Octave soliton microcombs in lithium niobate microresonators

Soliton microcombs are regarded as an ideal platform for applications such as optical communications, optical sensing, low-noise microwave sources, optical atomic clocks, and frequency synthesizers. Many of these applications require a broad comb spectrum that covers an octave, essential for implementing the f - 2f self-referencing techniques. In this work, we have successfully generated an octave-spanning soliton microcomb based on a z-cut thin-film lithium niobate (TFLN) microresonator. This achievement is realized under on-chip optical pumping at 340 mW and through extensive research into the broadening of dual dispersive waves (DWs). Furthermore, the repetition rate of the octave soliton microcomb is accurately measured using an electro-optic comb generated by an x-cut TFLN racetrack microresonator. Our results represent a crucial step toward the realization of practical, integrated, and fully stabilized soliton microcomb systems based on TFLN.

On-Chip Meta-Optics for Engineering Arbitrary Trajectories with Longitudinal Polarization Variation

On-chip integrated meta-optics promise to achieve high-performance and compact integrated photonic devices. To arbitrarily engineer the optical trajectory along the propagation path in an on-chip integrated scheme is of significance in fundamental physics and various emerging applications. Here, we experimentally demonstrate an on-chip metasurface integrated on a waveguide to enable predefined arbitrary optical trajectories in the visible regime. By transformation of the transverse phase to generate longitudinal mapping, the guided waves are extracted and molded into any different optical trajectories (parabola, hyperbola, and cosine). More intriguingly, predefined polarization states with longitudinal variation are also successfully imparted along the trajectory. Owing to the on-chip propagation scheme, the trajectories are uniquely free from zero-order diffraction interference, naturally having a higher signal-to-noise ratio beyond conventional free-space forms. Overall, such on-chip optical trajectory engineering allows for miniaturized integration and can find paths in potential applications of complex optical manipulation, advanced laser fabrication, and microscopic imaging.

Repetition rate tuning and locking of solitons in a microrod resonator

Recently, there has been significant interest in the generation of coherent temporal solitons in optical microresonators. In this Letter, we present a demonstration of dissipative Kerr soliton generation in a microrod resonator using an auxiliary-laser-assisted thermal response control method. In addition, we are able to control the repetition rate of the soliton over a range of 200 kHz while maintaining the pump laser frequency, by applying external stress tuning. Through the precise control of the PZT voltage, we achieve a stability level of 3.9 × 10-10 for residual fluctuation of the repetition rate when averaged 1 s. Our platform offers precise tuning and locking capabilities for the repetition frequency of coherent mode-locked combs in microresonators. This advancement holds great potential for applications in spectroscopy and precision measurements.

Switchable unidirectional emissions from hydrogel gratings with integrated carbon quantum dots

Directional emission of photoluminescence despite its incoherence is an attractive technique for light-emitting fields and nanophotonics. Optical metasurfaces provide a promising route for wavefront engineering at the subwavelength scale, enabling the feasibility of unidirectional emission. However, current directional emission strategies are mostly based on static metasurfaces, and it remains a challenge to achieve unidirectional emissions tuning with high performance. Here, we demonstrate quantum dots-hydrogel integrated gratings for actively switchable unidirectional emission with simultaneously a narrow divergence angle less than 1.5° and a large diffraction angle greater than 45°. We further demonstrate that the grating efficiency alteration leads to a more than 7-fold tuning of emission intensity at diffraction order due to the variation of hydrogel morphology subject to change in ambient humidity. Our proposed switchable emission strategy can promote technologies of active light-emitting devices for radiation control and optical imaging.

Multi-Dimensional Light-Emitting Meta-Display: Photoluminescence and Pumping Light Multiplexing

The advent of intelligent display devices has given rise to diverse and complex demands for miniature light-emitting devices. Light-emitting metasurfaces have emerged as a practical and efficient means of achieving precise light modulation. However, their practicality is limited by certain constraints. First, there is a need for further exploration of the ability to manipulate both pumping and emitting light simultaneously. Second, there is currently no encoding freedom in multi-dimensional emitting light. To address these concerns, using meta-atoms is proposed to encode both fluorescence and pumping light independently, and expand the encoding freedom with different incident wavevector directions. A light-emitting metasurface with quad-fold multiplex encoding meta-displays, including dual scattering images and dual fluorescence images, is further demonstrated. This design strategy not only manipulates both pumping and fluorescence light but also broadens encoding freedom for comprehensive multi-functionality. This can pave the way for multiplexing optical displays, information storage, and next-generation wearable displays.

Adaptive Chroma Prediction Based on Luma Difference for H.266/VVC

Cross-component chroma prediction plays an important role in improving coding efficiency for H.266/VVC. We use the differences between reference samples and the predicted sample to design an attention model for chroma prediction, namely luma difference-based chroma prediction (LDCP). Specifically, the luma differences (LDs) between reference samples and the predicted sample are employed as the input of the attention model, which is designed as a softmax function to map LDs to chroma weights nonlinearly. Finally, a weighted chroma prediction is conducted based on the weights and chroma reference samples. To provide adaptive weights, the model parameter of the softmax function can be determined based on the template (T-LDCP) or offline learning (L-LDCP), respectively. Experimental results show that the T-LDCP achieves BD-rate reductions of 0.34%, 2.02%, and 2.34% for the Y, Cb, and Cr components, and the L-LDCP brings 0.32%, 2.06%, and 2.21% BD-rate savings for Y, Cb, and Cr components, respectively. The L-LDCP introduces slight encoding and decoding time increments, i.e., 2% and 1%, when integrated into the latest VVC test model version 18.0. Besides, the LDCP can be implemented by a pixel-level parallelization which is hardware-friendly.

Short-term association of CO and NO2 with hospital visits for glomerulonephritis in Hefei, China: a time series study

Objective

Recent studies suggest air pollution as an underlying factor to kidney disease. However, there is still limited knowledge about the short-term correlation between glomerulonephritis (GN) and air pollution. Thus, we aim to fill this research gap by investigating the short-term correlation between GN clinical visits and air pollution exposure.

Methods

Between 2015 and 2019, daily GN visit data from two grade A tertiary hospitals in Hefei City were collected, along with corresponding air pollution and meteorological data. A generalized linear model integrated with a distributed lag nonlinear model was employed to analyze the relationship between GN visits and air pollutants. Moreover, we incorporated a dual pollutant model to account for the combined effects of multiple pollutants. Furthermore, subgroup analyses were performed to identify vulnerable populations based on gender, age, and season.

Results

The association between 23,475 GN visits and air pollutants was assessed, and significant positive associations were found between CO and NO2 exposure and GN visit risk. The single-day lagged effect model for CO showed increased risks for GN visits from lag0 (RR: 1.129, 95% CI: 1.031-1.236) to lag2 (RR: 1.034, 95% CI: 1.011-1.022), with the highest risk at lag0. In contrast, NO2 displayed a more persistent impact (lag1-lag4) on GN visit risk, peaking at lag2 (RR: 1.017, 95% CI: 1.011-1.022). Within the dual-pollutant model, the significance persisted for both CO and NO2 after adjusting for each other. Subgroup analyses showed that the cumulative harm of CO was greater in the cold-season and older adult groups. Meanwhile, the female group was more vulnerable to the harmful effects of cumulative exposure to NO2.

Conclusion

Our study indicated that CO and NO2 exposure can raise the risk of GN visits, and female and older adult populations exhibited greater susceptibility.

Toward Water-Immersion Programmable Meta-Display

Heading toward next-generation intelligent display, dynamic control capability for meta-devices is critical for real world applications. Beyond the conventional electrical/optical/mechanical/thermal tuning methods, liquid immersion recently has emerged as a facile tuning mechanism which is easily accessible (especially water) and practically implementable for large tuning area. However, due to the longstanding and critical drawback of lacking independent-encoding capability, the state-of-art immersion approach remains incapable of pixel-level programmable switching. Here a water-immersion tuning scheme with pixel-scale programmability for dynamic meta-displays is proposed. Tunable meta-pixels can be engineered to construct spectral selective patterns at prior-/post- immersion states, such that a metasurface enables pixel-level transforming animations for dynamic multifield meta-displays, including near-field dual-nanoprints and far-field dual-holographic displays. The proposed water-immersion programmable approach for meta-display, benefitting from its large tuning area, facile operation and strong repeatability, may find a revolutionary path toward next-generation intelligent display with practical applications in dynamic display/encryption, information anticounterfeit/storage, and optical sensors.

Thermal oscillation in the hybrid Si3N4 - TiO2 microring

The hybrid microcavity composed of different materials shows unique thermal-optical properties such as resonance frequency shift and small thermal noise fluctuations with the temperature variation. Here, we have fabricated the hybrid Si₃N₄ - TiO₂ microring, which decreases the effective thermo-optical coefficients (TOC) from 23.2pm/K to 11.05pm/K due to the opposite TOC of these two materials. In this hybrid microring, we experimentally study the thermal dynamic with different input powers and scanning speeds. The distorted transmission and thermal oscillation are observed, which results from the non-uniform scanning speed and the different thermal relaxation times of the Si₃N₄ and the TiO₂. We calibrate the distorted transmission spectrum for the resonance measurement at the reverse scanning direction and explain the thermal oscillation with a thermal-optical coupled model. Finally, we analyse the thermal oscillation condition and give the diagram about the oscillation region, which has significant guidance for the occurrence and avoidance of the thermal oscillation in practical applications.

All-Optical Synchronization of Remote Optomechanical Systems

Synchronization and frequency locking between remote mechanical oscillators are of scientific and technological importance. The key challenges are to align the oscillation frequencies and realize strong nonlinear interaction of both oscillators to a common carrier capable of long-distance transmission. Here, we experimentally realize the all-optical synchronization between two different optomechanical systems, a microsphere and a microdisk. The mechanical oscillation of the microsphere induced by the radiation pressure is loaded onto the pump laser via the optomechanical interaction, which is directly transmitted through a 5-km-long single-mode fiber to excite the mechanical oscillation of the microdisk. By finely tuning both the optical and mechanical frequencies of the two microresonators, the oscillation of the microdisk is injection locked to the microsphere, resulting in a synchronized phase relation of the two systems. Our results push a step forward the long-distance synchronization network using optomechanical microresonators.

Numerical characterization of soliton microcomb in an athermal hybrid Si3N4-TiO2 microring

We theoretically investigate the athermal constructions to cancel the thermorefractive effect of a hybrid Si₃N₄-TiO₂ microring, which merges two materials with opposite thermo-optical coefficients (TOCs). The analytical and numerical results predict that the thermorefractive effect can be reduced under the appropriate parameters. In addition, the soliton state is easily accessed under the athermal condition. The thermorefractive noise due to the fluctuation of the microresonator temperature caused by the heat exchange between the microresonator and the surrounding environment is also suppressed by one order of magnitude, which is critical for the potential applications of soliton microcombs, such as spectroscopy, optical clocks and microwave generation.

Thermal tuning of mode crossing and the perfect soliton crystal in a Si3N4 microresonator

Dissipative Kerr solitons in high quality microresonators have attracted much attention in the past few years. They provide ideal platforms for a number of applications. Here, we fabricate the Si₃N₄ microring resonator with anomalous dispersion for the generation of single soliton and soliton crystal. Based on the strong thermal effect in the high-Q microresonator, the location and strength of the avoided mode crossing in the device can be changed by the intracavity power. Because the existence of the avoided mode crossing can induce the perfect soliton crystal with specific soliton number, we could choose the appropriate pumped resonance mode and appropriate pump power to obtain the perfect soliton crystals on demand.

Graph Convolutional Dictionary Selection With L₂,ₚ Norm for Video Summarization

Video Summarization (VS) has become one of the most effective solutions for quickly understanding a large volume of video data. Dictionary selection with self representation and sparse regularization has demonstrated its promise for VS by formulating the VS problem as a sparse selection task on video frames. However, existing dictionary selection models are generally designed only for data reconstruction, which results in the neglect of the inherent structured information among video frames. In addition, the sparsity commonly constrained by L_2,1 norm is not strong enough, which causes the redundancy of keyframes, i.e., similar keyframes are selected. Therefore, to address these two issues, in this paper we propose a general framework called graph convolutional dictionary selection with L_2,p ( ) norm (GCDS _2,p ) for both keyframe selection and skimming based summarization. Firstly, we incorporate graph embedding into dictionary selection to generate the graph embedding dictionary, which can take the structured information depicted in videos into account. Secondly, we propose to use L_2,p ( ) norm constrained row sparsity, in which p can be flexibly set for two forms of video summarization. For keyframe selection, can be utilized to select diverse and representative keyframes; and for skimming, p=1 can be utilized to select key shots. In addition, an efficient iterative algorithm is devised to optimize the proposed model, and the convergence is theoretically proved. Experimental results including both keyframe selection and skimming based summarization on four benchmark datasets demonstrate the effectiveness and superiority of the proposed method.

Dual-encryption freedom via a monolayer-nanotextured Janus metasurface in the broadband visible

As an emerging category of two-faced 2D architecture, the Janus metasurface aims to explore another universal optical property, that is, the wavevector direction (k-direction), and to enable the asymmetric transmission between the opposite directional incidences. It exhibits significant potential in creating versatile multiplexing metasurfaces and an optical isolator in optical communication applications. However, most previous asymmetric functionality shows merely one-way functionality with the other-way simply muted or demands multilayered nanostructure fabrication and alignment. Hence, it remains a great challenge to make a monolayer-nanotextured Janus metasurface with dual-encryption freedom and conquering the difficulty for multilayer alignment and practical operation bandwidth. In this work, we have proposed and experimentally demonstrated a new strategy of a dual-encryption Janus metasurface design with a simple monolayer-nanotextured metasurface coupled with a commercialized film of the half-wave plate. Utilizing the hybridization from two independent geometrical dimensions of rectangular-antennas, our approach ingeniously transforms the polarization-multiplexing into the dual-directional channels. A series of calculations and experimental results demonstrate that our asymmetric approach simultaneously constructs completely independent imaging encryptions for both forward and backward directions. Additionally, our proposed approach becomes a practical scheme with broadband visible-frequency operation and great simplicity in design and nanofabrication. We believe the universal scheme could facilitate to increase the information encoding capacity and holographic multiplexing channels by expanding the illumination wavevector to the full-space (+/-), and it paves the route toward the potential applications in on-chip integration, telecommunications, encryption, information processing, and communication.

Angular Multiplexing Nanoprinting with Independent Amplitude Encryption Based on Visible-Frequency Metasurfaces

Two-dimensional (2D) metasurfaces hold great promise to enable multiplexing and multifunctional optical devices due to their artificial freedom in design, device miniaturization, etc. Various multiplexing and multifunctional metasurfaces have been extensively studied, including polarization multiplexing, wavelength multiplexing, and orbit angular momentum (OAM) multiplexing. However, due to the lack of angular encoding freedom, angular multiplexing switchable nanoprinting has rarely been studied or demonstrated yet to the best of our knowledge. Here, we realize angular multiplexing switchable nanoprinting functionality with independent amplitude encryption based on visible-frequency metasurfaces. By screening a large number of structural designs and breaking the angular correlation, we eventually obtain optimal metasurface designs to realize dual-channel arbitrary image encryption. Furthermore, we illustrate that the proposed scheme would serve as an optical information concealment/retrieval strategy by combining the structural color and amplitude modulation. Overall, we believe that angular multiplexing metasurfaces would easily find promising applications, including optical information encryption/concealment, multifunctional switchable devices, and advanced eyeglass-free three-dimensional (3D) stereoscopic displays.

3D Meta-Prisms for Versatile Beam Steering by Hybridizing Plasmonic and Diffractive Effect in the Broadband Visible Regime

As two independent optical sub-fields, diffraction optics and plasmonics both have been used for wavefront shaping and beam steering. However, the two separate concepts have always been developing as two parallel directions, which have not met for studying their structural hybridization to discover new potentials. For instance of the flat metasurfaces, even though the geometric parameters including shape, size, and periodicity have been studied, it remains mostly unexplored for the 3D spatial height variation. Here, a new type of all-metallic 3D meta-prism is proposed and experimentally demonstrated by hybridizing the localized surface plasmonic resonances (LSPR) and the blazed grating diffraction, which enables strong polarization-dependent behaviors to steer broadband visible light to drastically inverse directions. The nanofabrication of 3D meta-prism is achieved by nanostencil lithography with electron-beam evaporation. Such meta-prism could also enable to split different visible light (green, blue, and red) with high-efficiency contrast (≈10). By the mirror-symmetry arrangement, a multifunctional surface is demonstrated with polarization-/wavelength-multiplexing wavefront-shaping functions (concave, convex, or flat mirror). This unique 3D meta-prism enjoys great simplicity and versatility in broadband beam steering through the incorporation of plasmonic and diffractive effects and can be utilized in various applications including dichroic-prism splitters, multifunctional meta-mirrors, etc.

Survival Outcome with Routine Clinical Use of 82Rb PET/CT Myocardial Blood Flow (MBF) Quantification

Funding Acknowledgements

Type of funding sources: Public Institution(s). Main funding source(s): NIHR Biomedical Research Centre, University College London Hospitals

Background

The prognostic value of 82Rb PET/CT derived myocardial blood flow (MBF) is increasingly recognised in both general and specific cardiovascular populations.

Purpose

This study investigates the prognostic potential of MBF in a large cohort of patients undergoing routine 82Rb PET/CT examination.

Methods

1148 consecutive patients (687 males, mean age 64 +/- 12 years) whom had been referred for 82Rb PET/CT examination in a single centre were included in this study.  All patients completed a stress 82Rb PET/CT with adenosine infusion, paired with a rest study.  Dynamic PET acquisitions were performed in both. Cardiovascular risk factors were documented as per clinical routine. Images were checked for quality and analysed using a proprietary software by an experienced operator to derive MBF parameters.  Overall survival was recorded following the study.

Results

Median follow-up period was 71 +/- 28 months.  Mean survival was 121 (95% CI: 118-124) months. On univariate analysis, global myocardial flow reserve <1.77 was associated with a higher all-cause mortality (p < 0.001). Other parameters including higher age (> =76 years), lower BMI (<21), qualitative abnormality on the myocardial perfusion scan (MPS), low hyperaemic ejection fraction on the gated studies (stress < 37 and rest < 34). Patients being on cardiac glycosides and diuretics were also significant predictor of poor prognosis (p < 0.001) on univariate analysis, presumably reflecting underlying arrhythmia and heart failure. A multivariate Cox regression analysis (step-wise Forward Wald), comprising of the above significant univariate markers, highlighted global myocardial flow reserve (HR: 2.6, 95%CI: 1.8-3.6, p < 0.001), age (HR: 2.8, 95%CI: 2.0-3.9, p < 0.001),, BMI (HR: 2.7, 95%CI: 1.7-4.1, p < 0.001),, ejection fraction (stress - HR: 3.3, 95%CI: 2.3-4.8, p < 0.001), MPS (HR: 1.5, 95%CI: 1.1-2.1, p = 0.024), and patients on diuretics (HR: 1.8, 95%CI: 1.2-2.5, p = 0.003) were independent predictors of overall survival (overall model: p < 0.001)

Discussion

We show that high volume routinely derived MBF in patients undergoing 82Rb PET/CT is a strong predictor of mortality and independent of other risk factors. This has important clinical implication for measuring not only interventional treatment but also measuring the effect of lifestyle and medical strategies.

Comprehensive mechanical & metabolic imaging of abdominal aortic aneurysm with 4D flow/ FDG PET on an integrated PETMRI: a feasibility study

Funding Acknowledgements

Type of funding sources: Public Institution(s). Main funding source(s): NIHR Biomedical Research Centre, University College London Hospitals.

Background

A number of non-invasive imaging derived parameters have been implicated in the development and progression of abdominal aortic aneurysm, although the mechanism, and relationships of many of these are yet to be precisely determined.  Mechanical parameters can now be studied using 4D phase contrast magnetic resonance (PCMR), and inflammatory cellular activity can be detected with FDG PET.

Purpose

It may be postulated that inflammation of the aortic wall may be the intermediary at the tissue level linking mechanical wall shear stress (WSS) to aneurysm progression. It may be feasible to study 4D PCMR and FDG PET at the same patient visit on a PETMRI platform, with the potential to enhance temporal and spatial co-registration and improving the understanding of any relationship between these two parameters.  Our study aims to assess feasibility of studying these on an integrated PETMRI system.

Methods

7 patients with known aortic aneurysm were recruited in a vascular ultrasound screening follow up clinic.  During a single visit following 6 hours fasting, all patients underwent FDG injection and 60 minutes uptake period.  With quiet breathing, list mode PET acquisition and concurrent 4D PCMR was acquired using stacks of spiral acquisition, with ECG trace information for retrospective gating.  Images from the 4D PCMR and FDG PET were assessed qualitatively for image quality and visual matching.

Results

All 7 patients completed the study.  Overall image quality was adequate to good.  There is qualitatively a good concordance with impression of positive correlation between wall shear stress and inflammatory signal (see attached image).

Conclusion

We have demonstrated feasibility of combined assessment of mechanical and metabolic imaging parameters using an integrated PETMRI system.  Initial findings show there to be a broad concordance of wall shear stress and inflammatory signal in the abdominal aneurysm.

Novel double injection technique for sentinel lymph node biopsy in oral cancer

The development of new lymphatic tracers and the advancement of hybrid tracers, such as indocyanine green (ICG)-Nanocoll (GE Healthcare), represent an exciting step in the future of sentinel lymph node biopsy (SLNB). These tracers aim to improve our ability to detect sentinel lymph nodes by enhancing their localisation. The aim of this study was to assess the performance of a novel dual tracer, double injection technique of ICG-'cold'-Nanocoll and radiolabelled Nanocoll, in SLNB for early-stage oral cancer. A double injection technique was performed first using ^99mTc-Nancoll prior to sentinel node imaging followed by ICG-'cold'-Nanocoll injection in theatre. Analysis involved examination of the number, labelling, and location of the nodes harvested, sentinel node status, survival analysis, false negative rate, and complications associated with use of the technique. ICG 'cold' Nanocoll results showed concordance of fluorescence and radioactivity detection in 74 nodes in 24 patients. Most importantly, all nodes found positive for metastasis (6 nodes) were discovered to be both 'hot' and fluorescent; 74 nodes removed were both 'hot' and fluorescent, eight fluorescent only and six 'hot' only. Our results indicate that two sets of tracer injections given at two different time points will flow to the same sentinel nodes. This double labelling increased our confidence that the retrieved node was a sentinel node.

[Hepatic echinococcus granulosus: a clinicopathological analysis of thirteen cases]

Objective: To investigate the clinicopathologic characteristics of hepatic echinococcus granulosus (HEG). Methods: Thirteen cases of HEG were collected from Linzhi People's Hospital between January 2017 to October 2020, and their clinicopathologic features, ultrasound classification, immunophenotype and histochemical data were analyzed, retrospectively and the relevant literature was reviewed. Results: Thirteen patients (5 male patients, 8 female patients) were included in this cohort, and the mean age was 40 years. The most common clinical presentation was mild abdominal distention and pain (9/13). Based on WHO-IWGE ultrasound standardized classification, these cases were classified into 5 types, including type CL (1 case), type CE1 (2 cases), type CE2 (4 cases), type CE3 (3 cases) and type CE4 (3 cases). Gross examination revealed a solitary cyst localized in the liver, varying from 2.7 to 13.5 cm in diameter, and most of them(10/13)were more than 10 cm. Histopathologically, these cysts possessed a thin inner germinal layer and outer adventitial layer, and a central cavity filled with a clear"hydatid"fluid. The germinal layer was continuous and generated brood capsules and protoscoleces. The laminated membranes were clearly demonstrated by elastic fiber and Gomori's stains. Inside the"mother"cyst, there were a varying number of"daughter"vesicles of variable sizes. The inflammatory reaction around the cyst consisted of eosinophils, mononuclear cells immediately next to the cyst layer and sometimes formed granuloma and giant cells resembling the Langhan's type giant cells. The lymphoid cells were positive for CD20 and CD3. The CD68 immunohistochemistry clearly demonstrated epithelioid cells of granuloma in two cases. Moreover, immunohistochemistry revealed plasma cells were locally positive for CD38, IgG and IgG4, but not meeting the criteria for IgG4 related lesion. Conclusions: Hepatic echinococcus granulosus is a zoonotic parasitic disease prevalent in pastoral areas such as Tibet. It is important to understand its clinical features, ultrasound characteristics and histological morphology.

Unilateral axillary adenopathy following COVID-19 vaccination: a multimodality pictorial illustration and review of current guidelines

We present a multimodality pictorial review of axillary lymphadenopathy in patients recently vaccinated against COVID-19. As the mass vaccination programme continues to be rolled out worldwide in an effort to combat the pandemic, it is important that radiologists consider recent COVID-19 vaccination in the differential diagnosis of unilateral axillary lymphadenopathy and are aware of typical appearances across all imaging methods. We review current guidelines on the management of unilateral axillary lymphadenopathy in the context of recent COVID-19 vaccination.

Keyframe Extraction From Laparoscopic Videos via Diverse and Weighted Dictionary Selection

Laparoscopic videos have been increasingly acquired for various purposes including surgical training and quality assurance, due to the wide adoption of laparoscopy in minimally invasive surgeries. However, it is very time consuming to view a large amount of laparoscopic videos, which prevents the values of laparoscopic video archives from being well exploited. In this paper, a dictionary selection based video summarization method is proposed to effectively extract keyframes for fast access of laparoscopic videos. Firstly, unlike the low-level feature used in most existing summarization methods, deep features are extracted from a convolutional neural network to effectively represent video frames. Secondly, based on such a deep representation, laparoscopic video summarization is formulated as a diverse and weighted dictionary selection model, in which image quality is taken into account to select high quality keyframes, and a diversity regularization term is added to reduce redundancy among the selected keyframes. Finally, an iterative algorithm with a rapid convergence rate is designed for model optimization, and the convergence of the proposed method is also analyzed. Experimental results on a recently released laparoscopic dataset demonstrate the clear superiority of the proposed methods. The proposed method can facilitate the access of key information in surgeries, training of junior clinicians, explanations to patients, and archive of case files.

Distributions of serum thyroid-stimulating hormone in 2020 thyroid disease-free adults from areas with different iodine levels: a cross-sectional survey in China

PURPOSE

The aim of the present study was to describe the distributions of serum thyroid- stimulating hormone (TSH) levels in thyroid disease-free adults from areas with different iodine levels in China. Meanwhile, we aimed to evaluate the influence of age and gender on the distribution of TSH, assess the relationship between concentrations of TSH and free thyroxine (FT₄), and analyze the factors that may affect TSH levels.

METHODS

2020 adults were included from April 2016 to June 2019. Urinary iodine concentration, serum iodine concentration, serum TSH, FT₄, free triiodothyronine, thyroid peroxidase antibodies and thyroglobulin antibodies were measured, and thyroid ultrasonography was performed.

RESULTS

The median of TSH in iodine-fortification areas (IFA), iodine-adequate areas (IAA), iodine-excessive areas (IEA) were 2.32, 2.11 and 2.34 mIU/L, respectively. Serum TSH concentrations were significantly higher in IFA and IEA than that in IAA (p = 0.005 and < 0.0001). The TSH values of most adults were distributed within the range of 1.01-3.00 mIU/L with the same trend in three groups. In our study, TSH levels did not change with age, and the TSH level of females was higher than that of males (p < 0.0001). There was a negative correlation between FT₄ and TSH in IAA (r = - 0.160, p < 0.0001) and IEA (r = - 0.177, p < 0.0001), but there was no correlation between FT₄ and TSH in IFA (r = - 0.046, p = 0.370). BMI, smoking status, education levels, and marital status were associated with TSH.

CONCLUSION

Our study provides a basis for establishing the reference intervals of TSH in different iodine level areas.

Can deep learning identify normal coronary flow reserve from rubidium myocardial PET perfusion?

Funding Acknowledgements

Type of funding sources: None.

Background

Impaired vasodilator function is an early manifestation of coronary artery disease (CAD) and may precede angiographic stenosis.  Rest and stress myocardial blood flow (MBF) are calculated from dynamic imaging during rest/stress Rubidium (Rb) myocardial PET perfusion.  Coronary flow reserve (CFR) equals stress divided by rest MBF.  CFR is an independent predictor of cardiac mortality in patients with known or suspected CAD.  We evaluated the prediction of CFR from analysis of stress/rest PET images by deep learning (DL) as compared with standard calculation of CFR using supervised learning applied methodology using within a commercial DL training platform.

Methods

1036 patients (625 male, 411 female, mean age: 64.3 years old) were studied. Patients underwent Stress/rest Rb PET perfusion, and CFR calculated using MBF software by an expert user. Abnormal CFR was defined as &lt;2.0. The left ventricle myocardium was segmented using standard software.

DL was trained using polar distribution of normalized PET uptake at stress and rest, processed stress and rest images were cropped, the stress images were then subtracted from the rest images. DL was trained using 935 subtracted images and tested using the remaining 101 images. DL was trained with supervision to classify images. The image shows examples of subtracted  abnormal cases (1a & 1b).

Results

Using our supervised training methodology, the commercial MBF software platform reported 465 cases as abnormal, with 48 of these were included in the DL test set. The DL platform produced abnormal output classifiers for all the whole test set. DL accurately detected over 70% of abnormal cases.

The commercial MBF software reported 571 cases as normal; with 50 of these contributing to the DL test set. DL was accurate in 48.0% of normal cases. Statistical results are shown in the table.

Conclusion

We have shown the proof of concept that DL algorithms trained with supervision can detect abnormal CFR. Our work shows that further work is needed to develop supervised learning methodology in order to improve accuracy for clinical use.

Statistical Results Statistic Value Sensitivity 63.16% Specificity 56.67% + Predictive Value 48.00% - Predictive Value 70.83% Accuracy 59.18% Abstract Figure.

Paediatric Molecular Radiotherapy: Challenges and Opportunities

The common contemporary indications for paediatric molecular radiotherapy (pMRT) are differentiated thyroid cancer and neuroblastoma. It may also have value in neuroendocrine cancers, and it is being investigated in clinical trials for other diseases. pMRT is the prototypical biomarker-driven, precision therapy, with a unique mode of delivery and mechanism of action. It is safe and well tolerated, compared with other treatments. However, its full potential has not yet been achieved, and its wider use faces a number of challenges and obstacles. Paradoxically, the success of radioactive iodine as a curative treatment for metastatic thyroid cancer has led to a 'one size fits all' approach and limited academic enquiry into optimisation of the conventional treatment regimen, until very recently. Second, the specialised requirements for the delivery of pMRT are available in only a very limited number of centres. This limited capacity and geographical coverage results in reduced accessibility. With few enthusiastic advocates for this treatment modality, investment in research to improve treatments and broaden indications from both industry and national and charitable research funders has historically been suboptimal. Nonetheless, there is now an increasing interest in the opportunities offered by pMRT. Increased research funding has been allocated, and technical developments that will permit innovative approaches in pMRT are available for exploration. A new portfolio of clinical trials is being assembled. These studies should help to move at least some paediatric treatments from simply palliative use into potentially curative protocols. Therapeutic strategies require modification and optimisation to achieve this. The delivery should be personalised and tailored appropriately, with a comprehensive evaluation of tumour and organ-at-risk dosimetry, in alignment with the external beam model of radiotherapy. This article gives an overview of the current status of pMRT, indicating the barriers to progress and identifying ways in which these may be overcome.

Polarization-insensitive broadband visible-light steering with tunable direction enabled by scalable plasmonics meta-gratings

As an emerging field in the discipline of optics, plasmonics and metasurfaces have been demonstrated to enable a new degree of freedom to manipulate light for arbitrary beam steering, spectral splitting as well as precise wavefront shaping. However, it has been mostly studied in parallel with the field of diffractive optics, and awaits the unveiling of how the hybridizations between plasmonic effect and diffraction effect interact and impact. Here, we have theoretically proposed a new type of polarization-insensitive meta-grating structure across the broadband visible regime. The structure design combines the width gradient (critical resonant length) from a trapezoid-nanoantenna with the height gradient from a blazed grating profile. The hybridized meta-grating creates both plasmonic effect and grating effect, which enables all the optical incident photons to be directed to the same orientation regardless of the light polarization. As we know, both metasurfaces and diffractive optical elements (such as gratings) are, more often than not, quite sensitive to the incident light polarization. Moreover, if placing our meta-grating on a flexible/stretchable substrate (such as polydimethylsiloxane), the outgoing angle can be effectively adjusted by tuning the period or density of meta-grating arrays. Such meta-grating architectures can be potentially manufactured by existing photolithography and nanoimprint techniques, and can easily find a wide range of practical polarization-insensitive applications, including broadband deflector and emitter, tunable display and imaging device, high signal-to-noise ratio spectrometer, polarization-insensitive plasmonic coupler, etc.

Observation of chiral edge states in gapped nanomechanical graphene

Emerging in diverse areas of physics, edge states have been exploited as an efficient strategy of manipulating electrons, photons, and phonons for next-generation hybrid electro-optomechanical circuits. Among various edge states, gapless chiral edge states harnessing quantum spin/valley Hall effects in graphene or graphene-like materials are especially unique. Here, we report on an experimental demonstration of chiral edge states in gapped "nanomechanical graphene"-a honeycomb lattice of free-standing silicon nitride nanomechanical membranes with broken spatial inversion symmetry. These chiral edge states can emerge from the conventional flat-band edge states by tuning the on-site boundary potentials. We experimentally demonstrated that they are backscattering-immune against sharp bends and exhibit the "valley-momentum locking" effect. We further realized smooth transition between the chiral edge states and the well-known valley kink states. Our results open the door to experimental investigation of exotic graphene-related physics in the very-high-frequency integrated nanomechanical systems.

Gene identification and functional analysis of peptidoglycan recognition protein from the spotted sea bass (Lateolabrax maculatus)

Peptidoglycan recognition proteins (PGRPs), which are structurally conserved innate immune molecules in invertebrate and vertebrate animals, play the important roles in regulation of innate immune responses. In this paper, three PGRP genes of spotted sea bass, Lateolabrax maculatus, were cloned, designated as Ssb-PGRP2, Ssb-PGRP-L2 and Ssb-PGRP-SC2, respectively. Sequence analysis showed that the deduced amino acid sequences of Ssb-PGRP2, Ssb-PGRP-L2 and Ssb-PGRP-SC2 proteins contained respectively 468, 482 and 167 amino acid residues, and had the typical structural features of PGRPs, i.e. conserved PGRP domain and Zn²⁺ binding domain including four specific amino acid residues which were required for amidase activity. q-PCR analysis of total mRNA showed that the mRNA expression of three PGRP genes were detected in all the examined tissues and the expression patterns of Ssb-PGRP2, Ssb-PGRP-L2 and Ssb-PGRP-SC2 were different. After injected with LPS, Poly (I:C) and Edwardsiella tarda, there was a clear time-dependent expression pattern for each of the three PGRP genes in head kidney, spleen, intestine and gill of the spotted sea bass. In our study, three recombinant proteins corresponding to the three members of the peptidoglycan recognition protein family were expressed and purified. Moreover, all of the three recombinant PGRP proteins significantly inhibited bacterial survival and growth, and expressed bactericidal effects on Vibrio harveyi, Staphylococcus aureus and Edwardsiella tarda. In particular, it was firstly verified that their antimicrobial activity presented the superimposed effect. Overall, these findings indicated that three PGRP genes of spotted sea bass were at least involved in host defense against bacterial infections.

On-chip metalenses based on one-dimensional gradient trench in the broadband visible

Metasurfaces are composed of flat, ultrathin subwavelength nanoantennas with strong capability in manipulating light propagation by modulations on its phase, amplitude, and polarization. For instance, the invention of two-dimensional (2D) metalenses has enabled light focusing and imaging in three-dimensional (3D) free space with miniaturized thickness and device size at a planar surface. However, such inherent form of 2D arrays and focusing functionality at 3D optical free-space limits the degree of freedom for light propagation and manipulation along a 2D planar surface and eventually the possibility of on-chip photonic system integration. Here, we theoretically study and demonstrate a new type of planar on-chip metalens, which enables light focusing and strong localization at a 2D surface. The planar on-chip architecture design is based on the one-dimensional (1D) length or width gradient trench metalens (GTM), which could yield the elaborately engineered phase shift for propagating light within the on-chip waveguide at the visible wavelength of 500 nm. By generating 1D phase arrangement at the nanoscale, a miniature on-chip metalens with ∼3×0.5µm dimension could achieve light focusing on a 2D waveguide surface with the flexibility to design scalable focal lengths and ultra-high numerical aperture of up to ∼0.99. Additionally, GTM metalens designs could also exhibit overlapped high depth-of-focus, which consequently could behave as achromatic-like lensing at the selected focal plane. Furthermore, we manifest that the focusing functionality can also be subject to dynamically tuning and switching on-and-off with TE/TM polarization change or waveguide index alteration. We believe this new form of on-chip 1D metalens holds potential applications including on-chip light manipulation functionality of focusing and diverging, optical on-chip sensing, next-generation on-chip optical communication, signal processing as well as imaging devices, etc.

High-NA achromatic diffractive lensing for arbitrary dual-wavelengths enabled by hybridized metal-insulator-metal cavities

A new type of diffractive lens based on hybridized Fabry-Perot (FP) cavities with high-NA and achromatic features for arbitrary dual-wavelengths is theoretically proposed and demonstrated. We utilize the subwavelength-scale metal-insulator-metal nanocavity to form a Fresnel zone plate (MIM-FZP) that benefits from both spectral selectivity and high numerical aperture (NA > 0.9) to enable lensing functionality. By taking advantage of the different transmission orders from MIM, any arbitrary dual-wavelength achromatic focusing design is achieved. Using this approach, we merge two independent MIM-FZP designs and realize achromatic focusing performance at the selected dual-wavelength of 400/600 nm. Furthermore, the achromatic lens also exhibits a crucial potential for dynamically tuning of the operation wavelengths and focusing lengths as actively scaling the core layer thickness of MIM. The unique MIM-FZP design can be practically fabricated using a grayscale lithography technique. We believe such high-NA and achromatic optical devices enjoy great simplicity for structural design and can easily find applications including high-resolution imaging, new-generation integrated optoelectronic devices, confocal collimation, and achromatic lens, etc.

Perpendicular coupler for standing wave excitation and wavelength selection in high-Q silicon microresonators

High quality factor (Q) whispering gallery mode (WGM) resonators have been widely applied in photonics, while the excitation and collection of WGMs are mostly restricted to traveling wave coupler. Here, we experimentally demonstrate a novel on-chip perpendicular coupler (PC) for high-Q (∼1.1 × 10⁵) silicon whispering gallery microresonators. The PC is compact and allows efficiently tunneling coupling between the waveguide and the microresonator, hence it holds great potential for fan-out photonic devices. Drastically different from the traveling wave couplers, standing wave mode can be excited through the PC. In addition, a PC working as an output coupler can also selectively collect the resonance of different wavelengths by locating on different azimuth angles. Our results show the feasibility of such novel coupler for WGM resonators and its potential use in future applications of integrated high Q microresonators.

Benign temporomandibular joint tumours with extension to infratemporal fossa and skull base: condyle preserving approach

This article introduces a modified surgical approach combining condylotomy with posterior disc attachment release for the resection of large non-malignant masses located in the infratemporal fossa and involving the skull base. This retrospective study included 14 patients treated at Shanghai Ninth People's Hospital, Shanghai Jiao Tong University between January 2010 and December 2016. Clinical evaluations (visual analogue scale (VAS) for pain, maximum inter-incisal opening (MIO), and complications) and radiological findings (magnetic resonance imaging (MRI) and computed tomography (CT)) were collected pre- and postoperatively. All patients had satisfactory surgical exposure and complete resection of the neoplasms. During an average follow-up of 54.8 months, no clinical or radiographic signs of recurrence were reported. MIO increased from 28mm preoperatively to 35.4mm postoperatively (P<0.001). The pain VAS score changed from 5.4 preoperatively to 0.7 postoperatively (P<0.001). Neural function was normal for all patients. Postoperative MRI and CT scans showed a satisfactory disc position and condyle morphology, with no resorption. Three-dimensional reconstruction of the postoperative CT scan also demonstrated healing of the skull base defects. The modified surgical approach combining condylotomy with posterior disc attachment release is suitable for the removal of large non-malignant masses involving the infratemporal fossa and skull base.

Correction to 'Resveratrol-loaded PLGA nanoparticles: enhanced stability, solubility and bioactivity of resveratrol for non-alcoholic fatty liver disease therapy'

[This corrects the article DOI: 10.1098/rsos.181457.].

Depolymerization of sodium polyphosphates on an iron oxide surface at high temperature

Density functional theory (DFT) and first principles molecular dynamics (FPMD) studies of pyrophosphate cluster Na₄P₂O₇ and triphosphate cluster Na₅P₃O₁₀ absorbed and decomposed on an Fe₂O₃(0001) surface have been conducted. Comparative analyses of the structure properties and adsorption processes during the simulation at elevated temperature have been carried out. The results depict the key interactions including the covalent P-O bonds, pure ionic Na-O or Fe-O interactions. The iron oxide surface plays an important role in the bridging bond decomposition scheme which can both promote and suppress phosphate depolymerization. It is found that the chain length of polyphosphates does not have considerable effects on the decomposition of phosphate clusters. This study provides detailed insights into the interaction of a phosphate cluster on an iron oxide surface at high temperature, and in particular the depolymerization/polymerization of an inorganic phosphate glass lubricant, which has an important behavior under hot metal forming conditions.

High Fructose and High Fat Exert Different Effects on Changes in Trabecular Bone Micro-structure

OBJECTIVES

To compare the effects of high-fat diet (HFD) and high-fructose diet (HFrD) on bone metabolism at different time points, dynamically observe the bone histology and femur trabecular micro-architecture, and analyze the underlying mechanisms.

METHODS

Sixty -Five male 6- to 7-week-old C57BL/6J mice were given HFD, HFrD, or standard diets (SD) for 8, 16, and 24 weeks. Micro-computed tomography (μCT) and bone histology were used to measure bone mass and trabecular micro-structure. Quantitative real-time polymerase chain reaction (qRT-PCR) was used to determine the expression of genes related to bone and lipid metabolisms.

RESULTS

Compared to SD mice, femoral trabecular bone mass was significantly increased in both HFrD mice and HFD mice at 8 weeks, it continued to be higher in HFrD mice at 16 and 24 weeks with the highest level at 16 weeks, but it was significantly decreased in HFD mice at 16 and 24 weeks. HFD mice showed more epididymal fat accumulation than HFrD mice. mRNA expression of Runx2 was up-regulated at 8 and 16 weeks, but down-regulated at 24 weeks similarly in both HFrD mice and HFD mice. mRNA expression of MMP9 and CTSK was up-regulated at 8 and 16 weeks in HFD mice, but down-regulated at 24 weeks in both HFrD mice and HFD mice.

CONCLUSIONS

Our data indicated that the HFrD and HFD had different modulating effects on bone mass. After short-term feeding, both HFrD and HFD showed positive effects on bone mass; however, after long-term feeding, bone mass was decreased in HFD mice. In contrast, the bone mass was first increased and then decreased in the HFrD mice. On the basis of these findings, we speculated that chronic consumption of fat and fructose would exert detrimental effects on bone mass which might a combination action of body mass, fat mass, and bone formation/bone resorption along with proinflammatory factor and bone marrow environment.

Evaluation of a visual tool co-developed for training hospital staff on the prevention and control of the spread of healthcare associated infections

BACKGROUND

Staff training in infection prevention and control (IPC) across hospital settings has a crucial role in reducing the incidence of healthcare associated infections (HAIs). However the application of dynamic visualisation approaches in this context is under-developed, with very few in-depth evaluation studies of related processes and impacts.

METHODS

A prototype training tablet app for hospital staff, using interactive visuals was developed and evaluated. To demonstrate different pathogen behaviour, dynamic visualisations of norovirus, Clostridium difficile, and MRSA were developed in relation to location, survival and transmission within a virtual hospital ward model using evidence-based microbiological and staff behavioural data. A three-stage evaluation process was designed, involving a mixed sample of UK National Health Service staff (doctors, nurses and domestic staff, n = 150).

RESULTS

Participants reported improved awareness and understanding of the pathogens responsible for HAI, the types of information relevant for different staff cohorts, those aspects of the visualisations which worked well and those which were prone to cause misunderstandings, and suggestions for further development and improvement. The tool appeared to offer staff a new perspective on pathogens, being able to 'see' them contextualised in the virtual ward, making them seem more real.

CONCLUSION

Results showed the benefits of a detailed co-development process and a more contextualised understanding of the potential for visual apps to be used in IPC training.