement with CERN
A Kisiel Warsaw University of Technology, Warsaw, Poland
J P Kitowski AGH University of Science and Technology, Cracow, Poland
J L Klay California Polytechnic State University, San Luis Obispo, California, USA
J Klein European Organization for Nuclear Research (CERN), Geneva, Switzerland
S Klein Lawrence Berkeley National Laboratory, Berkeley, California, USA
C Klein-Bösing Westfälische Wilhelms-Universität Münster, Institut für Kernphysik, Munster, Germany
M Kleiner Institut für Kernphysik, Johann Wolfgang Goethe-Universität Frankfurt, Frankfurt, Germany
T Klemenz Physik Department, Technische Universität München, Munich, Germany
A Kluge European Organization for Nuclear Research (CERN), Geneva, Switzerland
A G Knospe University of Houston, Houston, Texas, USA
C Kobdaj Suranaree University of Technology, Nakhon Ratchasima, Thailand
T Kollegger Research Division and ExtreMe Matter Institute EMMI, GSI Helmholtzzentrum für Schwerionenforschung GmbH, Darmstadt, Germany
A Kondratyev Affiliated with an international laboratory covered by a cooperation agreement with CERN
E Kondratyuk Affiliated with an institute covered by a cooperation agreement with CERN
J Konig Institut für Kernphysik, Johann Wolfgang Goethe-Universität Frankfurt, Frankfurt, Germany
S A Konigstorfer Physik Department, Technische Universität München, Munich, Germany
P J Konopka European Organization for Nuclear Research (CERN), Geneva, Switzerland
G Kornakov Warsaw University of Technology, Warsaw, Poland
S D Koryciak AGH University of Science and Technology, Cracow, Poland
A Kotliarov Nuclear Physics Institute of the Czech Academy of Sciences, Husinec-Řež, Czech Republic
V Kovalenko Affiliated with an institute covered by a cooperation agreement with CERN
M Kowalski The Henryk Niewodniczanski Institute of Nuclear Physics, Polish Academy of Sciences, Cracow, Poland
V Kozhuharov Faculty of Physics, Sofia University, Sofia, Bulgaria
I Králik Institute of Experimental Physics, Slovak Academy of Sciences, Košice, Slovak Republic
A Kravčáková Faculty of Science, P.J. Šafárik University, Košice, Slovak Republic
L Kreis Research Division and ExtreMe Matter Institute EMMI, GSI Helmholtzzentrum für Schwerionenforschung GmbH, Darmstadt, Germany
M Krivda Institute of Experimental Physics, Slovak Academy of Sciences, Košice, Slovak Republic School of Physics and Astronomy, University of Birmingham, Birmingham, United Kingdom
F Krizek Nuclear Physics Institute of the Czech Academy of Sciences, Husinec-Řež, Czech Republic
K Krizkova Gajdosova Faculty of Nuclear Sciences and Physical Engineering, Czech Technical University in Prague, Prague, Czech Republic
M Kroesen Physikalisches Institut, Ruprecht-Karls-Universität Heidelberg, Heidelberg, Germany
M Krüger Institut für Kernphysik, Johann Wolfgang Goethe-Universität Frankfurt, Frankfurt, Germany
D M Krupova Faculty of Nuclear Sciences and Physical Engineering, Czech Technical University in Prague, Prague, Czech Republic
E Kryshen Affiliated with an institute covered by a cooperation agreement with CERN
V Kučera European Organization for Nuclear Research (CERN), Geneva, Switzerland
C Kuhn Université de Strasbourg, CNRS, IPHC UMR 7178, F-67000 Strasbourg, France, Strasbourg, France
P G Kuijer Nikhef, National institute for subatomic physics, Amsterdam, Netherlands
T Kumaoka University of Tsukuba, Tsukuba, Japan
D Kumar Variable Energy Cyclotron Centre, Homi Bhabha National Institute, Kolkata, India
L Kumar Physics Department, Panjab University, Chandigarh, India
N Kumar Physics Department, Panjab University, Chandigarh, India
S Kumar Dipartimento Interateneo di Fisica 'M. Merlin' and Sezione INFN, Bari, Italy
S Kundu European Organization for Nuclear Research (CERN), Geneva, Switzerland
P Kurashvili National Centre for Nuclear Research, Warsaw, Poland
A Kurepin Affiliated with an institute covered by a cooperation agreement with CERN
A B Kurepin Affiliated with an institute covered by a cooperation agreement with CERN
A Kuryakin Affiliated with an institute covered by a cooperation agreement with CERN
S Kushpil Nuclear Physics Institute of the Czech Academy of Sciences, Husinec-Řež, Czech Republic
J Kvapil School of Physics and Astronomy, University of Birmingham, Birmingham, United Kingdom
M J Kweon Inha University, Incheon, Republic of Korea
J Y Kwon Inha University, Incheon, Republic of Korea
Y Kwon Yonsei University, Seoul, Republic of Korea
S L La Pointe Frankfurt Institute for Advanced Studies, Johann Wolfgang Goethe-Universität Frankfurt, Frankfurt, Germany
P La Rocca Dipartimento di Fisica e Astronomia dell'Università and Sezione INFN, Catania, Italy
Y S Lai Lawrence Berkeley National Laboratory, Berkeley, California, USA
A Lakrathok Suranaree University of Technology, Nakhon Ratchasima, Thailand
M Lamanna European Organization for Nuclear Research (CERN), Geneva, Switzerland
R Langoy University of South-Eastern Norway, Kongsberg, Norway
P Larionov European Organization for Nuclear Research (CERN), Geneva, Switzerland
E Laudi European Organization for Nuclear Research (CERN), Geneva, Switzerland
L Lautner European Organization for Nuclear Research (CERN), Geneva, Switzerland Physik Department, Technische Universität München, Munich, Germany
R Lavicka Stefan Meyer Institut für Subatomare Physik (SMI), Vienna, Austria
T Lazareva Affiliated with an institute covered by a cooperation agreement with CERN
R Lea INFN, Sezione di Pavia, Pavia, Italy Università di Brescia, Brescia, Italy
H Lee Sungkyunkwan University, Suwon City, Republic of Korea
G Legras Westfälische Wilhelms-Universität Münster, Institut für Kernphysik, Munster, Germany
J Lehrbach Frankfurt Institute for Advanced Studies, Johann Wolfgang Goethe-Universität Frankfurt, Frankfurt, Germany
R C Lemmon Nuclear Physics Group, STFC Daresbury Laboratory, Daresbury, United Kingdom
I León Monzón Universidad Autónoma de Sinaloa, Culiacan, Mexico
M M Lesch Physik Department, Technische Universität München, Munich, Germany
E D Lesser Department of Physics, University of California, Berkeley, California, USA
M Lettrich Physik Department, Technische Universität München, Munich, Germany
P Lévai Wigner Research Centre for Physics, Budapest, Hungary
X Li China Institute of Atomic Energy, Beijing, China
X L Li Central China Normal University, Wuhan, China
J Lien University of South-Eastern Norway, Kongsberg, Norway
R Lietava School of Physics and Astronomy, University of Birmingham, Birmingham, United Kingdom
B Lim Department of Physics, Pusan National University, Pusan, Republic of Korea Dipartimento di Fisica dell'Università and Sezione INFN, Turin, Italy
S H Lim Department of Physics, Pusan National University, Pusan, Republic of Korea
V Lindenstruth Frankfurt Institute for Advanced Studies, Johann Wolfgang Goethe-Universität Frankfurt, Frankfurt, Germany
A Lindner Horia Hulubei National Institute of Physics and Nuclear Engineering, Bucharest, Romania
C Lippmann Research Division and ExtreMe Matter Institute EMMI, GSI Helmholtzzentrum für Schwerionenforschung GmbH, Darmstadt, Germany
A Liu Department of Physics, University of California, Berkeley, California, USA
D H Liu Central China Normal University, Wuhan, China
J Liu University of Liverpool, Liverpool, United Kingdom
I M Lofnes Department of Physics and Technology, University of Bergen, Bergen, Norway
C Loizides Oak Ridge National Laboratory, Oak Ridge, Tennessee, USA
S Lokos The Henryk Niewodniczanski Institute of Nuclear Physics, Polish Academy of Sciences, Cracow, Poland
P Loncar Faculty of Electrical Engineering, Mechanical Engineering and Naval Architecture, University of Split, Split, Croatia
J A Lopez Physikalisches Institut, Ruprecht-Karls-Universität Heidelberg, Heidelberg, Germany
X Lopez Université Clermont Auvergne, CNRS/IN2P3, LPC, Clermont-Ferrand, France
E López Torres Centro de Aplicaciones Tecnológicas y Desarrollo Nuclear (CEADEN), Havana, Cuba
P Lu Research Division and ExtreMe Matter Institute EMMI, GSI Helmholtzzentrum für Schwerionenforschung GmbH, Darmstadt, Germany University of Science and Technology of China, Hefei, China
J R Luhder Westfälische Wilhelms-Universität Münster, Institut für Kernphysik, Munster, Germany
M Lunardon Dipartimento di Fisica e Astronomia dell'Università and Sezione INFN, Padova, Italy
G Luparello INFN, Sezione di Trieste, Trieste, Italy
Y G Ma Fudan University, Shanghai, China
A Maevskaya Affiliated with an institute covered by a cooperation agreement with CERN
M Mager European Organization for Nuclear Research (CERN), Geneva, Switzerland
T Mahmoud Helmholtz-Institut für Strahlen- und Kernphysik, Rheinische Friedrich-Wilhelms-Universität Bonn, Bonn, Germany
A Maire Université de Strasbourg, CNRS, IPHC UMR 7178, F-67000 Strasbourg, France, Strasbourg, France
M V Makariev Faculty of Physics, Sofia University, Sofia, Bulgaria
M Malaev Affiliated with an institute covered by a cooperation agreement with CERN
G Malfattore Dipartimento di Fisica e Astronomia dell'Università and Sezione INFN, Bologna, Italy
N M Malik Physics Department, University of Jammu, Jammu, India
Q W Malik Department of Physics, University of Oslo, Oslo, Norway
S K Malik Physics Department, University of Jammu, Jammu, India
L Malinina Affiliated with an international laboratory covered by a cooperation agreement with CERN
D Mal'Kevich Affiliated with an institute covered by a cooperation agreement with CERN
D Mallick National Institute of Science Education and Research, Homi Bhabha National Institute, Jatni, India
N Mallick Indian Institute of Technology Indore, Indore, India
G Mandaglio Dipartimento di Scienze MIFT, Università di Messina, Messina, Italy INFN, Sezione di Catania, Catania, Italy
V Manko Affiliated with an institute covered by a cooperation agreement with CERN
F Manso Université Clermont Auvergne, CNRS/IN2P3, LPC, Clermont-Ferrand, France
V Manzari INFN, Sezione di Bari, Bari, Italy
Y Mao Central China Normal University, Wuhan, China
G V Margagliotti Dipartimento di Fisica dell'Università and Sezione INFN, Trieste, Italy
A Margotti INFN, Sezione di Bologna, Bologna, Italy
A Marín Research Division and ExtreMe Matter Institute EMMI, GSI Helmholtzzentrum für Schwerionenforschung GmbH, Darmstadt, Germany
C Markert The University of Texas at Austin, Austin, Texas, USA
P Martinengo European Organization for Nuclear Research (CERN), Geneva, Switzerland
J L Martinez University of Houston, Houston, Texas, USA
M I Martínez High Energy Physics Group, Universidad Autónoma de Puebla, Puebla, Mexico
G Martínez García SUBATECH, IMT Atlantique, Nantes Université, CNRS-IN2P3, Nantes, France
S Masciocchi Research Division and ExtreMe Matter Institute EMMI, GSI Helmholtzzentrum für Schwerionenforschung GmbH, Darmstadt, Germany
M Masera Dipartimento di Fisica dell'Università and Sezione INFN, Turin, Italy
A Masoni INFN, Sezione di Cagliari, Cagliari, Italy
L Massacrier Laboratoire de Physique des 2 Infinis, Irène Joliot-Curie, Orsay, France
A Mastroserio INFN, Sezione di Bari, Bari, Italy Università degli Studi di Foggia, Foggia, Italy
A M Mathis Physik Department, Technische Universität München, Munich, Germany
O Matonoha Lund University Department of Physics, Division of Particle Physics, Lund, Sweden
P F T Matuoka Universidade de São Paulo (USP), São Paulo, Brazil
A Matyja The Henryk Niewodniczanski Institute of Nuclear Physics, Polish Academy of Sciences, Cracow, Poland
C Mayer The Henryk Niewodniczanski Institute of Nuclear Physics, Polish Academy of Sciences, Cracow, Poland
A L Mazuecos European Organization for Nuclear Research (CERN), Geneva, Switzerland
F Mazzaschi Dipartimento di Fisica dell'Università and Sezione INFN, Turin, Italy
M Mazzilli European Organization for Nuclear Research (CERN), Geneva, Switzerland
J E Mdhluli University of the Witwatersrand, Johannesburg, South Africa
A F Mechler Institut für Kernphysik, Johann Wolfgang Goethe-Universität Frankfurt, Frankfurt, Germany
Y Melikyan Helsinki Institute of Physics (HIP), Helsinki, Finland Affiliated with an institute covered by a cooperation agreement with CERN
A Menchaca-Rocha Instituto de Física, Universidad Nacional Autónoma de México, Mexico City, Mexico
E Meninno Dipartimento di Fisica 'E.R. Caianiello' dell' Università and Gruppo Collegato INFN, Salerno, Italy Stefan Meyer Institut für Subatomare Physik (SMI), Vienna, Austria
A S Menon University of Houston, Houston, Texas, USA
M Meres Comenius University Bratislava, Faculty of Mathematics, Physics and Informatics, Bratislava, Slovak Republic
S Mhlanga iThemba LABS, National Research Foundation, Somerset West, South Africa University of Cape Town, Cape Town, South Africa
Y Miake University of Tsukuba, Tsukuba, Japan
L Micheletti INFN, Sezione di Torino, Turin, Italy
L C Migliorin Université de Lyon, CNRS/IN2P3, Institut de Physique des 2 Infinis de Lyon, Lyon, France
D L Mihaylov Physik Department, Technische Universität München, Munich, Germany
K Mikhaylov Affiliated with an institute covered by a cooperation agreement with CERN Affiliated with an international laboratory covered by a cooperation agreement with CERN
A N Mishra Wigner Research Centre for Physics, Budapest, Hungary
D Miśkowiec Research Division and ExtreMe Matter Institute EMMI, GSI Helmholtzzentrum für Schwerionenforschung GmbH, Darmstadt, Germany
A Modak Bose Institute, Department of Physics, and Centre for Astroparticle Physics and Space Science (CAPSS), Kolkata, India
A P Mohanty Institute for Gravitational and Subatomic Physics (GRASP), Utrecht University/Nikhef, Utrecht, Netherlands
B Mohanty National Institute of Science Education and Research, Homi Bhabha National Institute, Jatni, India
M Mohisin Khan Department of Physics, Aligarh Muslim University, Aligarh, India
M A Molander Helsinki Institute of Physics (HIP), Helsinki, Finland
Z Moravcova Niels Bohr Institute, University of Copenhagen, Copenhagen, Denmark
C Mordasini Physik Department, Technische Universität München, Munich, Germany
D A Moreira De Godoy Westfälische Wilhelms-Universität Münster, Institut für Kernphysik, Munster, Germany
I Morozov Affiliated with an institute covered by a cooperation agreement with CERN
A Morsch European Organization for Nuclear Research (CERN), Geneva, Switzerland
T Mrnjavac European Organization for Nuclear Research (CERN), Geneva, Switzerland
V Muccifora INFN, Laboratori Nazionali di Frascati, Frascati, Italy
S Muhuri Variable Energy Cyclotron Centre, Homi Bhabha National Institute, Kolkata, India
J D Mulligan Lawrence Berkeley National Laboratory, Berkeley, California, USA
A Mulliri Dipartimento di Fisica dell'Università and Sezione INFN, Cagliari, Italy
M G Munhoz Universidade de São Paulo (USP), São Paulo, Brazil
R H Munzer Institut für Kernphysik, Johann Wolfgang Goethe-Universität Frankfurt, Frankfurt, Germany
H Murakami University of Tokyo, Tokyo, Japan
S Murray University of Cape Town, Cape Town, South Africa
L Musa European Organization for Nuclear Research (CERN), Geneva, Switzerland
J Musinsky Institute of Experimental Physics, Slovak Academy of Sciences, Košice, Slovak Republic
J W Myrcha Warsaw University of Technology, Warsaw, Poland
B Naik University of the Witwatersrand, Johannesburg, South Africa
A I Nambrath Department of Physics, University of California, Berkeley, California, USA
B K Nandi Indian Institute of Technology Bombay (IIT), Mumbai, India
R Nania INFN, Sezione di Bologna, Bologna, Italy
E Nappi INFN, Sezione di Bari, Bari, Italy
A F Nassirpour Lund University Department of Physics, Division of Particle Physics, Lund, Sweden
A Nath Physikalisches Institut, Ruprecht-Karls-Universität Heidelberg, Heidelberg, Germany
C Nattrass University of Tennessee, Knoxville, Tennessee, USA
M N Naydenov Faculty of Physics, Sofia University, Sofia, Bulgaria
A Neagu Department of Physics, University of Oslo, Oslo, Norway
A Negru University Politehnica of Bucharest, Bucharest, Romania
L Nellen Instituto de Ciencias Nucleares, Universidad Nacional Autónoma de México, Mexico City, Mexico
S V Nesbo Faculty of Engineering and Science, Western Norway University of Applied Sciences, Bergen, Norway
G Neskovic Frankfurt Institute for Advanced Studies, Johann Wolfgang Goethe-Universität Frankfurt, Frankfurt, Germany
D Nesterov Affiliated with an institute covered by a cooperation agreement with CERN
B S Nielsen Niels Bohr Institute, University of Copenhagen, Copenhagen, Denmark
E G Nielsen Niels Bohr Institute, University of Copenhagen, Copenhagen, Denmark
S Nikolaev Affiliated with an institute covered by a cooperation agreement with CERN
S Nikulin Affiliated with an institute covered by a cooperation agreement with CERN
V Nikulin Affiliated with an institute covered by a cooperation agreement with CERN
F Noferini INFN, Sezione di Bologna, Bologna, Italy
S Noh Chungbuk National University, Cheongju, Republic of Korea
P Nomokonov Affiliated with an international laboratory covered by a cooperation agreement with CERN
J Norman University of Liverpool, Liverpool, United Kingdom
N Novitzky University of Tsukuba, Tsukuba, Japan
P Nowakowski Warsaw University of Technology, Warsaw, Poland
A Nyanin Affiliated with an institute covered by a cooperation agreement with CERN
J Nystrand Department of Physics and Technology, University of Bergen, Bergen, Norway
M Ogino Nagasaki Institute of Applied Science, Nagasaki, Japan
A Ohlson Lund University Department of Physics, Division of Particle Physics, Lund, Sweden
V A Okorokov Affiliated with an institute covered by a cooperation agreement with CERN
J Oleniacz Warsaw University of Technology, Warsaw, Poland
A C Oliveira Da Silva University of Tennessee, Knoxville, Tennessee, USA
M H Oliver Yale University, New Haven, Connecticut, USA
A Onnerstad University of Jyväskylä, Jyväskylä, Finland
C Oppedisano INFN, Sezione di Torino, Turin, Italy
A Ortiz Velasquez Instituto de Ciencias Nucleares, Universidad Nacional Autónoma de México, Mexico City, Mexico
J Otwinowski The Henryk Niewodniczanski Institute of Nuclear Physics, Polish Academy of Sciences, Cracow, Poland
M Oya Physics Program and International Institute for Sustainability with Knotted Chiral Meta Matter (SKCM2), Hiroshima University, Hiroshima, Japan
K Oyama Nagasaki Institute of Applied Science, Nagasaki, Japan
Y Pachmayer Physikalisches Institut, Ruprecht-Karls-Universität Heidelberg, Heidelberg, Germany
S Padhan Indian Institute of Technology Bombay (IIT), Mumbai, India
D Pagano INFN, Sezione di Pavia, Pavia, Italy Università di Brescia, Brescia, Italy
G Paić Instituto de Ciencias Nucleares, Universidad Nacional Autónoma de México, Mexico City, Mexico
A Palasciano INFN, Sezione di Bari, Bari, Italy
S Panebianco Université Paris-Saclay Centre d'Etudes de Saclay (CEA), IRFU, Départment de Physique Nucléaire (DPhN), Saclay, France
H Park University of Tsukuba, Tsukuba, Japan
H Park Sungkyunkwan University, Suwon City, Republic of Korea
J Park Inha University, Incheon, Republic of Korea
J E Parkkila European Organization for Nuclear Research (CERN), Geneva, Switzerland
R N Patra Physics Department, University of Jammu, Jammu, India
B Paul Dipartimento di Fisica dell'Università and Sezione INFN, Cagliari, Italy
H Pei Central China Normal University, Wuhan, China
T Peitzmann Institute for Gravitational and Subatomic Physics (GRASP), Utrecht University/Nikhef, Utrecht, Netherlands
X Peng Central China Normal University, Wuhan, China
M Pennisi Dipartimento di Fisica dell'Università and Sezione INFN, Turin, Italy
L G Pereira Instituto de Física, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Brazil
D Peresunko Affiliated with an institute covered by a cooperation agreement with CERN
G M Perez Centro de Aplicaciones Tecnológicas y Desarrollo Nuclear (CEADEN), Havana, Cuba
S Perrin Université Paris-Saclay Centre d'Etudes de Saclay (CEA), IRFU, Départment de Physique Nucléaire (DPhN), Saclay, France
Y Pestov Affiliated with an institute covered by a cooperation agreement with CERN
V Petráček Faculty of Nuclear Sciences and Physical Engineering, Czech Technical University in Prague, Prague, Czech Republic
V Petrov Affiliated with an institute covered by a cooperation agreement with CERN
M Petrovici Horia Hulubei National Institute of Physics and Nuclear Engineering, Bucharest, Romania
R P Pezzi Instituto de Física, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Brazil SUBATECH, IMT Atlantique, Nantes Université, CNRS-IN2P3, Nantes, France
S Piano INFN, Sezione di Trieste, Trieste, Italy
M Pikna Comenius University Bratislava, Faculty of Mathematics, Physics and Informatics, Bratislava, Slovak Republic
P Pillot SUBATECH, IMT Atlantique, Nantes Université, CNRS-IN2P3, Nantes, France
O Pinazza European Organization for Nuclear Research (CERN), Geneva, Switzerland INFN, Sezione di Bologna, Bologna, Italy
L Pinsky University of Houston, Houston, Texas, USA
C Pinto Physik Department, Technische Universität München, Munich, Germany
S Pisano INFN, Laboratori Nazionali di Frascati, Frascati, Italy
M Płoskoń Lawrence Berkeley National Laboratory, Berkeley, California, USA
M Planinic Physics department, Faculty of science, University of Zagreb, Zagreb, Croatia
F Pliquett Institut für Kernphysik, Johann Wolfgang Goethe-Universität Frankfurt, Frankfurt, Germany
M G Poghosyan Oak Ridge National Laboratory, Oak Ridge, Tennessee, USA
B Polichtchouk Affiliated with an institute covered by a cooperation agreement with CERN
S Politano Dipartimento DISAT del Politecnico and Sezione INFN, Turin, Italy
N Poljak Physics department, Faculty of science, University of Zagreb, Zagreb, Croatia
A Pop Horia Hulubei National Institute of Physics and Nuclear Engineering, Bucharest, Romania
S Porteboeuf-Houssais Université Clermont Auvergne, CNRS/IN2P3, LPC, Clermont-Ferrand, France
V Pozdniakov Affiliated with an international laboratory covered by a cooperation agreement with CERN
K K Pradhan Indian Institute of Technology Indore, Indore, India
S K Prasad Bose Institute, Department of Physics, and Centre for Astroparticle Physics and Space Science (CAPSS), Kolkata, India
S Prasad Indian Institute of Technology Indore, Indore, India
R Preghenella INFN, Sezione di Bologna, Bologna, Italy
F Prino INFN, Sezione di Torino, Turin, Italy
C A Pruneau Wayne State University, Detroit, Michigan, USA
I Pshenichnov Affiliated with an institute covered by a cooperation agreement with CERN
M Puccio European Organization for Nuclear Research (CERN), Geneva, Switzerland
S Pucillo Dipartimento di Fisica dell'Università and Sezione INFN, Turin, Italy
Z Pugelova Technical University of Košice, Košice, Slovak Republic
S Qiu Nikhef, National institute for subatomic physics, Amsterdam, Netherlands
L Quaglia Dipartimento di Fisica dell'Università and Sezione INFN, Turin, Italy
R E Quishpe University of Houston, Houston, Texas, USA
S Ragoni Creighton University, Omaha, Nebraska, USA School of Physics and Astronomy, University of Birmingham, Birmingham, United Kingdom
A Rakotozafindrabe Université Paris-Saclay Centre d'Etudes de Saclay (CEA), IRFU, Départment de Physique Nucléaire (DPhN), Saclay, France
L Ramello INFN, Sezione di Torino, Turin, Italy Università del Piemonte Orientale, Vercelli, Italy
F Rami Université de Strasbourg, CNRS, IPHC UMR 7178, F-67000 Strasbourg, France, Strasbourg, France
S A R Ramirez High Energy Physics Group, Universidad Autónoma de Puebla, Puebla, Mexico
T A Rancien Laboratoire de Physique Subatomique et de Cosmologie, Université Grenoble-Alpes, CNRS-IN2P3, Grenoble, France
M Rasa Dipartimento di Fisica e Astronomia dell'Università and Sezione INFN, Catania, Italy
S S Räsänen Helsinki Institute of Physics (HIP), Helsinki, Finland
R Rath Indian Institute of Technology Indore, Indore, India INFN, Sezione di Bologna, Bologna, Italy
M P Rauch Department of Physics and Technology, University of Bergen, Bergen, Norway
I Ravasenga Nikhef, National institute for subatomic physics, Amsterdam, Netherlands
K F Read Oak Ridge National Laboratory, Oak Ridge, Tennessee, USA University of Tennessee, Knoxville, Tennessee, USA
C Reckziegel Universidade Federal do ABC, Santo Andre, Brazil
A R Redelbach Frankfurt Institute for Advanced Studies, Johann Wolfgang Goethe-Universität Frankfurt, Frankfurt, Germany
K Redlich National Centre for Nuclear Research, Warsaw, Poland
A Rehman Department of Physics and Technology, University of Bergen, Bergen, Norway
F Reidt European Organization for Nuclear Research (CERN), Geneva, Switzerland
H A Reme-Ness Faculty of Engineering and Science, Western Norway University of Applied Sciences, Bergen, Norway
Z Rescakova Faculty of Science, P.J. Šafárik University, Košice, Slovak Republic
K Reygers Physikalisches Institut, Ruprecht-Karls-Universität Heidelberg, Heidelberg, Germany
A Riabov Affiliated with an institute covered by a cooperation agreement with CERN
V Riabov Affiliated with an institute covered by a cooperation agreement with CERN
R Ricci Dipartimento di Fisica 'E.R. Caianiello' dell' Università and Gruppo Collegato INFN, Salerno, Italy
M Richter Department of Physics, University of Oslo, Oslo, Norway
A A Riedel Physik Department, Technische Universität München, Munich, Germany
W Riegler European Organization for Nuclear Research (CERN), Geneva, Switzerland
C Ristea Institute of Space Science (ISS), Bucharest, Romania
M Rodríguez Cahuantzi High Energy Physics Group, Universidad Autónoma de Puebla, Puebla, Mexico
K Røed Department of Physics, University of Oslo, Oslo, Norway
R Rogalev Affiliated with an institute covered by a cooperation agreement with CERN
E Rogochaya Affiliated with an international laboratory covered by a cooperation agreement with CERN
T S Rogoschinski Institut für Kernphysik, Johann Wolfgang Goethe-Universität Frankfurt, Frankfurt, Germany
D Rohr European Organization for Nuclear Research (CERN), Geneva, Switzerland
D Röhrich Department of Physics and Technology, University of Bergen, Bergen, Norway
P F Rojas High Energy Physics Group, Universidad Autónoma de Puebla, Puebla, Mexico
S Rojas Torres Faculty of Nuclear Sciences and Physical Engineering, Czech Technical University in Prague, Prague, Czech Republic
P S Rokita Warsaw University of Technology, Warsaw, Poland
G Romanenko Affiliated with an international laboratory covered by a cooperation agreement with CERN
F Ronchetti INFN, Laboratori Nazionali di Frascati, Frascati, Italy
A Rosano Dipartimento di Scienze MIFT, Università di Messina, Messina, Italy INFN, Sezione di Catania, Catania, Italy
E D Rosas Instituto de Ciencias Nucleares, Universidad Nacional Autónoma de México, Mexico City, Mexico
A Rossi INFN, Sezione di Padova, Padova, Italy
A Roy Indian Institute of Technology Indore, Indore, India
S Roy Indian Institute of Technology Bombay (IIT), Mumbai, India
N Rubini Dipartimento di Fisica e Astronomia dell'Università and Sezione INFN, Bologna, Italy
O V Rueda Lund University Department of Physics, Division of Particle Physics, Lund, Sweden University of Houston, Houston, Texas, USA
D Ruggiano Warsaw University of Technology, Warsaw, Poland
R Rui Dipartimento di Fisica dell'Università and Sezione INFN, Trieste, Italy
B Rumyantsev Affiliated with an international laboratory covered by a cooperation agreement with CERN
P G Russek AGH University of Science and Technology, Cracow, Poland
R Russo Nikhef, National institute for subatomic physics, Amsterdam, Netherlands
A Rustamov National Nuclear Research Center, Baku, Azerbaijan
E Ryabinkin Affiliated with an institute covered by a cooperation agreement with CERN
Y Ryabov Affiliated with an institute covered by a cooperation agreement with CERN
A Rybicki The Henryk Niewodniczanski Institute of Nuclear Physics, Polish Academy of Sciences, Cracow, Poland
H Rytkonen University of Jyväskylä, Jyväskylä, Finland
W Rzesa Warsaw University of Technology, Warsaw, Poland
O A M Saarimaki Helsinki Institute of Physics (HIP), Helsinki, Finland
R Sadek SUBATECH, IMT Atlantique, Nantes Université, CNRS-IN2P3, Nantes, France
S Sadhu Dipartimento Interateneo di Fisica 'M. Merlin' and Sezione INFN, Bari, Italy
S Sadovsky Affiliated with an institute covered by a cooperation agreement with CERN
J Saetre Department of Physics and Technology, University of Bergen, Bergen, Norway
K Šafařík Faculty of Nuclear Sciences and Physical Engineering, Czech Technical University in Prague, Prague, Czech Republic
S K Saha Bose Institute, Department of Physics, and Centre for Astroparticle Physics and Space Science (CAPSS), Kolkata, India
S Saha National Institute of Science Education and Research, Homi Bhabha National Institute, Jatni, India
B Sahoo Indian Institute of Technology Bombay (IIT), Mumbai, India
R Sahoo Indian Institute of Technology Indore, Indore, India
S Sahoo Institute of Physics, Homi Bhabha National Institute, Bhubaneswar, India
D Sahu Indian Institute of Technology Indore, Indore, India
P K Sahu Institute of Physics, Homi Bhabha National Institute, Bhubaneswar, India
J Saini Variable Energy Cyclotron Centre, Homi Bhabha National Institute, Kolkata, India
K Sajdakova Faculty of Science, P.J. Šafárik University, Košice, Slovak Republic
S Sakai University of Tsukuba, Tsukuba, Japan
M P Salvan Research Division and ExtreMe Matter Institute EMMI, GSI Helmholtzzentrum für Schwerionenforschung GmbH, Darmstadt, Germany
S Sambyal Physics Department, University of Jammu, Jammu, India
I Sanna European Organization for Nuclear Research (CERN), Geneva, Switzerland Physik Department, Technische Universität München, Munich, Germany
T B Saramela Universidade de São Paulo (USP), São Paulo, Brazil
D Sarkar Wayne State University, Detroit, Michigan, USA
N Sarkar Variable Energy Cyclotron Centre, Homi Bhabha National Institute, Kolkata, India
P Sarma Gauhati University, Department of Physics, Guwahati, India
V Sarritzu Dipartimento di Fisica dell'Università and Sezione INFN, Cagliari, Italy
V M Sarti Physik Department, Technische Universität München, Munich, Germany
M H P Sas Yale University, New Haven, Connecticut, USA
J Schambach Oak Ridge National Laboratory, Oak Ridge, Tennessee, USA
H S Scheid Institut für Kernphysik, Johann Wolfgang Goethe-Universität Frankfurt, Frankfurt, Germany
C Schiaua Horia Hulubei National Institute of Physics and Nuclear Engineering, Bucharest, Romania
R Schicker Physikalisches Institut, Ruprecht-Karls-Universität Heidelberg, Heidelberg, Germany
A Schmah Physikalisches Institut, Ruprecht-Karls-Universität Heidelberg, Heidelberg, Germany
C Schmidt Research Division and ExtreMe Matter Institute EMMI, GSI Helmholtzzentrum für Schwerionenforschung GmbH, Darmstadt, Germany
H R Schmidt Physikalisches Institut, Eberhard-Karls-Universität Tübingen, Tubingen, Germany
M O Schmidt European Organization for Nuclear Research (CERN), Geneva, Switzerland
M Schmidt Physikalisches Institut, Eberhard-Karls-Universität Tübingen, Tubingen, Germany
N V Schmidt Oak Ridge National Laboratory, Oak Ridge, Tennessee, USA
A R Schmier University of Tennessee, Knoxville, Tennessee, USA
R Schotter Université de Strasbourg, CNRS, IPHC UMR 7178, F-67000 Strasbourg, France, Strasbourg, France
A Schröter Frankfurt Institute for Advanced Studies, Johann Wolfgang Goethe-Universität Frankfurt, Frankfurt, Germany
J Schukraft European Organization for Nuclear Research (CERN), Geneva, Switzerland
K Schwarz Research Division and ExtreMe Matter Institute EMMI, GSI Helmholtzzentrum für Schwerionenforschung GmbH, Darmstadt, Germany
K Schweda Research Division and ExtreMe Matter Institute EMMI, GSI Helmholtzzentrum für Schwerionenforschung GmbH, Darmstadt, Germany
G Scioli Dipartimento di Fisica e Astronomia dell'Università and Sezione INFN, Bologna, Italy
E Scomparin INFN, Sezione di Torino, Turin, Italy
J E Seger Creighton University, Omaha, Nebraska, USA
Y Sekiguchi University of Tokyo, Tokyo, Japan
D Sekihata University of Tokyo, Tokyo, Japan
I Selyuzhenkov Research Division and ExtreMe Matter Institute EMMI, GSI Helmholtzzentrum für Schwerionenforschung GmbH, Darmstadt, Germany Affiliated with an institute covered by a cooperation agreement with CERN
S Senyukov Université de Strasbourg, CNRS, IPHC UMR 7178, F-67000 Strasbourg, France, Strasbourg, France
J J Seo Inha University, Incheon, Republic of Korea
D Serebryakov Affiliated with an institute covered by a cooperation agreement with CERN
L Šerkšnytė Physik Department, Technische Universität München, Munich, Germany
A Sevcenco Institute of Space Science (ISS), Bucharest, Romania
T J Shaba iThemba LABS, National Research Foundation, Somerset West, South Africa
A Shabetai SUBATECH, IMT Atlantique, Nantes Université, CNRS-IN2P3, Nantes, France
R Shahoyan European Organization for Nuclear Research (CERN), Geneva, Switzerland
A Shangaraev Affiliated with an institute covered by a cooperation agreement with CERN
A Sharma Physics Department, Panjab University, Chandigarh, India
D Sharma Indian Institute of Technology Bombay (IIT), Mumbai, India
H Sharma The Henryk Niewodniczanski Institute of Nuclear Physics, Polish Academy of Sciences, Cracow, Poland
M Sharma Physics Department, University of Jammu, Jammu, India
S Sharma Nagasaki Institute of Applied Science, Nagasaki, Japan
S Sharma Physics Department, University of Jammu, Jammu, India
U Sharma Physics Department, University of Jammu, Jammu, India
A Shatat Laboratoire de Physique des 2 Infinis, Irène Joliot-Curie, Orsay, France
O Sheibani University of Houston, Houston, Texas, USA
K Shigaki Physics Program and International Institute for Sustainability with Knotted Chiral Meta Matter (SKCM2), Hiroshima University, Hiroshima, Japan
M Shimomura Nara Women's University (NWU), Nara, Japan
J Shin Chungbuk National University, Cheongju, Republic of Korea
S Shirinkin Affiliated with an institute covered by a cooperation agreement with CERN
Q Shou Fudan University, Shanghai, China
Y Sibiriak Affiliated with an institute covered by a cooperation agreement with CERN
S Siddhanta INFN, Sezione di Cagliari, Cagliari, Italy
T Siemiarczuk National Centre for Nuclear Research, Warsaw, Poland
T F Silva Universidade de São Paulo (USP), São Paulo, Brazil
D Silvermyr Lund University Department of Physics, Division of Particle Physics, Lund, Sweden
T Simantathammakul Suranaree University of Technology, Nakhon Ratchasima, Thailand
R Simeonov Faculty of Physics, Sofia University, Sofia, Bulgaria
B Singh Physics Department, University of Jammu, Jammu, India
B Singh Physik Department, Technische Universität München, Munich, Germany
R Singh National Institute of Science Education and Research, Homi Bhabha National Institute, Jatni, India
R Singh Physics Department, University of Jammu, Jammu, India
R Singh Indian Institute of Technology Indore, Indore, India
S Singh Department of Physics, Aligarh Muslim University, Aligarh, India
V K Singh Variable Energy Cyclotron Centre, Homi Bhabha National Institute, Kolkata, India
V Singhal Variable Energy Cyclotron Centre, Homi Bhabha National Institute, Kolkata, India
T Sinha Saha Institute of Nuclear Physics, Homi Bhabha National Institute, Kolkata, India
B Sitar Comenius University Bratislava, Faculty of Mathematics, Physics and Informatics, Bratislava, Slovak Republic
M Sitta INFN, Sezione di Torino, Turin, Italy Università del Piemonte Orientale, Vercelli, Italy
T B Skaali Department of Physics, University of Oslo, Oslo, Norway
G Skorodumovs Physikalisches Institut, Ruprecht-Karls-Universität Heidelberg, Heidelberg, Germany
M Slupecki Helsinki Institute of Physics (HIP), Helsinki, Finland
N Smirnov Yale University, New Haven, Connecticut, USA
R J M Snellings Institute for Gravitational and Subatomic Physics (GRASP), Utrecht University/Nikhef, Utrecht, Netherlands
E H Solheim Department of Physics, University of Oslo, Oslo, Norway
J Song University of Houston, Houston, Texas, USA
A Songmoolnak Suranaree University of Technology, Nakhon Ratchasima, Thailand
F Soramel Dipartimento di Fisica e Astronomia dell'Università and Sezione INFN, Padova, Italy
R Spijkers Nikhef, National institute for subatomic physics, Amsterdam, Netherlands
I Sputowska The Henryk Niewodniczanski Institute of Nuclear Physics, Polish Academy of Sciences, Cracow, Poland
J Staa Lund University Department of Physics, Division of Particle Physics, Lund, Sweden
J Stachel Physikalisches Institut, Ruprecht-Karls-Universität Heidelberg, Heidelberg, Germany
I Stan Institute of Space Science (ISS), Bucharest, Romania
P J Steffanic University of Tennessee, Knoxville, Tennessee, USA
S F Stiefelmaier Physikalisches Institut, Ruprecht-Karls-Universität Heidelberg, Heidelberg, Germany
D Stocco SUBATECH, IMT Atlantique, Nantes Université, CNRS-IN2P3, Nantes, France
I Storehaug Department of Physics, University of Oslo, Oslo, Norway
P Stratmann Westfälische Wilhelms-Universität Münster, Institut für Kernphysik, Munster, Germany
S Strazzi Dipartimento di Fisica e Astronomia dell'Università and Sezione INFN, Bologna, Italy
C P Stylianidis Nikhef, National institute for subatomic physics, Amsterdam, Netherlands
A A P Suaide Universidade de São Paulo (USP), São Paulo, Brazil
C Suire Laboratoire de Physique des 2 Infinis, Irène Joliot-Curie, Orsay, France
M Sukhanov Affiliated with an institute covered by a cooperation agreement with CERN
M Suljic European Organization for Nuclear Research (CERN), Geneva, Switzerland
R Sultanov Affiliated with an institute covered by a cooperation agreement with CERN
V Sumberia Physics Department, University of Jammu, Jammu, India
S Sumowidagdo National Research and Innovation Agency - BRIN, Jakarta, Indonesia
S Swain Institute of Physics, Homi Bhabha National Institute, Bhubaneswar, India
I Szarka Comenius University Bratislava, Faculty of Mathematics, Physics and Informatics, Bratislava, Slovak Republic
S F Taghavi Physik Department, Technische Universität München, Munich, Germany
G Taillepied Research Division and ExtreMe Matter Institute EMMI, GSI Helmholtzzentrum für Schwerionenforschung GmbH, Darmstadt, Germany
J Takahashi Universidade Estadual de Campinas (UNICAMP), Campinas, Brazil
G J Tambave Department of Physics and Technology, University of Bergen, Bergen, Norway
S Tang Central China Normal University, Wuhan, China Université Clermont Auvergne, CNRS/IN2P3, LPC, Clermont-Ferrand, France
Z Tang University of Science and Technology of China, Hefei, China
J D Tapia Takaki University of Kansas, Lawrence, Kansas, USA
N Tapus University Politehnica of Bucharest, Bucharest, Romania
L A Tarasovicova Westfälische Wilhelms-Universität Münster, Institut für Kernphysik, Munster, Germany
M G Tarzila Horia Hulubei National Institute of Physics and Nuclear Engineering, Bucharest, Romania
G F Tassielli Dipartimento Interateneo di Fisica 'M. Merlin' and Sezione INFN, Bari, Italy
A Tauro European Organization for Nuclear Research (CERN), Geneva, Switzerland
G Tejeda Muñoz High Energy Physics Group, Universidad Autónoma de Puebla, Puebla, Mexico
A Telesca European Organization for Nuclear Research (CERN), Geneva, Switzerland
L Terlizzi Dipartimento di Fisica dell'Università and Sezione INFN, Turin, Italy
C Terrevoli University of Houston, Houston, Texas, USA
G Tersimonov Bogolyubov Institute for Theoretical Physics, National Academy of Sciences of Ukraine, Kiev, Ukraine
S Thakur Bose Institute, Department of Physics, and Centre for Astroparticle Physics and Space Science (CAPSS), Kolkata, India
D Thomas The University of Texas at Austin, Austin, Texas, USA
A Tikhonov Affiliated with an institute covered by a cooperation agreement with CERN
A R Timmins University of Houston, Houston, Texas, USA
M Tkacik Technical University of Košice, Košice, Slovak Republic
T Tkacik Technical University of Košice, Košice, Slovak Republic
A Toia Institut für Kernphysik, Johann Wolfgang Goethe-Universität Frankfurt, Frankfurt, Germany
R Tokumoto Physics Program and International Institute for Sustainability with Knotted Chiral Meta Matter (SKCM2), Hiroshima University, Hiroshima, Japan
N Topilskaya Affiliated with an institute covered by a cooperation agreement with CERN
M Toppi INFN, Laboratori Nazionali di Frascati, Frascati, Italy
F Torales-Acosta Department of Physics, University of California, Berkeley, California, USA
T Tork Laboratoire de Physique des 2 Infinis, Irène Joliot-Curie, Orsay, France
A G Torres Ramos Dipartimento Interateneo di Fisica 'M. Merlin' and Sezione INFN, Bari, Italy
A Trifiró Dipartimento di Scienze MIFT, Università di Messina, Messina, Italy INFN, Sezione di Catania, Catania, Italy
A S Triolo Dipartimento di Scienze MIFT, Università di Messina, Messina, Italy INFN, Sezione di Catania, Catania, Italy
S Tripathy INFN, Sezione di Bologna, Bologna, Italy
T Tripathy Indian Institute of Technology Bombay (IIT), Mumbai, India
S Trogolo European Organization for Nuclear Research (CERN), Geneva, Switzerland
V Trubnikov Bogolyubov Institute for Theoretical Physics, National Academy of Sciences of Ukraine, Kiev, Ukraine
W H Trzaska University of Jyväskylä, Jyväskylä, Finland
T P Trzcinski Warsaw University of Technology, Warsaw, Poland
A Tumkin Affiliated with an institute covered by a cooperation agreement with CERN
R Turrisi INFN, Sezione di Padova, Padova, Italy
T S Tveter Department of Physics, University of Oslo, Oslo, Norway
K Ullaland Department of Physics and Technology, University of Bergen, Bergen, Norway
B Ulukutlu Physik Department, Technische Universität München, Munich, Germany
A Uras Université de Lyon, CNRS/IN2P3, Institut de Physique des 2 Infinis de Lyon, Lyon, France
M Urioni INFN, Sezione di Pavia, Pavia, Italy Università di Brescia, Brescia, Italy
G L Usai Dipartimento di Fisica dell'Università and Sezione INFN, Cagliari, Italy
M Vala Faculty of Science, P.J. Šafárik University, Košice, Slovak Republic
N Valle Dipartimento di Fisica, Università di Pavia, Pavia, Italy
L V R van Doremalen Institute for Gravitational and Subatomic Physics (GRASP), Utrecht University/Nikhef, Utrecht, Netherlands
M van Leeuwen Nikhef, National institute for subatomic physics, Amsterdam, Netherlands
C A van Veen Physikalisches Institut, Ruprecht-Karls-Universität Heidelberg, Heidelberg, Germany
R J G van Weelden Nikhef, National institute for subatomic physics, Amsterdam, Netherlands
P Vande Vyvre European Organization for Nuclear Research (CERN), Geneva, Switzerland
D Varga Wigner Research Centre for Physics, Budapest, Hungary
Z Varga Wigner Research Centre for Physics, Budapest, Hungary
M Vasileiou National and Kapodistrian University of Athens, School of Science, Department of Physics, Athens, Greece
A Vasiliev Affiliated with an institute covered by a cooperation agreement with CERN
O Vázquez Doce INFN, Laboratori Nazionali di Frascati, Frascati, Italy
V Vechernin Affiliated with an institute covered by a cooperation agreement with CERN
E Vercellin Dipartimento di Fisica dell'Università and Sezione INFN, Turin, Italy
S Vergara Limón High Energy Physics Group, Universidad Autónoma de Puebla, Puebla, Mexico
L Vermunt Research Division and ExtreMe Matter Institute EMMI, GSI Helmholtzzentrum für Schwerionenforschung GmbH, Darmstadt, Germany
R Vértesi Wigner Research Centre for Physics, Budapest, Hungary
M Verweij Institute for Gravitational and Subatomic Physics (GRASP), Utrecht University/Nikhef, Utrecht, Netherlands
L Vickovic Faculty of Electrical Engineering, Mechanical Engineering and Naval Architecture, University of Split, Split, Croatia
Z Vilakazi University of the Witwatersrand, Johannesburg, South Africa
O Villalobos Baillie School of Physics and Astronomy, University of Birmingham, Birmingham, United Kingdom
G Vino INFN, Sezione di Bari, Bari, Italy
A Vinogradov Affiliated with an institute covered by a cooperation agreement with CERN
T Virgili Dipartimento di Fisica 'E.R. Caianiello' dell' Università and Gruppo Collegato INFN, Salerno, Italy
V Vislavicius Niels Bohr Institute, University of Copenhagen, Copenhagen, Denmark
A Vodopyanov Affiliated with an international laboratory covered by a cooperation agreement with CERN
B Volkel European Organization for Nuclear Research (CERN), Geneva, Switzerland
M A Völkl Physikalisches Institut, Ruprecht-Karls-Universität Heidelberg, Heidelberg, Germany
K Voloshin Affiliated with an institute covered by a cooperation agreement with CERN
S A Voloshin Wayne State University, Detroit, Michigan, USA
G Volpe Dipartimento Interateneo di Fisica 'M. Merlin' and Sezione INFN, Bari, Italy
B von Haller European Organization for Nuclear Research (CERN), Geneva, Switzerland
I Vorobyev Physik Department, Technische Universität München, Munich, Germany
N Vozniuk Affiliated with an institute covered by a cooperation agreement with CERN
J Vrláková Faculty of Science, P.J. Šafárik University, Košice, Slovak Republic
C Wang Fudan University, Shanghai, China
D Wang Fudan University, Shanghai, China
Y Wang Fudan University, Shanghai, China
A Wegrzynek European Organization for Nuclear Research (CERN), Geneva, Switzerland
F T Weiglhofer Frankfurt Institute for Advanced Studies, Johann Wolfgang Goethe-Universität Frankfurt, Frankfurt, Germany
S C Wenzel European Organization for Nuclear Research (CERN), Geneva, Switzerland
J P Wessels Westfälische Wilhelms-Universität Münster, Institut für Kernphysik, Munster, Germany
S L Weyhmiller Yale University, New Haven, Connecticut, USA
J Wiechula Institut für Kernphysik, Johann Wolfgang Goethe-Universität Frankfurt, Frankfurt, Germany
J Wikne Department of Physics, University of Oslo, Oslo, Norway
G Wilk National Centre for Nuclear Research, Warsaw, Poland
J Wilkinson Research Division and ExtreMe Matter Institute EMMI, GSI Helmholtzzentrum für Schwerionenforschung GmbH, Darmstadt, Germany
G A Willems Westfälische Wilhelms-Universität Münster, Institut für Kernphysik, Munster, Germany
B Windelband Physikalisches Institut, Ruprecht-Karls-Universität Heidelberg, Heidelberg, Germany
M Winn Université Paris-Saclay Centre d'Etudes de Saclay (CEA), IRFU, Départment de Physique Nucléaire (DPhN), Saclay, France
J R Wright The University of Texas at Austin, Austin, Texas, USA
W Wu Fudan University, Shanghai, China
Y Wu University of Science and Technology of China, Hefei, China
R Xu Central China Normal University, Wuhan, China
A Yadav Helmholtz-Institut für Strahlen- und Kernphysik, Rheinische Friedrich-Wilhelms-Universität Bonn, Bonn, Germany
A K Yadav Variable Energy Cyclotron Centre, Homi Bhabha National Institute, Kolkata, India
S Yalcin KTO Karatay University, Konya, Turkey
Y Yamaguchi Physics Program and International Institute for Sustainability with Knotted Chiral Meta Matter (SKCM2), Hiroshima University, Hiroshima, Japan
K Yamakawa Physics Program and International Institute for Sustainability with Knotted Chiral Meta Matter (SKCM2), Hiroshima University, Hiroshima, Japan
S Yang Department of Physics and Technology, University of Bergen, Bergen, Norway
S Yano Physics Program and International Institute for Sustainability with Knotted Chiral Meta Matter (SKCM2), Hiroshima University, Hiroshima, Japan
Z Yin Central China Normal University, Wuhan, China
I-K Yoo Department of Physics, Pusan National University, Pusan, Republic of Korea
J H Yoon Inha University, Incheon, Republic of Korea
S Yuan Department of Physics and Technology, University of Bergen, Bergen, Norway
A Yuncu Physikalisches Institut, Ruprecht-Karls-Universität Heidelberg, Heidelberg, Germany
V Zaccolo Dipartimento di Fisica dell'Università and Sezione INFN, Trieste, Italy
C Zampolli European Organization for Nuclear Research (CERN), Geneva, Switzerland
F Zanone Physikalisches Institut, Ruprecht-Karls-Universität Heidelberg, Heidelberg, Germany
N Zardoshti European Organization for Nuclear Research (CERN), Geneva, Switzerland School of Physics and Astronomy, University of Birmingham, Birmingham, United Kingdom
A Zarochentsev Affiliated with an institute covered by a cooperation agreement with CERN
P Závada Institute of Physics of the Czech Academy of Sciences, Prague, Czech Republic
N Zaviyalov Affiliated with an institute covered by a cooperation agreement with CERN
M Zhalov Affiliated with an institute covered by a cooperation agreement with CERN
B Zhang Central China Normal University, Wuhan, China
L Zhang Fudan University, Shanghai, China
S Zhang Fudan University, Shanghai, China
X Zhang Central China Normal University, Wuhan, China
Y Zhang University of Science and Technology of China, Hefei, China
Z Zhang Central China Normal University, Wuhan, China
M Zhao China Institute of Atomic Energy, Beijing, China
V Zherebchevskii Affiliated with an institute covered by a cooperation agreement with CERN
Y Zhi China Institute of Atomic Energy, Beijing, China
D Zhou Central China Normal University, Wuhan, China
Y Zhou Niels Bohr Institute, University of Copenhagen, Copenhagen, Denmark
J Zhu Central China Normal University, Wuhan, China Research Division and ExtreMe Matter Institute EMMI, GSI Helmholtzzentrum für Schwerionenforschung GmbH, Darmstadt, Germany
Y Zhu Central China Normal University, Wuhan, China
S C Zugravel INFN, Sezione di Torino, Turin, Italy
N Zurlo INFN, Sezione di Pavia, Pavia, Italy Università di Brescia, Brescia, Italy

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Association between high-density lipoprotein cholesterol and lumbar bone mineral density in Chinese: a large cross-sectional study

BACKGROUND

The association between lipid and bone metabolism, particularly the role of high-density lipoprotein cholesterol (HDL-C) in regulating bone mineral density (BMD), is of significant interest. Despite numerous studies, findings on this relationship remain inconclusive, especially since evidence from large, sexually diverse Chinese populations is sparse. This study, therefore, investigates the correlation between HDL-C and lumbar BMD in people of different genders using extensive population-based data from physical examinations conducted in China.

METHODS

Data from a cross-sectional survey involving 20,351 individuals aged > = 20 years drawn from medical records of health check-ups at the Health Management Centre of the Henan Provincial People's Hospital formed the basis of this study. The primary objective was to determine the correlation between HDL-C levels and lumbar BMD across genders. The analysis methodology included demographic data analysis, one-way ANOVA, subgroup analyses, multifactorial regression equations, smoothed curve fitting, and threshold and saturation effect analyses.

RESULTS

Multifactorial regression analysis revealed a significant inverse relationship between HDL-C levels and lumbar BMD in both sexes, controlling for potential confounders (Male: β = -8.77, 95% CI -11.65 to -5.88, P < 0.001; Female: β = -4.77, 95% CI -8.63 to -0.90, P = 0.015). Subgroup and threshold saturation effect analyses indicated a stronger association in males, showing that increased HDL-C correlates with reduced lumbar BMD irrespective of age and body mass index (BMI). The most significant effect was observed in males with BMI > 28 kg/m2 and HDL-C > 1.45 mmol/L and in females with a BMI between 24 and 28 kg/m2.

CONCLUSION

Elevated HDL-C is associated with decreased bone mass, particularly in obese males. These findings indicate that individuals with high HDL-C levels should receive careful clinical monitoring to mitigate osteoporosis risk.

TRIAL REGISTRATION

The research protocol received ethics approval from the Ethics Committee at Beijing Jishuitan Hospital, in conformity with the Declaration of Helsinki guidelines (No. 2015-12-02). These data are a contribution of the China Health Quantitative CT Big Data Research team, registered at clinicaltrials.gov (code: NCT03699228).

Three-dimensional echocardiography reveals early mitral valve alterations in hypertrophic cardiomyopathy genetic mutation carriers

BACKGROUND

The mitral valve undergoes structural modifications in response to cardiac functional changes, often predating cardiac decompensation and overt clinical signs. Our study assessed the potential of mitral valve morphological changes as early indicators for detecting carriers of hypertrophic cardiomyopathy (HCM)-associated gene mutations.

METHODS

We studied 505 participants: 189 without the pathogenic gene mutations and left ventricular hypertrophy (G-/LVH-), 149 carriers without LV hypertrophy (G+/LVH-), and 167 manifest HCM patients (G+/LVH+). We juxtaposed the mitral valve morphology and associated metrics across these groups, emphasizing those carrying MYH7 and MYBPC3 mutations.

RESULTS

We discerned pronounced disparities in the mitral annulus and leaflet structures across the groups. The mitral valve apparatus in mutation carriers exhibited a tendency towards a flattened profile. Detailed analysis spotlighted MYBPC3 mutation carriers, whose mitral valves were notably flatter (with notably lower AHCWR values than non-carriers); this contrast was not evident in MYH7 mutation carriers. This mitral valve flattening, manifest in the mutation carriers, suggests it might be an adaptive response to incipient cardiac dysfunction in HCM's nascent stages.

CONCLUSIONS

Three-dimensional echocardiography illuminates the initial mitral valve structural changes in HCM patients bearing pathogenic gene mutations. These morphological signatures hold promise as sensitive imaging markers, especially for asymptomatic carriers of the MYBPC3 mutation.

Extraction of cellulose nanocrystalline from Camellia oleifera Abel waste shell: Study of critical processes, properties and enhanced emulsion performance

Cellulose nanocrystals (CNCs) extracted from the waste shell of Camellia oleifera Abel (C. oleifera) are gaining attention as valuable materials. In this study, CNCs were extracted from the agricultural waste shell of C. oleifera through phosphoric acid and sulfuric acid hydrolysis, respectively. Firstly, we optimized the alkaline treatment process for cellulose isolation by using response surface methodology. Furthermore, the properties of CNCs were investigated by neutralizing them with NaOH and NH3·H2O, and by dialysis in water. In addition, the characterization methods including FT-IR, TGA, AFM and TEM were used to analysis the properties of the synthesized CNCs. Finally, CNCs were studied for their application in essential oil-based Pickering emulsions. CNCs obtained from sulfuric acid showed the smallest particle size and good dispersibility. Moreover, the release profiles of essential oils in the emulsions were followed by Peppa's kinetic release model. The antibacterial activity of the emulsions against E. coli and S. aureus showed that CNCs-stabilized emulsions enhanced the antibacterial activity of essential oils. Therefore, neutralization treatments may enhance the properties of CNCs, and CNCs stabilized Pickering emulsions can enhance antibacterial activity of essential oil. This study provides insight into the potential application of CNCs derived from C. oleifera waste shells.

Unlocking the Potential of Tin-Based Perovskites: Properties, Progress, and Applications in New-Era Electronics

Electronics have greatly promoted the development of modern society and the exploration of new semiconducting materials with low cost and high mobility continues to attract interest in the advance of next-generation electronic devices. Among emerging semiconductors, the metal-halide perovskite, especially the nontoxic tin (Sn)-based candidates, has recently made breakthroughs in the field of diverse electronic devices due to its excellent charge transport properties and cost-effective large-area deposition capability at low temperatures. To enable a more comprehensive understanding of this emerging research field and promote the development of new-generation perovskite electronics, this review aims to provide an in-depth understanding with the discussion of unique physical properties of Sn-based perovskites and the summarization of recent research progress of Sn-based perovskite field-effect transistors (FETs) and diverse electronic devices. The unique character of negligible ion migration is also discussed, which is fundamentally different from the lead-based counterparts and provides a great prerequisite for device application. The following section highlights the potential broad applications of Sn-perovskite FETs as a competitive and feasible technology. Finally, an outlook and remaining challenges are given to advance the progression of Sn-based perovskite FETs, especially on the origin and solution of stability problems toward high-performance Sn-based perovskite electronics.

Maximum correentropy-based robust Square-root Cubature Kalman Filter for vehicular cooperative navigation

As the core method of cooperative navigation, relative positioning plays a key role in realizing intelligent vehicle driving and vehicle self-assembling network collaboration algorithms. However, when the contamination rate of measurement noise is high, the performance of filtering will be seriously affected. To better address the filtering performance degradation problem due to noise contamination, this paper proposes a vehicular cooperative localization method based on the Maximum Correentropy Robust Square-root Cubature Kalman Filter (MCSCKF). The algorithm not only retains the advantages of Square-root Cubature Kalman Filter (SCKF) but also has strong robustness to non-Gaussian noise. The experimental results of tightly integrated vehicular cooperative navigation show that compared with the Extended Kalman Filter (EKF) and Cubature Kalman Filter (CKF), the localization accuracy of MCSCKF is improved by 35.08% and 31.83%, respectively, which verified the effectiveness in improving the accuracy and robustness of the relative position estimation.

Precise ligand engineering of Ir(III)-based photosensitizer with aggregation-induced emission for image-guided photodynamic therapy

Photodynamic therapy (PDT), which relies on the production of reactive oxygen species (ROS) induced by a photosensitizer to kill cancer cells, has become a non-invasive approach to combat cancer. However, the conventional aggregation-caused quenching effect, as well as the low ROS generation ability of photosensitizers, restrict their biological applications. In this work, a new Ir(III) complex with a dendritic ligand has been strategically designed and synthesized by ingenious modification of the ancillary ligand of a reported Ir(III) complex (Ir-1). The extended π-conjugation and multiple aromatic donor moieties endow the resulting complex Ir-2 with obvious aggregation-induced emission (AIE) activity and bathochromic emission. In in vitro experiments, importantly, Ir-2 nanoparticles exhibit the excellent photoinduced ROS generation capabilities of O2 •- and 1 O2 , as well as excellent biocompatibility and the lipid droplets (LDs) targeting feature. This study would provide useful guidance to design efficient Ir(III)-based photosensitizers used in biological applications in the future.

Review of standard paediatric neuroradiology MRI protocols from 12 UK tertiary paediatric hospitals: is there much variation between centres?

AIM

To investigate how magnetic resonance imaging (MRI) examinations are protocolled in tertiary paediatric neuroradiology centres around the UK for some of the more common presentations encountered in paediatric neuroradiology, and to identify any variations of note.

MATERIALS AND METHODS

All 19 UK tertiary paediatric neuroradiology centres registered with the British Society of Neuroradiologists-Paediatric Group were contacted and asked if they could provide a copy of their standard MRI protocols. Twelve responded (63%) and 10 of the more common presentations were selected and the standard acquired sequences obtained at each participating centre were compared. Where available the collated protocols were also compared against current published guidance.

RESULTS

The basic sequences carried out by centres around the UK are similar; however, there are lots of variations overall. The only standardised protocol currently being implemented nationally in paediatric imaging is that for brain tumours. Otherwise, chosen protocols are generally dependent on the preferences and technical capabilities of individual centres. Suggested published protocols also exist for non-accidental injury (NAI), multiple sclerosis, epilepsy, and head and neck imaging.

CONCLUSIONS

The differences in MRI protocolling depend in part on technical capabilities and in part on the experience and preferences of the paediatric neuroradiologists at each centre. For most presentations, there is no consensus as to what constitutes the perfect protocol. The present results will be useful for specialist centres who may wish to review their current protocols, and for more generalist centres to use as a reference to guide their MRI protocolling.

ESCRT-III Component CHMP4C Attenuates Cardiac Hypertrophy by Targeting the Endo-Lysosomal Degradation of EGFR

BACKGROUND

Cardiac hypertrophy and subsequent heart failure impose a considerable burden on public health worldwide. Impaired protein degradation, especially endo-lysosome-mediated degradation of membrane proteins, is associated with cardiac hypertrophy progression. CHMP4C (charged multivesicular body protein 4C), a critical constituent of multivesicular bodies, is involved in cellular trafficking and signaling. However, the specific role of CHMP4C in the progression of cardiac hypertrophy remains largely unknown.

METHODS

Mouse models with CHMP4C knockout or cardiadc-specific overexpression were subjected to transverse aortic constriction surgery for 4 weeks. Cardiac morphology and function were assessed through histological staining and echocardiography. Confocal imaging and coimmunoprecipitation assays were performed to identify the direct target of CHMP4C. An EGFR (epidermal growth factor receptor) inhibitor was administrated to determine whether effects of CHMP4C on cardiac hypertrophy were EGFR dependent.

RESULTS

CHMP4C was significantly upregulated in both pressure-overloaded mice and spontaneously hypertensive rats. Compared with wild-type mice, CHMP4C deficiency exacerbated transverse aortic constriction-induced cardiac hypertrophy, whereas CHMP4C overexpression in cardiomyocytes attenuated cardiac dysfunction. Mechanistically, the effect of CHMP4C on cardiac hypertrophy relied on the EGFR signaling pathway. Fluorescent staining and coimmunoprecipitation assays confirmed that CHMP4C interacts directly with EGFR and promotes lysosome-mediated degradation of activated EGFR, thus attenuating cardiac hypertrophy. Notably, an EGFR inhibitor canertinib counteracted the exacerbation of cardiac hypertrophy induced by CHMP4C knockdown in vitro and in vivo.

CONCLUSIONS

CHMP4C represses cardiac hypertrophy by modulating lysosomal degradation of EGFR and is a potential therapeutic candidate for cardiac hypertrophy.

Bimolecularly passivated interface enables efficient and stable inverted perovskite solar cells

Compared with the n-i-p structure, inverted (p-i-n) perovskite solar cells (PSCs) promise increased operating stability, but these photovoltaic cells often exhibit lower power conversion efficiencies (PCEs) because of nonradiative recombination losses, particularly at the perovskite/C60 interface. We passivated surface defects and enabled reflection of minority carriers from the interface into the bulk using two types of functional molecules. We used sulfur-modified methylthio molecules to passivate surface defects and suppress recombination through strong coordination and hydrogen bonding, along with diammonium molecules to repel minority carriers and reduce contact-induced interface recombination achieved through field-effect passivation. This approach led to a fivefold longer carrier lifetime and one-third the photoluminescence quantum yield loss and enabled a certified quasi-steady-state PCE of 25.1% for inverted PSCs with stable operation at 65°C for >2000 hours in ambient air. We also fabricated monolithic all-perovskite tandem solar cells with 28.1% PCE.

Investigation of organochlorine pesticides in the Wang Lake Wetland, China: Implications for environmental processes and risks

Wang Lake Wetland is an important habitat for many fish and migratory birds. To explore the effect of periodic hydrological changes on the transfer and ecological risk of OCPs in the multimedia system of the wetland, eight sampling sites were selected for collecting soil (SS), sediment (SD) and water, to acquire dissolved phase (DP) and suspended particulate matter (SPM) samples during low- and high-flow periods. The results indicated that OCPs are pervasive in the various media of Wang Lake Wetland, and there was a significant temporal variability in concentration of ∑23OCPs in the SPM samples. Several OCPs exist certain ecological risks to aquatic organisms, but higher level of OCPs do not always equal to higher ecological risk. The residues of OCPs are largely attributed to their historical use, but recent inputs of some of them are still non-ignorable. The relatively higher values of organic carbon normalized partition coefficient (KOC) for SPM-W (KOC(SPM-W)) were obtained, which reflected the more frequent exchange of OCPs in the SPM samples. The sediment of the Wang Lake Wetland is likely to be a sink for several OCPs with high n-octanol/water partition coefficient (KOW) (e.g., DDTs and its metabolites), and high-temperature and rainfall-driven changes may promote the migration of OCPs with low KOW to the DP.

Measurements of Groomed-Jet Substructure of Charm Jets Tagged by D^{0} Mesons in Proton-Proton Collisions at sqrt[s]=13 TeV

Understanding the role of parton mass and Casimir color factors in the quantum chromodynamics parton shower represents an important step in characterizing the emission properties of heavy quarks. Recent experimental advances in jet substructure techniques have provided the opportunity to isolate and characterize gluon emissions from heavy quarks. In this Letter, the first direct experimental constraint on the charm-quark splitting function is presented, obtained via the measurement of the groomed shared momentum fraction of the first splitting in charm jets, tagged by a reconstructed D^{0} meson. The measurement is made in proton-proton collisions at sqrt[s]=13  TeV, in the low jet transverse-momentum interval of 15≤p_{T}^{jet ch}<30  GeV/c where the emission properties are sensitive to parton mass effects. In addition, the opening angle of the first perturbative emission of the charm quark, as well as the number of perturbative emissions it undergoes, is reported. Comparisons to measurements of an inclusive-jet sample show a steeper splitting function for charm quarks compared with gluons and light quarks. Charm quarks also undergo fewer perturbative emissions in the parton shower, with a reduced probability of large-angle emissions.

Randomized Trial of Modified Chest Tube Placement vs Routine Placement After Lung Resection

BACKGROUND

Chest tube placement after pulmonary resection is usually considered a mandatory procedure. However, peritubular leakage of pleural fluid and intrathoracic air is frequent after surgery. Therefore, we separated the chest tube from the intercostal space as a modified placement strategy.

METHODS

Patients undergoing robotic and video-assisted lung resection were enrolled in this study at our medical center between February 2021 and August 2021. All patients were randomly divided into either the modified group (n = 98) or the routine group (n = 101). The incidence of peritubular leakage of pleural fluid and peritubular air leaking or entering after surgery were the primary end points of the study.

RESULTS

A total of 199 patients were randomized. Patients in the modified group had lower incidence of peritubular leakage of pleural fluid (after surgery, 39.6% vs 18.4% [P = .001]; after chest tube removal, 26.7% vs 11.2% [P = .005]), lower incidence of peritubular air leaking or entering (14.9% vs 5.1% [P = .022]), and fewer dressing changes (5.02 ± 2.30 vs 3.48 ± 0.94 [P < .001]). In patients undergoing lobectomy and segmentectomy, the type of chest tube placement was associated with the severity of peritubular pleural fluid leakage (P < .05).

CONCLUSIONS

The modified chest tube placement was safe and had better clinical efficacy than the routine type. The reduction of postoperative peritubular leakage of pleural fluid resulted in better wound recovery. This modified strategy should be popularized, especially in patients undergoing pulmonary lobectomy or segmentectomy.

Global food trade alleviates transgressions of planetary boundaries at the national scale

Food systems are among the leading causes for transgression of planetary boundaries globally, which define the safe operating space for humanity. We quantify unsustainable environmental impacts of food systems, indicated by the transgression of national-scale planetary boundaries (i.e., the safe operating space for food production in each country), from both production and consumption perspectives of 189 countries/regions around the world. A multi-regional input-output model is used to map the global transfers of the national-scale transgression of planetary boundaries, including freshwater use, land change, and biogeochemical flows (nitrogen and phosphorus). Our results show that China is a major global unsustainable water and nitrogen exporter and an unstable land and phosphorus importer. This means that water and nitrogen uses in China are used to support food demands in other countries, and food consumption in China requires unsustainable land and phosphorus uses elsewhere. In contrast, the US is a major exporter of unsustainable water, land, and nitrogen uses but only an importer of unsustainable phosphorus for food consumption. Globally, compared to a counterfactual scenario where there is no food trade among any countries, food trade saves massive transgressions of planetary boundaries (270 km3 of water, 18 million tons of nitrogen, 7 million tons of phosphorus, and 5,431 million km2 of land). Alleviation of national-scale planetary boundary transgression has been achieved primarily in the US, China, Saudi Arabia, etc., while aggravation was incurred in Pakistan, Australia, Argentina, and so forth.

Dosimetric Study of Total Marrow and Lymphoid Irradiation on a Ring Gantry-Based Medical Linac with a Two-Layer Multi-Leaf Collimator

PURPOSE/OBJECTIVE(S)

In this study, we aimed to evaluate dosimetric quality of total marrow and lymphoid irradiation (TMLI) plans for a ring gantry-based medical Linac with a two-layer multi-leaf collimator.

MATERIALS/METHODS

We retrospectively retrieved treatment planning CT images, structure sets, and plan dose for four adult patients, two male and two female, who previously received TMLI treatments on helical tomotherapy (HT) at our institution. TMLI plans were optimized for a ring gantry-based medical Linac with a two-layer multi-leaf collimator (Halcyon, Varian Medical Systems, Inc., Palo Alto, CA). A prescription dose of 12 Gy in 8 fractions was prescribed to the skeletal bones from the skull to mid-thigh, spleen, spinal canal, and lymphoid volume. Five or six isocenters were placed with equal spacing along the patient's longitudinal direction in each TMLI plan with two 6-MV flattening filter-free volumetric modulated arc therapy (VMAT) fields at each isocenter. Isocenter separation ranged from 15 cm to 16.5 cm. Each VMAT field has a field size of 28 cm to 28 cm with the collimator at 90° and a full gantry rotation. The nominal dose rate was 800 MU/minute, and the maximum gantry rotation speed was 24°/sec. Institutional dosimetric constraints were used for optimization including a mean lung dose limit of less than 8 Gy. All the plans were normalized so that 85% the primary planning target volume received the prescription dose.

RESULTS

The average mean doses to the target volumes ranged from 12.2 to 12.6 Gy in the Halcyon TMLI plans, while they ranged from 12.1 to 12.5 Gy in the HT TMLI plans. Relative to the prescription dose, the average mean dose for normal organs ranged from 21.3% to 56.6% in the Halcyon TMLI plans, while it ranged from 10.1% to 68.4% in the clinical HT plans. The difference in the average mean dose to normal organs was less than 0.5 Gy except two organs between the Halcyon and HT TMLI plans. The average median dose for normal organs ranged from 18.2% to 48.8% relative to the prescription dose in the Halcyon TMLI plans. The mean lung dose (MLD) in the Halcyon TMLI plans met the institutional limit with an average dose of 6.75±0.42 Gy (range: 6.44 - 7.36 Gy), while the average MLD was 6.54±0.77 Gy (range: 6.24 - 7.22 Gy) in the HT plans (p-value = 0.71 in the paired t-test). The average total monitor unit in the Halcyon TMLI plans was 4,425±906 MU (range: 3,470 - 5,575 MU) with an average beam-on time of 5.1±1.3 minutes (range: 4.1 - 7.0 minutes), which excludes isocenter setup time, while the average beam-on time was 22.2±3.2 minutes (range: 19.6 - 26.1 minutes) with the HT plans.

CONCLUSION

Halcyon TMLI plans met our institutional dosimetric constraints with adequate normal organ sparing and target dose coverage. The beam-on time with the Halcyon plans was significantly shorter than that with the HT plans, which could lead to shorter treatment time and increased patient comfort. This study showed the feasibility of TMLI treatments on the Halcyon machine. The same method could be used for total body irradiation on Halcyon.

Hippocampal Sparing Whole Brain Radiation Therapy: 2 Arc Coplanar and 4 Arc Noncoplanar Planning Comparison

PURPOSE/OBJECTIVE(S)

Whole brain radiation therapy (WBRT) has been shown to provide palliation but with negative neurocognitive effects associated with radiation-induced damage to the hippocampus. Sparing of the hippocampus has been shown to reduce the risk of neurocognitive deficit. Hippocampal sparing WBRT plan optimization is commonly done using 2 arc coplanar technique. The purpose of this work is to show that 4 arc noncoplanar plans will improve hippocampal sparing without compromising PTV coverage.

MATERIALS/METHODS

Retrospective WBRT with hippocampal sparing using 2 arc coplanar and 4 arc noncoplanar VMAT technique were done on 10 patients previously treated for intracranial lesions. CT and MRI fused images were used to delineate the whole brain and hippocampus. Strictly following RTOG 0933 atlas guidelines, the hippocampus was manually delineated by a single Radiation Oncologist. Plans with prescription dose of 30 Gy in 10 fractions were generated using the 2 techniques. The 4 arc noncoplanar plan included 2 partial field arcs with couch angle at 90 degrees and 2 coplanar arcs. The 2 noncoplanar partial arcs consisted of a clockwise arc and a counterclockwise arc with gantry angles between 5 and 179 degrees. Lens were kept to < 7 Gy and pituitary gland to < 30 Gy. Dosimetric parameters from both techniques were compared by paired t-test.

RESULTS

Radiation dose to the hippocampus was significantly reduced using 4 arc noncoplanar plan when compared to 2 arc coplanar plan. While hippocampus D100% were similar (7.25 Gy vs 7.32 Gy, p = 0.557), the mean dose (9.46 Gy vs 9.87 Gy, p = 0.003) and D0.03cc (12.48 Gy vs 12.94 Gy, p < 0.001) were significantly reduced with 4 arc noncoplanar plans. Whole brain PTV coverage remained at V100% = 95% for both techniques. However, the 4 arc noncoplanar plans showed significantly improved D2% (32.56 Gy vs 32.97 Gy, P = 0.003), D98% (28.11 Gy vs 27.91 Gy, P = 0.01), and homogeneity index (0.141 vs 0.159, P < 0.001).

CONCLUSION

The 4 arc noncoplanar plans improved hippocampal sparing without compromising PTV coverage or compromise to other nearby organs at risk.

Evaluation of a Deep-Learning Auto-Segmentation Model of Cardiac Substructures

PURPOSE/OBJECTIVE(S)

Increasing evidence has suggested that limiting dose not only to the whole heart but also to cardiac substructures can potentially reduce cardiac toxicities. Manual contouring of cardiac substructure can be challenging and time-consuming. To address this concern, we developed a deep learning (DL) model, trained on convolutional neural network algorithms in large external datasets, for auto-segmentation of cardiac substructures. This study aimed to evaluate the quality of the cardiac substructure contours generated by the DL algorithm.

MATERIALS/METHODS

We identified 28 patients with esophagus or gastroesophageal junction cancer from a single institution who received radiation to the esophagus between January 2017 and December 2022. For each case, the DL-generated cardiac substructures (4 heart chambers - left/right atrium [L/RA] and L/R ventricle [L/RV], 4 coronary arteries - L common [LCA], L anterior descending [LAD], L circumflex [LCx], and R common [RCA], and great vessels - ascending aorta [AA], pulmonary artery [PA], and superior vena cava [SVC]) were modified by two radiation oncologists (RO) using the contouring atlas developed by Duane et al. Spatial overlapping of the contours were then assessed using the Dice similarity coefficient (DSC), 95th percentile Hausdorff distance (HD-95), and normalized surface dice at 2 mm tolerance (NSD-2).

RESULTS

The mean values of DSC, HD-95, and NSD-2 are shown in Table 1. Overall, the mean DSC, HD-95, and NSD-2 for the heart chambers ranged from 0.82 to 0.92, 0.40 cm to 1.52 cm, and 0.68 to 0.85, respectively. Ranges of the mean DSC, HD-95, and NSD-2 for the coronary vessels were 0.41 to 0.74, 0.18 cm to 0.98 cm, and 0.66 to 0.77, respectively. Lastly, comparison of the great vessel contours yielded the following ranges for mean DSC, HD-95, and NSD-2 respectively: 0.72 to 0.92, 0.30 cm to 1.64 cm, and 0.65 to 0.83.

CONCLUSION

Our study demonstrates that auto-segmentation of cardiac substructures by DL-powered models can be comparable to manual contours for certain cardiac substructures, namely the four heart chambers and great vessels. Further improvement of the DL on contouring of coronary vessels would be needed prior to the autosegmentation model being widely adopted.

Evaluation of 68Ga-Fibroblast Activation Protein Inhibitor vs. 18F-FDG as a Novel Radiotracer for Biologically Guided Radiation Therapy

PURPOSE/OBJECTIVE(S)

Real-time biology guided radiation therapy (BgRT) uses real-time positron emissions from a PET tracer during treatment to guide targeted radiation to cancerous lesions. Fibroblast activation protein alpha (FAP) is highly expressed on cancer-associated fibroblasts in tumors with low expression in normal tissues. While 18F-FDG-PET requires fasting and has background in the liver and brain, 68-Gallium labeled FAP inhibitor (FAPI) does not require fasting and has less background uptake. The goal of this study was to investigate the utility of FAPI as a potential universal fiducial for BgRT. We hypothesized that 68Ga-FAPI would be a better radiotracer than 18F-FDG, as assessed by the Normalized Minimal kBq/mL and the Normal Target Signal (NTS), two parameters used to gauge the suitability of BgRT.

MATERIALS/METHODS

PET-CTs were obtained for 50 patients with pancreatic, liver, lung, head & neck, and cervical cancer using 18F-FDG and 68Ga-FAPI (n = 10 for each). Four DICOM images were obtained per patient (FDG PET + CT, FAPI PET + CT). Radiation oncologists delineated the gross tumor volume (GTV) on PET images. A separate set of auto-contours were generated from the PET using an auto-threshold of 40% maximum SUV for all tumors. A 1 cm expansion was added to the GTV to create a ring around the physician-generated contours and auto-contours. The following parameters were measured: GTV volume, SUV max of GTV, SUV mean of GTV, Normalized Minimal kBq/mL within the GTV, and NTS (= SUV max/Ring SUV mean). Values were compared using paired t-test. For the BgRT product with similar calculations, the required Normalized Minimal kBq/mL is > 5 kBq/mL; the required NTS is > 2.7 for treatment planning and > 2.0 for BgRT delivery.

RESULTS

The Normalized Minimal kBq/mL for FAPI was > 5 kBq/mL for all tumors and greater for auto-contoured GTVs compared to physician-contoured GTVs. The mean NTS for the auto-contours for all tumor sites was > 2.0. In addition, there was a statistically significant increase in the NTS for FAPI compared to FDG in pancreatic, liver and head & neck cancers. In pancreatic cancer, there was a statistically significant increase in Normalized Minimal kBq/mL for FAPI compared to FDG (26.0 vs 14.2) (p = 0.01) and the SUVmax of FAPI was almost double that of FDG (15.9 vs 8.2) (p = 0.01). FAPI had no background in the liver, but had high background in the uterus, suggesting it may have a role in liver cancer but not cervical cancer.

CONCLUSION

This is the first study demonstrating the potential superiority of 68Ga-FAPI compared to 18F-FDG as a biologic fiducial for BgRT when treating pancreatic, liver and head & neck cancers, with a similar efficacy for lung cancer. Our results indicate that auto-contoured GTVs generate a higher NTS than physician-contoured GTVs but all are > 2.0. In addition, the Normalized Minimal kBq/mL for auto-contours is > 5 kBq/mL for all tumors. As hypothesized, FAPI-based BgRT is most likely to be successful when treating tumors with significant desmoplastic stroma, such as pancreatic cancer.

Spatiotemporal Optimization of Pelvic Radiation Therapy

PURPOSE/OBJECTIVE(S)

Conformal and adaptive Radiation Therapy (RT) remains critical in the treatment of locally advanced pelvic cancers despite acute and late bowel complications. This work introduces spatiotemporal optimization of pelvic RT including mathematical modelling of intestinal radiobiology to evaluate a novel treatment planning approach for fractionated pelvic RT.

MATERIALS/METHODS

A single-plan fractionated RT delivery has n-fractions at dose/fraction = d and has biologically effective dose BED = nd ( 1 + d / [α/β] ) - ln(2) ([T - Tk] / [αTp]), where Tk and Tp are the kickoff time and doubling time of repopulation, and T is the time to deliver all fractions (including off-days). We present a parameterization of the repopulation BED-term to estimate a range of daily recovered BED including uncertainties in α and Tp. Recovery of BED as currently formulated is independent of the delivered dose; however, the assumption of spatiotemporal optimization is that a regional reduction of dose during RT by mixing treatment plans is critical to allow for normal tissue healing. We evaluate an achievable spatiotemporal optimization treatment planning strategy for an advanced stage prostate and a cervical cancer patient using 25-fraction delivery over 5-weeks and 4-weekends (T = 33 days) and propose 3 treatment plans: (1) a conformal "clinical standard" plan, (2) a right-bowel sparing plan, and (3) a left-bowel sparing plan. The plans are optimized to ensure no increased dose in opposing bowel or normal organs at risk (OARs).

RESULTS

For radiobiological parameters ranging from α = 0.2-0.35/Gy, α/β = 2-3 Gy, Tk = 5-10 days, and Tp = 3-7 days, parameterization shows daily BED recovery of 0.44±0.08 Gy (range = 0.28-0.69 Gy), or an average of 4Gy BED recovery for 5-days treatment surrounded by 2 weekends. Conservatively evaluating the 3.6Gy BED distribution in treatment planning may identify regions for complete recovery (after Tk days). In a prostate 3-plan set, the right- and left- bowel sparing plans deliver equivalent mean dose to targets and OARs to within 5cGy/fx. The clinical plan includes 298cc of bowel under 14Gy, but this same bowel will be spared throughout treatment. Delivery of the clinical plan in week 1 to achieve Tk days, followed by alternating the left and right plan each week has the potential to reduce BED to zero for an additional 116cc of bowel using the left-sparing plan in weeks 2 and 4, and 91cc using the right-bowel sparing plan in weeks 3 and 5. The cervical cancer plan-set was more challenging due to right-sided nodal volumes and higher clinical bowel dose; OAR mean dose variations were >8cGy/fx in a few organs, but the left- and right- sided sparing plans results in 394 cc and 139cc, respectively of unique spared bowel at the 3.6Gy/week threshold to potentially reach zero BED during treatment.

CONCLUSION

A novel spatiotemporal optimization of pelvic RT has the potential to preserve bowel, allow for increased intra-treatment intestinal tissue regeneration, and reduce radiation-induced complications.

Pilot Study of a Novel Ring Gantry-Based PET/CT Linear Accelerator in Patients with Prostate Cancer Receiving [18F]-DCFPyL for PSMA PET Imaging

PURPOSE/OBJECTIVE(S)

The RefleXion X1® system is a hybrid PET imaging-radiotherapy system that uses real-time positron emissions from a PET tracer to deliver biologically guided radiotherapy (BgRT). This study (NCT05470699) evaluated the hypothesis that the X1 PET imaging subsystem would be able to detect [18F]-DCFPyL PSMA PET signal sufficient to generate a deliverable BgRT plan in patients with prostate cancer.

MATERIALS/METHODS

Patients with prostate cancer scheduled for a diagnostic [18F]-DCFPyL PSMA PET scan as part of standard of care were eligible. Upon completion of the diagnostic PSMA PET scan, images were transferred to the radiotherapy planning system for target identification and contouring. If at least one PET avid tumor lesion was identified, the patient was then scanned on the X1 unit. BgRT planning was performed on each X1 scanned patient. The target lesion volume, activity concentration (AC) and normalized target signal (NTS) were acquired. Successful and deliverable BgRT plans required that the target AC was ≥ 5 kBq/ml and NTS ≥ 2.7.

RESULTS

Twenty-six patients underwent [18F]-DCFPyL PET scans (13 with rising PSA after surgery or radiotherapy, 6 with known metastases and 7 with newly diagnosed high-risk prostate cancer). Median (range) PSA was 3.40 (0.04-122). In 16 patients a PET avid tumor was identified and contoured for planning (4 lymph nodes, 5 bone, 6 prostate gland, and 1 prostate bed). In 13 patients the target lesion was visualized on the X1 PET scan, while in 3 patients the target lesion was too close to the bladder to be clearly visualized. BgRT planning was feasible and met standard of care published SBRT organ dose constraints in 8 patients (3 prostate gland, 3 bone, 2 lymph nodes). BgRT planning was not feasible in 8 patients due to insufficient AC, low NTS or proximity of the target lesion to the PET avid bladder. The accompanying table compares median (range) target volume, AC and NTS for feasible versus not feasible plans.

CONCLUSION

This is the first study to investigate the feasibility of using [18F]-DCFPyL PET imaging for BgRT plan generation on the X1 system in patients with prostate cancer. Lesions that are relevant to radiotherapy of prostate cancer can be visualized including lymph node and bone metastases. A dedicated BgRT workflow with PSMA PET imaging on the X1 at 60 minutes post injection will result in higher target AC and will optimize BgRT planning. PET avid lesions < 1 cm or close to the bladder may make BgRT planning challenging. [18F]-DCFPyL-guided BgRT is technically feasible using the RefleXion X1. BgRT using targeted PET radiopharmaceuticals to biologically guide external beam radiotherapy represents a promising new dimension in radiation oncology and warrants further investigation.

Dosimetric Plan Evaluation of Biology Guided Radiotherapy Using [18F]-DCFPyL PSMA Radiotracer in Patients with Prostate Cancer

PURPOSE/OBJECTIVE(S)

The X1 system represents a cutting-edge solution in radiotherapy delivery, with its capability to perform Biology Guided Radiotherapy (BgRT). The system utilizes real-time positron emission tomography (PET) signal as biological fiducials to provide tracked dose delivery and is initially available for use with [18F]-Fluorodeoxyglucose (FDG). The aim of this research study is to assess the quality of BgRT treatment plans for prostate cancer using patients' PSMA PET images obtained on the X1 system.

MATERIALS/METHODS

Sixteen patients with at least one PET-avid tumor identified on their whole-body diagnostic PSMA PET scan were selected. These patients were scanned on X1 following their diagnostic scan without additional radiotracer administration. Based on the X1 PET images, a BgRT plan was created for each patient, with the prescription dose determined by the location of treatment sites. The planning objectives of organs-at-risk (OARs) were established in accordance with the 2018 Timmerman guidelines. Target coverage objective was the dose covering 95% (D95%) of the planning target volume (PTV) to be higher than 100%. The following parameters were analyzed: PTV D95%, the minimal dose (Dmin) of gross tumor volume (GTV), plan maximum dose (Dmax), conformity index (CI), gradient index (GI), and maximum point dose (D0.03cc) to the nearest OARs. The X1 BgRT planning system also generated dose volume histogram (DVH) bounds, which model variations in BgRT delivery. The low boundary of GTV Dmin, representing the minimum GTV dose in the worst-case scenario, was recorded.

RESULTS

BgRT plans were created for all patients, except for one where the target signal was indistinguishable from the bladder. The prescription dose was 2700 cGy or 3000 cGy in 3 fractions for lymph node lesions, 2400 cGy to 3000 cGy in 3 fractions for bone metastasis, and 4500 cGy in 5 fractions for lesions in prostate. All plans met the dose constraints for OARs as per the Timmerman guidelines. The Dmax of all plans was 129.9% ± 6.9% (mean ± standard deviation). The PTV D95% and GTV Dmin were 101.7% ± 1.0% and 111.0% ± 7.6%, respectively. The low boundary of GTV Dmin was 95.9% ± 5.8%. The CI and GI were 1.22 ± 0.11 and 9.40 ± 2.12, respectively. The D0.03cc to nearest OARs was 84.6% ± 25.4%. The estimated treatment time was 699 ± 228 seconds.

CONCLUSION

This study is a pioneering effort to evaluate the quality of BgRT plans for prostate cancer patients using the [18F]-DCFPyL PSMA radiotracer. Our results showed that all BgRT plans met the planning objectives defined in the Timmerman protocol. BgRT with [18F]-DCFPyL represents a promising treatment modality for patients with prostate cancer. Further research is needed to validate this approach, including a comprehensive assessment of the dosimetric and tracking accuracy through physical measurements.

First-in-Human Phase I Trial Combining Biologically Guided Radioimmunotherapy (RIT) Using a 90Y-Anti-CD25 Monoclonal Antibody (Mab) with CT-guided Total Marrow and Lymphoid Irradiation (TMLI) in Relapsed and Refractory (R/R) Acute Leukemia

PURPOSE/OBJECTIVE(S)

Patients with R/R acute leukemia after allogeneic hematopoietic cell transplant (alloHCT) have a dismal prognosis with 3-year survival rates of < 20%. To improve outcomes, innovative targeted forms of organ sparing radiotherapy, such as tumor-specific RIT and TMLI, are needed to dose escalate with acceptable toxicities, especially in patients ≥ age 60 years who cannot tolerate total body irradiation (TBI) / myeloablative regimens and who have a poor prognosis. CD25 is an ideal RIT target given its expression in acute leukemias, association with poor prognosis, and expression by leukemia stem cells. In this phase I trial (NCT05139004) we hypothesized that combining dose escalated 90Y-anti-CD25 RIT with fixed dose TMLI 12 Gy, fludarabine (flu), and melphalan (mel) in patients with R/R disease is safe and associated with acceptable toxicities.

MATERIALS/METHODS

The primary objective of this trial is to determine the maximum tolerated dose and recommended phase 2 dose of 90Y-anti-CD25 Mab (Day -15) with 12 Gy TMLI (1.5 Gy twice a day, days -8 to -5), flu (30 mg/m2/d days -5 to -2), and mel (100 mg/m2, day -2) in patients ≥ 60 years old or with a HCT-comorbidity index ≥ 2 and with R/R AML, ALL or myelodysplastic syndrome (MDS) scheduled to undergo alloHCT from a matched donor. TMLI mean organ dose constraints for kidney, lung and liver were 4 Gy. Planned dose levels of 90Y-anti-CD25 were 0.3, 0.4, and 0.5 mCi/kg. 111In-anti-CD25 (5 mCi) was co-infused followed by serial nuclear scans to assess dosimetry and biodistribution.

RESULTS

To date 5 patients (ages 31-74) with R/R AML have been treated. Marrow and circulating blasts ranged from 10-36% and 9-44%, respectively. For the 3 patients at 0.3 mCi/kg, follow-up ranged from 89-191+ days. 90Y/111In-anti-CD25 nuclear scans demonstrated persistent uptake in bone out to 144 hours, which was associated with a decline in circulating blasts. After combined RIT and TMLI, mean doses (Gy) to lungs ranged from 5.7-6.5, to kidneys from 7.5-8.2 and to liver from 7.2-11.6. No dose-limiting toxicities (DLT) were observed. All 3 patients achieved CR on day +30 bone marrow biopsies and 2 remained in CR on day +90 biopsies. Two patients have recently been treated at the 0.4 mCi/kg dose level. The results of patients treated at the higher dose levels will be provided.

CONCLUSION

Dose escalation by adding 90Y-anti-CD25 RIT at 0.3 mCi/kg to 12 Gy TMLI was safe, including in older patients, with no dose-limiting toxicities, mean critical organ doses lower than conventional myeloablative TBI, and encouraging response rates. The toxicity profile and dose estimates at 0.3 mCi/kg predict that the planned higher dose levels will also be feasible with acceptable toxicities. RIT and TMLI are complementary and when combined address the limitations of each modality. Combining these targeted therapies may be a superior strategy to intensify dose to leukemia compared to dose escalation of either modality alone.

Phase I Study of Bortezomib, Fludarabine, and Melphalan, with or without Total Marrow Irradiation as Conditioning for Allogeneic Hematopoietic Stem Cell Transplantation in Patients with High-Risk or Relapsed/Refractory Multiple Myeloma

PURPOSE/OBJECTIVE(S)

Though outcomes of patients with multiple myeloma (MM) have improved, cure remains elusive. Allogeneic hematopoietic stem cell transplantation (allo-sCT) is associated with a lower relapse rate, but its role is hindered due to toxicities. We hypothesized that targeted total body irradiation in the form of total marrow irradiation (TMI) could safely facilitate allo-SCT via an improved toxicity profile. Therefore, we conducted a phase I study to investigate the safety and feasibility of a bortezomib (BTZ), fludarabine (FLU), and melphalan (MEL), with or without TMI, prior to allo-SCT for patients with high-risk (HR) or relapsed/refractory (R/R) MM.

MATERIALS/METHODS

Between 2012 and 2018 this study enrolled patients with HR or R/R MM on one of two strata, each comprising BTZ dose-escalation cohorts. Patients aged 18-60 with no prior radiation (RT) received TMI at 900 cGy (in 6 fractions delivered twice-daily), FLU, and MEL conditioning, with BTZ added in the second cohort (stratum I). Patients aged 18-70 with prior RT received FLU, MEL, and BTZ, without TMI (stratum II). The primary endpoint was feasibility of escalating doses of BTZ, with or without TMI, defined using a 3+3 design. Dose-limiting toxicity (DLT) was defined as any Grade 3+ Bearman toxicity or prolonged CTCAE v4.0 Grade 4+ neutropenia. Secondary endpoints included treatment response, time to neutrophil and platelet engraftment, incidence of acute (a) and chronic (c) graft-versus-host disease (GVHD), progression-free-survival (PFS), and overall survival (OS).

RESULTS

Eight patients were enrolled on stratum I. One of three patients in the first cohort of stratum I experienced DLT, which led to expansion to three more patients with no DLT. Cohort 2 enrolled only 2 patients due to low accrual, with BTZ added at 0.5 mg/m2; neither experienced DLT. Nine patients were enrolled on stratum II. Three patients were enrolled on cohort 1 (BTZ 0.5 mg/m2) and none experienced DLT. Three were enrolled on cohort 2 (bortezomib 0.7 mg/m2), and one experienced DLT. Therefore, the cohort expanded to three more patients. One more patient experienced DLT and 0.5 mg/m2 was considered the maximum tolerated dose. There were no primary or secondary graft failures. Complete response was achieved in 7 and 4 patients in strata I and II, respectively. Median follow-up for all patients was 30.7 months (mos) and was 99.8 mos for surviving patients. Median overall survival (OS) on strata I and II were 44.5 mos and 21.6 mos, respectively. Median PFS on strata I and II were 18.1 mos and 8.9 mos, respectively. In strata I, 5 patients developed Grade 2+ aGVHD and 8 developed extensive cGVHD. In strata II, 4 patients developed Grade 2+ aGVHD and 6 developed extensive cGVHD.

CONCLUSION

The TMI 900 cGy, FLU, and MEL conditioning regimen is considered safe as conditioning for allo-SCT and may warrant further investigation due to favorable response rates and survival; the conditioning regimen of FLU, MEL, and BTZ (0.7 mg/m2) is associated with unacceptable toxicities.

Dosimetric Evaluation of Cardiac Substructures in Irradiation of Esophagus

PURPOSE/OBJECTIVE(S)

Due to the anatomic proximity of the heart, cardiac toxicity is a major concern in radiation treatment (RT) of esophageal cancer. Historically, the entire heart is considered an organ at risk. However, more recent studies have demonstrated that dose to cardiac substructures may better predict cardiac toxicities. We retrospectively reviewed patients (pts) who had RT to the distal esophagus and evaluated the dose-volume constraints (DVCs) of the cardiac substructures and the whole heart. We hypothesized that the majority of the treatment plans would not meet the DVCs to cardiac substructures noted in the current literature, albeit meeting commonly accepted whole heart DVCs.

MATERIALS/METHODS

We identified 27 pts with esophagus or gastroesophageal junction cancer who received RT to the esophagus between January 2017 and December 2022. For each case, the cardiac substructures (4 heart chambers - left/right atrium [L/RA] and left/right ventricle [L/RV], 4 coronary arteries - left common [LCA], left anterior descending [LAD], left circumflex [LCx], and right common [RCA], and great vessels - ascending and descending aorta [A/DA], pulmonary artery [PA], and superior vena cava [SVC]) were contoured based on the contouring atlas developed by Duane et al. DVCs based on existing literature for the whole heart and each cardiac substructure were reviewed and retrospectively analyzed for each treatment plan (Table 1).

RESULTS

Eighteen (66.7%) pts received 50 Gy/25 fractions, and nine (33.3%) pts received 50.4 Gy/28 fractions. The dose-volume constraints for the whole heart and each cardiac substructure are shown in Table 1. When considering the heart as a whole organ, all the treatment plans met the V45 and V40 objectives, with a mean V45 of 7.1% and V40 of 10.8%. All the cases also met the constraints for RV and PA. However, none of the cases met the DVCs for RA or LV. Only 6 (22.2%) of cases met the constraint for LCx or AA.

CONCLUSION

We found that despite all the treatment plans meeting the whole heart V45 and V40 constraints, none of the cases met the dose constraints to all cardiac substructures. This suggests that dosimetric evaluation of the whole heart alone may not be sufficient in minimizing cardiac toxicities from RT, and thus further supports the importance of defining the cardiac substructures. Future studies will be needed to standardize the dose constraints to these substructures to ensure patient safety.

Reproducibility and Repeatability of Pelvic Radiomics Features with Daily Imaging on a Novel Biology-Guided Radiotherapy Machine Compared to Daily Imaging on Other Radiotherapy Delivery Systems

PURPOSE/OBJECTIVE(S)

Radiomics features extracted from computed tomography (CT) images have the potential of being used as imaging biomarkers in diagnostic and prognostic models for prostate cancer. This study aims to evaluate reproducibility and repeatability of radiomics features using daily CT images from a novel biology-guided radiotherapy (BgRT)-capable machine compared to other daily CT imaging modalities from other radiotherapy delivery systems.

MATERIALS/METHODS

We retrospectively selected thirty male patients treated to the pelvic region at our institution. Among the thirty patients, ten patients were treated on a BgRT-capable machine with daily fan-beam kilovoltage CT (kVCT) scans, ten patients were treated on a conventional Linac with daily cone-beam CT (CBCT) scans, and ten patients were treated on helical tomotherapy with daily megavoltage CT (MVCT) scans. The prostate gland and femoral heads were delineated on planning CT images and on CT images at the first treatment fraction. After all the CT images were resampled to have an identical voxel size, 107 radiomics features were calculated for the prostate and femoral heads on both the planning CT images and daily CT images. Concordance correlation coefficient (CCC) and Pearson's correlation coefficient (r) were calculated to evaluate radiomics feature reproducibility between the planning CT images and pre-treatment CT scans at the first treatment fraction. To evaluate radiomics feature repeatability with kVCT images on the BgRT-capable machine, a total of ten treatment sessions with repeat kVCT scans on the BgRT-capable machine were retrieved and radiomics features were compared between the first and the second kVCT scans.

RESULTS

For the prostate gland volume, high concordance (CCC > 0.8) was found for 8, 6, and 0 radiomics features with the first-fraction kVCT, CBCT, and MVCT images, respectively, in relation to the planning CT images, while there was strong correlation (r > 0.8) in 38, 22, and 5 radiomics features in the kVCT, CBCT, and MVCT images, respectively, in relation to the planning CT images. For the left and right femoral heads, high concordance (CCC > 0.8) was found in no more than two radiomics features with the kVCT, CBCT, or MVCT images in relation to the planning CT images. Based on repeat kVCT scan data, 97 (90.7%) radiomics features showed high concordance (CCC > 0.8) in repeat kVCT scans with 98 (91.6%) features showing high correlation (Pearson's correlation coefficient > 0.8) for the prostate gland volume.

CONCLUSION

A small number of radiomics features were found to show strong reproducibility between daily CT images on the first fraction and the planning CT images with the three IGRT CT modalities in this study. On the other hand, our results indicated that strong reproducibility was found with more radiomics features with daily kVCT images from the BgRT-capable machine compared to daily CBCT and MVCT images for the prostate gland. Strong repeatability was also found with most radiomics features in daily kVCT images.

Comparison of AI-Based Auto-Segmentation Quality with Different Daily IGRT Imaging Modalities for Adaptive Radiotherapy Treatment Planning

PURPOSE/OBJECTIVE(S)

Modern AI-based auto-segmentation tools may be applied on daily computed tomography (CT) images in an image-guided radiotherapy course to facilitate evaluation of anatomical variations and adaptive treatment planning. However, most AI auto-segmentation models are trained with high-quality diagnostic or planning CT image data. This study aims to evaluate and compare auto-segmentation quality by an AI-based auto-segmentation system with different daily CT imaging modalities.

MATERIALS/METHODS

We retrospectively retrieved daily IGRT images for sixty patients. Among them, twenty patients were treated on helical tomotherapy with daily megavoltage CT (MVCT) scans, twenty patients were treated on conventional Linacs with daily cone-beam CT (CBCT) scans, and twenty patients were treated on a biology-guided radiotherapy (BgRT)-capable machine with daily fan-beam kilovoltage CT (kVCT) scans. With each treatment modality, ten patients received daily CT scans in the pelvic region while the other ten received daily CT scans in the thoracic region. An auto-segmentation system using a convolutional neural network algorithm was trained in-house with historical treatment planning CT and contouring data to generate auto-segmentation models for the pelvic and thoracic regions, respectively. Normal organs were first delineated the auto-segmentation system on the daily CT images and then drawn by an experienced planner. A set of metrics including the dice similarity coefficient (DSC), Jaccard similarity index, and Hausdorff distance were used to evaluate the quality of the auto segmentation results compared with manual contours.

RESULTS

The auto-segmentation contours on the kVCT images showed higher average DSC compared to those on the MVCT and CBCT images for all the major organs in both the pelvic and thoracic regions including the bladder, rectum, bowel, left and right femurs, esophagus, heart, left and right lung, and spinal cord. With the kVCT images, the average DSC ranged from 0.52±0.22 to 0.996±0.005. In the pelvic region, the largest absolute difference in DSC was observed for the bowel volume with an average DSC of 0.69±0.16, 0.49±0.27, and 0.32±0.25 for the kVCT, MVCT, and CBCT images, respectively (p-value < 0.05 with unpaired t-tests between kVCT and the other two imaging modalities); in the thoracic region, the largest absolute difference in DSC was observed for the esophagus with an average DSC of 0.63±0.16, 0.22±0.08, and 0.15±0.18 for the kVCT, MVCT, and CBCT images, respectively (p-value < 0.05 with unpaired t-tests between kVCT and the other two imaging modalities). Similar results were observed with other metrics.

CONCLUSION

The AI-based auto segmentation system showed improved agreement with manual contouring when using kVCT images from the BgRT capable machine compared to MVCT or CBCT images. However, manual correction is necessary on auto-segmentation results from all imaging modalities especially for organs with limited contrast from surrounding tissues.

Silver@Prussian Blue Core-Satellite Nanostructures as Multimetal Ions Switch for Potent Zero-Background SERS Bioimaging-Guided Chronic Wound Healing

Metal-organic framework-based metal ion therapy has attracted increasing attention to promote the cascade wound-healing process. However, multimetal ion synergistic administration and accurately controlled ion release are still the challenges. Herein, an aptamer-functionalized silver@cupriferous Prussian blue (ACPA) is established as a metal-based theranostic nanoagent for a chronic nonhealing diabetic wound treatment. Prussian blue offers a programmable nanoplatform to formulate metal ion prescriptions, achieving cooperative wound healing. Silver, copper, and iron ions are released from ACPA controlled by the near-infrared-triggered mild hyperthermia and then synergistically participate in antipathogen, cell migration, and revascularization. ACPA also demonstrates a unique core-satellite nanostructure which enables it with improved surface-enhanced Raman scattering (SERS) capability as potent bacteria-targeted Raman-silent nanoprobe to monitor the residual bacteria during wound healing with nearly zero background. The theranostic feature of ACPA allows high-performance SERS imaging-guided chronic wound healing in infectious diabetic skin and keratitis.

A urinary assay for mutation and methylation biomarkers in the diagnosis and recurrence prediction of non-muscle invasive bladder cancer patients

BACKGROUND

Currently, the clinical strategy for diagnosis of non-muscle invasive bladder cancer (NMIBC) such as cystoscopy and cytology are invasive and/or with limited accuracy. OncoUrine, a urinary assay for mutation and methylation biomarkers, have showed a high accuracy in the detection of upper tract urinary carcinoma (UTUC) patients with hematuria. The aim of this study is to evaluate the performance of OncoUrine in diagnosis of NMIBC patients.

METHODS

In this multicenter prospective study, a total of 203 patients were enrolled, including 60 patients present with hematuria and 143 NMIBC patients under recurrence surveillance. Urine samples were collected before cystoscopy to undergo OncoUrine test. OncoUrine performance was calculated compared to clinical standard methods in hematuria cohort and recurrence surveillance cohort, respectively. Furthermore, NMIBC patients were followed up with a median time of 20.5 months (range 0.03 to 24.03 months) to assess the predictive value of OncoUrine during recurrence monitoring.

RESULTS

For bladder cancer diagnosis, OncoUrine tested 47 samples and achieved a sensitivity/specificity/positive predictive value (PPV)/negative predictive value (NPV) of 80% (95% CI 44.2-96.5)/91.9% (95% CI 77.0-97.9)/72.7% (95% CI 39.3-92.7)/94.4% (95% CI 80.0-99.0) (kappa value 69.4%, 95% CI 44.4-94.3), indicating 72.3% of unnecessary cystoscopy. For recurrence diagnosis, OncoUrine tested 93 samples, and the sensitivity/specificity/PPV/NPV was 100% (95% CI 59.8-100.0)/68.2% (95% CI 57.1-77.7)/22.9% (95% CI 11.0-40.6)/100% (95% CI 92.3-100.0) (kappa value 27.0%, 95% CI 11.1-42.8), indicating 62.4% of spared cystoscopy. What is more, OncoUrine correctly predicted 80% (20/25) of final recurrence with 12/25 (48%) patients who were OncoUrine positive, but cystoscopy negative was followed with recurrence during follow-up. The test result of OncoUrine was also found significantly correlated with recurrence free survival (RFS) of NMIBC patients (median 34.4-month vs unreached; HR 6.0, 95% CI 2.7-13.5, P < 0.0001).

CONCLUSIONS

OncoUrine showed potential value to reduce the frequency of unnecessary cystoscopy and the healthcare cost of bladder cancer patients. Patients with positive test results represented a population who were at high risk of recurrence and thus should be subject to frequent surveillance to ensure timely detection of any potential recurrence. This study has been registered in ClinicalTrials.gov with the number NCT04994197 posted on August 2021.

The heterogeneity and clonal evolution analysis of the advanced prostate cancer with castration resistance

BACKGROUND

Nowadays, the incidence rate of advanced and metastatic prostate cancer at the first time of diagnosis grows higher in China yearly. At present, androgen deprivation therapy (ADT) is the primary treatment of advanced prostate cancer. However, after several years of ADT, most patients will ultimately progress to castration-resistant prostate cancer (CRPC). Previous studies mainly focus on Caucasian and very few on East Asian patients.

METHODS

In this study, the pre- and post-ADT tumor samples were collected from five Chinese patients with advanced prostate cancer. The whole-exome sequencing, tumor heterogeneity, and clonal evolution pattern were analyzed.

RESULTS

The results showed that the gene mutation pattern and heterogeneity changed significantly after androgen deprivation therapy. Tumor Mutational Burden (TMB) and Copy Number Alteration (CNA) were substantially reduced in the post-treatment group, but the Mutant-allele tumor heterogeneity (MATH), Socio-Demographic Index (SDI), Intratumor heterogeneity (ITH), and weighted Genome Instability Index (wGII) had no significant difference. According to the clone types and characteristics, the presence of main clones in five pre-and post-treatment samples, the clonal evolution pattern can be further classified into two sub-groups (the Homogeneous origin clonal model or the Heterogeneous origin clonal model). The Progression-free survival (PFS) of the patients with the "Homogeneous origin clonal model" was shorter than the "Heterogeneous origin clonal model". The longer PFS might relate to MUC7 and MUC5B mutations repaired. ZNF91 mutation might be responsible for resistance to ADT resistance.

CONCLUSION

Our findings revealed potential genetic regulators to predict the castration resistance and provide insights into the castration resistance processes in advanced prostate cancer. The crosstalk between clonal evolution patterns and tumor microenvironment may also play a role in castration resistance. A multicenter-research including larger populations with different background are needed to confirm our conclusion in the future.

Efficiency of optimal fluoroscopic projection angle defined by computed tomography angiography for left atrial appendage closure

BACKGROUND

Left atrial appendage (LAA) closure (LAAC) procedures are conventionally performed using empirical fluoroscopic viewing angles. However, because the LAA is a highly variable anatomical structure, these angles cannot depict the LAA in the optimal position. The present study aimed to assess the efficiency of using a novel optimal fluoroscopic projection angle (OPA) for LAAC and to validate its feasibility.

METHODS

The OPAs of the derivation cohort were acquired using cardiac computed tomography angiography (CCTA) to assess its superiority for depicting LAA depth versus traditional working angles (TAs) of RAO 30°, CAU 20°. The practicability of OPA-guided LAAC was demonstrated by comparison between clinical data from the validation cohort and those from a propensity-score matched (PSM) control group, as well as randomized controlled studies investigating LAAC.

RESULTS

Of 705 patients in the derivation cohort, the median OPA was RAO 46°, CAU 31°. Compared with TA, the OPA depicted a longer mean (±SD) LAA depth (5.1 ± 4.4) mm and a larger orifice diameter (1.1 ± 1.1 mm), (P < 0.0001 for both). All 38 OPA-guided LAACs were successful, with a shorter mean procedure duration (42.9 ± 12.3 min versus [vs.] 107.2 ± 41.5 min; P < 0.0001) and reduced device consumption (1.08 vs. 1.5 per case), compared with the PSM control group. At the 3-month follow-up, the incidence of peri-device leak was 52.6% (20/38) detected by CCTA, with a mean leakage of 1.6 ± 0.8 mm.

CONCLUSION

By unfolding the LAA depth and orifice diameter for a better view, OPA demonstrated the potential to optimize LAAC procedural efficiency, although further larger-scale studies are required to confirm this.

Measurement of the Lifetime and Λ Separation Energy of _{Λ}^{3}H

The most precise measurements to date of the _{Λ}^{3}H lifetime τ and Λ separation energy B_{Λ} are obtained using the data sample of Pb-Pb collisions at sqrt[s_{NN}]=5.02  TeV collected by ALICE at the LHC. The _{Λ}^{3}H is reconstructed via its charged two-body mesonic decay channel (_{Λ}^{3}H→^{3}He+π^{-} and the charge-conjugate process). The measured values τ=[253±11(stat)±6(syst)]  ps and B_{Λ}=[102±63(stat)±67(syst)]  keV are compatible with predictions from effective field theories and confirm that the _{Λ}^{3}H structure is consistent with a weakly bound system.

Height-based formulas for predicting intravascular length of tunnelled neck central venous catheter in paediatric population

INTRODUCTION

Central venous catheter (CVC) placement is commonly performed in children. We aim to develop simple formulas to predict CVC intravascular length to minimise radiation exposure associated with the procedure.

METHODS

124 paediatric patients who received tunnelled neck CVCs and subsequent CT thorax at Hong Kong Children's Hospital from January 2020 to July 2022 were reviewed retrospectively. Formula development cohorts were subdivided by insertion sites-9 right external jugular vein (REJV), 41 right internal jugular vein (RIJV), 14 left external jugular vein (LEJV), 10 left internal jugular vein (LIJV). Using measurements from CT by two radiologists, formulas predicting the CVC intravascular length based on height and insertion sites were developed using a linear regression model. These formulas were tested with validation cohorts (10 randomly selected cases in REJV and RIJV groups respectively). Validation cohorts were not available for LEJV and LIJV groups due to small sample sizes.

RESULT

The goodness-of-fit (R^2) of all formulas are above 0.8. In the validation cohorts, the REJV formula was predictive of intravascular CVC length within 1 cm in 70% of CVC with mean absolute difference of 0.63 cm (SD 0.48 cm), and the RIJV formula was predictive of intravascular CVC length within 1 cm in 80% of CVC with mean absolute difference of 0.67 cm (SD 0.53 cm).

CONCLUSION

Intravascular CVC length can be estimated using simple formulas based on height and insertion sites. Further prospective validation of the LEJV and LIJV formulas is needed.

LncRNA GAS5-hnRNPK axis inhibited ovarian cancer progression via inhibition of AKT signaling in ovarian cancer cells

BACKGROUND

The incidence of ovarian cancer ranks third among gynecologic malignancies, but the mortality rate ranks first.

METHODS

The expression of GAS5 is low in ovarian cancer and is associated with the low survival of ovarian cancer patients according to public ovarian cancer databases. GAS5 overexpression inhibited ovarian malignancy by affecting the proliferation and migratory abilities in OVCAR3 and A2780 cells. GAS5 overexpression increased the rate of cell apoptosis, and the cells were blocked in the G1 phase as assessed by flow cytometry.

RESULTS

We found that hnRNPK was a potential target gene, which was regulated negatively by GAS5 based on RNA-pulldown and mass spectrometry analysis. Mechanistically, GAS5 affected the inhibition of the PI3K/AKT/mTOR pathways and bound the protein of hnRNPK, which influenced hnRNPK stability. Furthermore, rescue assays demonstrated hnRNPK was significantly involved in the progression of ovarian cancer.

CONCLUSIONS

Our study showed one of the mechanisms that GAS5 inhibited ovarian cancer metastasis by down-regulating hnRNPK expression, and GAS5 can be used to predict the prognosis of ovarian cancer patients.