Standard-definition White-light,High-definition White-light versus Narrow-band Imaging Endoscopy for Detecting Colorectal Adenomas:A Multicenter Randomized Controlled Trial

Objective This study aimed to compare the performance of standard-definition white-light endoscopy(SD-WL),high-definition white-light endoscopy(HD-WL),and high-definition narrow-band imaging(HD-NBI)in detecting colorectal lesions in the Chinese population.Methods This was a multicenter,single-blind,randomized,controlled trial with a non-inferiority design.Patients undergoing endoscopy for physical examination,screening,and surveillance were enrolled from July 2017 to December 2020.The primary outcome measure was the adenoma detection rate(ADR),defined as the proportion of patients with at least one adenoma detected.The associated factors for detecting adenomas were assessed using univariate and multivariate logistic regression.Results Out of 653 eligible patients enrolled,data from 596 patients were analyzed.The ADRs were 34.5%in the SD-WL group,33.5%in the HD-WL group,and 37.5%in the HD-NBI group(P=0.72).The advanced neoplasm detection rates(ANDRs)in the three arms were 17.1%,15.5%,and 10.4%(P=0.17).No significant differences were found between the SD group and HD group regarding ADR or ANDR(ADR:34.5%vs.35.6%,P=0.79;ANDR:17.1%vs.13.0%,P=0.16,respectively).Similar results were observed between the HD-WL group and HD-NBI group(ADR:33.5%vs.37.7%,P=0.45;ANDR:15.5%vs.10.4%,P=0.18,respectively).In the univariate and multivariate logistic regression analyses,neither HD-WL nor HD-NBI led to a significant difference in overall adenoma detection compared to SD-WL(HD-WL:OR 0.91,P=0.69;HD-NBI:OR 1.15,P=0.80).Conclusion HD-NBI and HD-WL are comparable to SD-WL for overall adenoma detection among Chinese outpatients.It can be concluded that HD-NBI or HD-WL is not superior to SD-WL,but more effective instruction may be needed to guide the selection of different endoscopic methods in the future.Our study’s conclusions may aid in the efficient allocation and utilization of limited colonoscopy resources,especially advanced imaging technologies.

Comparative study on artificial intelligence systems for detecting early esophageal squamous cell carcinoma between narrow-band and white-light imaging

BACKGROUND Non-magnifying endoscopy with narrow-band imaging(NM-NBI)has been frequently used in routine screening of esophagus squamous cell carcinoma(ESCC).The performance of NBI for screening of early ESCC is,however,significantly affected by operator experience.Artificial intelligence may be a unique approach to compensate for the lack of operator experience.AIM To construct a computer-aided detection(CAD)system for application in NMNBI to identify early ESCC and to compare it with our previously reported CAD system with endoscopic white-light imaging(WLI).METHODS A total of 2167 abnormal NM-NBI images of early ESCC and 2568 normal images were collected from three institutions(Zhongshan Hospital of Fudan University,Xuhui Hospital,and Kiang Wu Hospital)as the training dataset,and 316 pairs of images,each pair including images obtained by WLI and NBI(same part),were collected for validation.Twenty endoscopists participated in this study to review the validation images with or without the assistance of the CAD systems.The diagnostic results of the two CAD systems and improvement in diagnostic efficacy of endoscopists were compared in terms of sensitivity,specificity,accuracy,positive predictive value,and negative predictive value.RESULTS The area under receiver operating characteristic curve for CAD-NBI was 0.9761.For the validation dataset,the sensitivity,specificity,accuracy,positive predictive value,and negative predictive value of CAD-NBI were 91.0%,96.7%,94.3%,95.3%,and 93.6%,respectively,while those of CAD-WLI were 98.5%,83.1%,89.5%,80.8%,and 98.7%,respectively.CAD-NBI showed superior accuracy and specificity than CAD-WLI(P=0.028 and P≤0.001,respectively),while CAD-WLI had higher sensitivity than CAD-NBI(P=0.006).By using both CAD-WLI and CAD-NBI,the endoscopists could improve their diagnostic efficacy to the highest level,with accuracy,sensitivity,and specificity of 94.9%,92.4%,and 96.7%,respectively.CONCLUSION The CAD-NBI system for screening early ESCC has higher accuracy and specificity than CAD-WLI.Endoscopists can achieve the best diagnostic efficacy using both CAD-WLI and CAD-NBI.

Diffraction of white-light supercontinuum by femtosecond laser-induced transient grating in carbon bisulfide

Experiments on fs laser-induced transient grating （LITG） in carbon bisulfide （CS2） are carried out to explore the chirp characteristics of a white-light supercontinuum （SC） generated by a 800-nm, 160-fs laser pulse in a 4-mm thick Al2O3 crystal. Two orders of diffraction signals of SC by fs LITG in CS2 are observed, demonstrating that both the third-order process and the fifth-order process are present simultaneously. The experimental results also imply that the formation of an fs transient refractive-index grating in CS2 is mainly due to the electronic polarization process.

White-light emission of ZnO nanoparticles prepared by sol-gel method

In：ZnO nanoparticles are prepared by the sol-gel process. The ratios of In/（Zn＋In） are 0%, 5%, 8%, 10%, and 15%, respectively. Crystal phase structures and optoelectronic properties of these samples are characterized and the chromaticity coordinates of different samples are also calculated in CIE-XYZ colour system. The results show that preferred growth direction of ZnO changes from （002） plane to （001） plane and interplanar distance becomes shorter. When the doping amount of In is 5%, Zn atoms are completely replaced by In atoms. The resistivities of the samples first decrease, then increase afterwards with the increase of the amount of In. With the increase of In, the ultraviolet emission is redshifted and new peaks occur at 465 nm, 535 nm, and 630 nm. The sample with 10% indium has white-light emission. The band structures of samples with 0% and 12.5% indium are investigated by the first principle method. The mechanism of white emission is discussed from the viewpoint of additional energy levels.

The Energetics of White-light Flares Observed by SDO/HMI and RHESSI

White-light （WL） flares have been observed and studied for more than a century since their first discovery. However, some fundamental physics behind the brilliant emission remains highly controversial. One of the important facts in addressing the flare energetics is the spatio-temporal correlation between the WL emission and the hard X-ray （HXR） radiation, presumably suggesting that energetic electrons are the energy sources. In this study, we present a statistical analysis of 25 strong flares （〉M5） observed simultaneously by the Helioseismic and Magnetic Imager （HMI）, on board the Solar Dynamics Observatory （SDO）, and the Reuven Ramaty High Energy Solar Spectroscopic lmager （RHESS1）. Among these events, WL emission was detected by SDO/HMI in 13 flares, associated with HXR emission. To quantitatively describe the strength of WL emission, equivalent area （EA） is defined as the integrated contrast enhancement over the entire flaring area. Our results show that the EA is inversely proportional to the HXR power-law index, indicating that stronger WL emission tends to be associated with a larger population of high energy electrons. However, no obvious correlation is found between WL emission and flux of non-thermal electrons at 50 keV. For the other group of 13 flares without detectable WL emission, the HXR spectra are softer （larger power-law index） than those flares with WL emission, especially for the X-class flares in this group.

Fiber Optic Fourier Transform White-Light Interferometry

Fiber optic Fourier transform white-light inter-fereometry is presented to interrogate the absolute optical path difference of an Maeh-Zehnder interferometer. The phase change of the interferometer caused by scanning wavelength can be calculated by a Fourier transform-based phase demodulation technique. A linear output is achieved.

Novel Dy^(3+)-doped Gd(PO_3)_3 white-light phosphors under VUV excitation for Hg-free lamps application

Novel Dy^3＋-doped Gd（PO3）3 white light phosphors each with an orthorhombic system are successfully synthesized by solid-state reaction.The luminescence properties of white-light Gd1-x（PO3）3：xDy^3＋（0 〈 x ≤ 0.25） under vacuum ultraviolet（VUV） excitation are investigated.The strong absorption at around 147 nm in excitation spectrum energy can be transferred to the energy levels of Dy^3＋ ion from the host absorption.Additionally,the white light phosphor is activated by a single Dy^3＋ ion.Therefore,the luminescence of Gd1-x（PO3）3：xDy（0 〈 x ≤ 0.25） under VUV excitation is effective,and it has the promise of being applied to mercury-free lamps.

Hydrothermal Preparation and White-Light-Controlled Resistive Switching Behavior of BaWO_4 Nanospheres

In this work, BaWO4 nanospheres were successfully prepared by hydrothermal process. The bipolar resistive switching behavior of Ag/BaWO4/FTO device is observed. Moreover, this resistive switching behavior can be modulated by white light. The device can maintain superior stability in the dark and under white-light illumination. This study is useful for developing the light-controlled nonvolatile memory devices.

A Z/E isomeric cation designed organic-inorganic cadmium chloride ferroelectric with broadband white-light emission

Hybrid organic-inorganic metal halides(HOMHs)have attracted tremendous interest in the past decades due to their diverse functional properties,such as ferroelectricity and luminescence.However,although a large number of ferroelectric HOMHs and luminescent HOMHs have been reported,the HOMH ferroelectrics with white-light emission remain very sparse.Here,for the first time,by using the Z/E isomeric organic cation,we designed a cadmium-based HOMH ferroelectric[EE-PMU]CdCl_(4)(EEPMU=pyridin-2-ylmethanamide muconate)with broadband white-light emission.In contrast to the[ZZ-PMU]CdCl_(4)with centrosymmetric crystal structure at room temperature,[EE-PMU]CdCl_(4)adopts the polar crystal symmetry,which shows piezoelectricity with a piezoelectric coefficient of d33up to 19 pC/N and ferroelectricity with the saturated polarization of 1.52μC/cm^(2).Moreover,[EE-PMU]CdCl_(4)exhibits a broadband white-light emission with an ultra-high color rendering index of 91under UV excitation,which is related to the severely distorted[CdCl_(4)]^(2-)tetrahedron in the structure.To our knowledge,[EEPMU]CdCl_(4)is the first example of Z/E isomeric cation-designed HOMH ferroelectric and the first cadmium halide white-light emissive ferroelectric.This finding paves a new way for the design of organic-inorganic molecular ferroelectrics with white-light emission.

Synthesis and luminescence properties of KCaPO_4:Eu^(2+),Tb^(3+),Mn^(2+) for white-light-emitting diodes(WLED)

In order to obtain a single-host white-light phosphor, a series of KCaPO4 powder samples tri-doped with Eu2＋, Tb3＋ and Mn2＋ were synthesized via high-temperature solid-state reaction method. Their structural and luminescence properties were investigated. Under proper ultraviolet excitation （255-405 urn）, white light was obtained, consisting of blue, green and red emissions stemming from Eu2＋, Th3＋, Mn2＋ ions respectively. The temperature stability of our sample was analyzed by studying the variation tendeney of CIE chromaticity coordinates at different temperatures. The results indicated that this phosphor could yield good color stability when utilized in WLED.

Recent Developments in Fiber Optic Spectral White-Light Interferometry

Recent developments in spectral white-light interferometry(WLI)are reviewed.Firstly,the techniques for obtaining optical spectrum are introduced.Secondly,some novel measurement techniques are reviewed,including the improved peak-to-peak WLI,improved wavelength-tracking WLI,Fourier transform WLI,and 3×3 coupler based WLI.Furthermore,a hybrid measurement for the intensity-type sensors,interferometric sensors,and fiber Bragg grating sensors is achieved.It is shown that these developments have assisted in the progress of WLI.

Study on white-light emission and light-emitting mechanism of hydrothermally synthesized YVO_4:1 mol.%Dy^(3+),x mol.%Eu^(3+) phosphor powders

White light-emitting YVO4:1 mol.%Dy3+,x mol.%Eu3+ phosphor powders with order morphology and well crystallization were hydrothermally synthesized at 180°C. The microstructure, white-light emission, and light-emitting mechanism of the powders were carefully studied using X-ray diffractometry, scanning electron microscopy and photoluminescence spectra. The excitation and emission spectra of the phosphor powders indicated the coexistence of efficient energy transfer from Eu3+ to Dy3+ and inefficient en-ergy transfer from Dy3+ to Eu3+ besides the energy transfer from VO43– to Eu3+. Increasing the Eu3+ concentration initially enhanced and then weakened the luminescent intensity of Dy3+. The white-light emissions of YVO4:1 mol.%Dy3+,xmol.%Eu3+ phosphor pow-ders were both related to the energy transfer between VO43– and Dy3+/Eu3+, as well as between Eu3+ and Dy3+. The inefficient energy transfer from Dy3+ to Eu3+ was first found.

Organic white-light sources:Multiscale construction of organic luminescent materials from molecular to macroscopic level

Organic luminescent materials play an integral role in the optoelectronic applications of displays and solid-state lighting.Nevertheless, high-performance organic luminescent materials require the efficient combination of two or more kinds of materials, which is extremely difficult owing to the completely different self-assembly behaviors of multicomponent molecules.Herein, based on a broad scale from the molecular, micro-/nano-scale, and macroscopic levels, we successfully demonstrate the multiscale construction of organic luminescent microwires of cocrystals, solid solutions, and core-shell microstructures. Through the wide selection of electron donor/acceptor pairs, a series of color-tunable charge-transfer(CT) cocrystals are formed via the intermolecular cooperative self-assembly process. On this basis, the high structural compatibility and perfect lattice mismatching(~1.1%) of cocrystals are critical factors that facilitate the combination of dissimilar materials to form solid solutions and core/shell microwires. Significantly, because of the full-spectrum light transport from 400 to 800 nm, the nano-micro-scaled solid solution microwires act as microscale white-light sources [CIE(0.32, 0.36)]. Meanwhile, the macroscopic-scale core/shell organic-microwires demonstrate tunable white-light emission with a high color-rendering index(CRI) of 83, whose CIE coordinates span from(0.37, 0.39) to(0.40, 0.31). Therefore, our work provides a feasible approach to the multiscale synthesis of novel luminescent organic semiconductor materials, which could lay a solid foundation for organic optoelectronics.

White-light emission and tunable room temperature phosphorescence of dibenzothiophene

Molecular materials exhibiting room temperature phosphorescence(RTP) have received much attention during last few years. It has been known that different stacking fashions(e.g., formation of polymorph) and aggregation/crystal states could largely influence the RTP efficiency. However, whether the crystal morphology or shape could play a key role in modulation of the RTP has not been detected yet. In this work, we report that the dibenzothiophene(DBT) with the same molecular stacking fashion but different crystal morphologies can present alternated RTP performances. By modulation of the fluorescence and phosphorescence dual emission, a direct warm-white color light-emitting has also been successfully achieved. Moreover, the RTP emission can be further tuned through hybridization with β-cyclodextrin in different ratios, with the longest lifetime of 0.43 s.

Synthesis and white-light emission character of CdS magic-sized nanocrystals

Family 373 and 406 of CdS magic-sized nanocrystals （MSNCs） were synthesized by a one-pot non-injection approach and white-light emission was generated from the coexistence of them. This light had excellent color characteristics, as defined by their pure white CIE （Commission International de l＇Eclairage） color coordinates （0.328, 0.343）, and it correlated with a color temperature of 5696 K. A probable thermodynamic equilibrium was proposed to explain the white-light emission behavior in this letter.

White-light emission from InGaN/GaN quantum well microrings grown by selective area epitaxy

Monolithic white-light-emitting diodes(white LEDs) without phosphors are demonstrated using In GaN/GaN multiple quantum wells(MQWs) grown on GaN microrings formed by selective area epitaxy on SiO_2 mask patterns. The microring structure is composed of {1-101} semi-polar facets and a(0001) c-plane, attributed to favorable surface polarity and surface energy. The white light is realized by combining short and long wavelengths of electroluminescence emissions from In GaN /GaN MQWs on the {1-101} semi-polar facets and the(0001) c-plane,respectively. The change in the emission wavelengths from each microfacet is due to the In composition variations of the MQWs. These results suggest that white emission can possibly be obtained without using phosphors by combining emission light from microstructures.

Achieving white-light emission in a single-component polymer with halogen-assisted interaction

White-light emitting(WLE) polymers have attracted continuous attention for their promising applications in solid-state lighting,flexible display and related fields. However, achieving dual-emission and pure white-light emission in a single-component polymer is still challenging. In this study, a brominated single-component polymer Br OD-TFB was designed and synthesized,which shows dual-emission and white light emission properties in solution and room-temperature phosphorescence(RTP) in thin films. The dual-emission properties can be tuned by concentration, solvent polarity, and excitation energy. Spectral analyses and theoretical calculations reveal that the origin of the high-energy emission band(HEB) is intramolecular charge transfer(ICT)along the polymer chain, whilst the low-energy emission band(LEB) originates from the excited-state related to the intra-chain and inter-chain C–Br···π interactions as demonstrated by the single-crystal structure of the model compound. Appropriate control of the formation and the destruction of the halogen-assisted interactions can initiate white-light emission in the singlecomponent polymer. More interestingly, by dispersing Br OD-TFB(0.1 wt%) in a non-emissive, colorless and transparent polymer, the characteristics of this white-light emission can be fully demonstrated while exhibiting unexpected RTP properties,with photoluminescence quantum efficiency(Φ_(PL)) of up to 23% and CIE coordinates of(0.32, 0.32).

Self-induced birefringence of white-light continuum generated by interaction of focused femtosecond laser pulses with fused silica

White-light continuum can be induced by the interaction of intense femtosecond laser pulses with condensed materials.By using two orthogonal polarizers,a self-induced birefringence of continuum is observed when focusing femtosecond laser pulses into bulk fused silica.That is,the generated white-light continuum is synchronously modulated anisotropically while propagating in fused silica.Time-resolved detection confirms that self-induced birefringence of continuum shows a growth and saturation feature with time evolution.By adjusting laser energy,the transmitted intensity of continuum modulated by self-induced birefringence also varies correspondingly.Morphology analysis with time evolution indicates that it is the focused femtosecond laser pulses that induce anisotropic microstructures in bulk fused silica,and the anisotropic structures at the same time modulate the generated continuum.

Chromoendoscopy with targeted biopsies is superior to white-light endoscopy for the long-term follow-up detection of dysplasia in ulcerative colitis patients:a multicenter randomized-controlled trial

Background:Data from single-center experience or small sample-sized studies have shown that chromoendoscopy(CE)might be superior to white-light endoscopy(WLE)for dysplasia surveillance in ulcerative colitis(UC)patients.We performed a prospective randomized trial with a long-term follow-up to compare the detection rate of dysplasia among WLE with targeted biopsies(WLT),WLE with random biopsies(WLR),and dye-based CE with targeted biopsies(CET)in UC patients.Methods:Patients with long-standing UC were enrolled from 11 medical centers from March 2012 to December 2013 and randomized into three arms(WLT,WLR,and CET).Only high-definition endoscopy was used in all three groups.The patients were followed up by annual endoscopy with biopsies through December 2017.Results:With a median follow-up time of 55 months,a total of 122 patients with 447 colonoscopies were finally analysed in the per-protocol set:WLT(n=43),WLR(n=40),and CET(n=39).A total of 34 dysplastic lesions were found in 29 colonoscopies of 21 patients.WLR and CET could identify more colonoscopies that diagnosed dysplasia than WLT(8.1%and 9.7%vs 1.9%;P=0.014 and 0.004,respectively).WLR obtained more biopsied samples than WLT and CET(16.465.1 vs 4.361.4 and 4.361.4;both P<0.001).During the second half of the follow-up(37-69 months),CET could identify more colonoscopies that diagnosed dysplasia than WLT(13.3%vs 1.6%,P=0.015)and showed a trend for increasing the detection rate compared with WLR(13.3%vs 4.9%,P=0.107).Conclusions:For a better outcome of cancer/dysplasia surveillance in patients with long-standing UC,CET appeared to be more effective thanWLT and less tedious than WLR.CET was found to be particularly useful when a long-term(>3 years)follow-up was conducted for dysplasia surveillance.The trial was registered on www.chictr.org.cn(ChiCTR1900023689).

Single-phase full-color Ba_3Lu_2(SiO_4)_3:Eu^(2+) phosphor for white-light emitting diodes

we developed a new silicate-based full-color phosphor Ba3Lu2（SiO4）3：Eu2＋ through solid state reaction.The host crystal structure was isostructural with Ca3Y2（SiO4）3 instead of garnet-type.The phosphor absorbed near-ultraviolet light from 250 to 400 nm,which was very suitable for a color converter of white LED that used UV-LED as the primary light source.The photoluminescence peak wavelength of Ba3Lu2（SiO4）3：Eu2＋ was about 461 nm and a shoulder peak was around 522 nm,which resulted from the 5d-4f transition of the Eu2＋.The optimum concentration of Eu2＋ was 3.45 mol.% of Ba2＋ content in Ba3Lu2（SiO4）3 host.It is a promising candidate for application in white LED as a white light converter.