Is there utility for fluorine-18-fluorodeoxyglucose positron-emission tomography scan before surgery in breast cancer? A 15-year overall survival analysis

BACKGROUND The prognostic value of preoperative fluorine-18-fluorodeoxyglucose positronemission tomography(18 F-FDG PET)scan for determining overall survival(OS)in breast cancer(BC)patients is controversial.AIM To evaluate the OS predictive value of preoperative PET positivity after 15 years.METHODS We performed a retrospective search of the Universitair Ziekenhuis Brussel patient database for nonmetastatic patients who underwent preoperative PET between 2002-2008.PET positivity was determined by anatomical region of interest(AROI)findings for breast and axillary,sternal,and distant sites.The prognostic role of PET was examined as a qualitative binary factor(positive vs negative status)and as a continuous variable[maximum standard uptake value(SUVmax)]in multivariate survival analyses using Cox proportional hazards models.Among the 104 identified patients who received PET,36 were further analyzed for the SUVmax in the AROI.RESULTS Poor OS within the 15-year study period was predicted by PET-positive status for axillary(P=0.033),sternal(P=0.033),and combined PET-axillary/sternal(P=0.008)nodes.Poor disease-free survival was associated with PET-positive axillary status(P=0.040)and combined axillary/sternal status(P=0.023).Cox models confirmed the long-term prognostic value of combined PETaxillary/sternal status[hazard ratio(HR):3.08,95%confidence interval:1.42-6.69].SUVmax of ipsilateral breast and axilla as continuous covariates were significant predictors of long-term OS with HRs of 1.25(P=0.048)and 1.54(P=0.029),corresponding to relative increase in the risk of death of 25%and 54%per SUVmax unit,respectively.In addition,the ratio of the ipsilateral axillary SUVmax over the contralateral axillary SUVmax was the most significant OS predictor(P=0.027),with 1.94 HR,indicating a two-fold relative increase of mortality risk.CONCLUSION Preoperative PET is valuable for prediction of long-term survival.Ipsilateral axillary SUVmax ratio over the uninvolved side represents a new prognostic finding that warrants further investigation.

Positron-emission tomography for hepatocellular carcinoma:Current status and future prospects

Hepatocellular carcinoma(HCC)is one of the leading causes of cancer mortality worldwide.Various imaging modalities provide important information about HCC for its clinical management.Since positron-emission tomography(PET)or PET-computed tomography was introduced to the oncologic setting,it has played crucial roles in detecting,distinguishing,accurately staging,and evaluating local,residual,and recurrent HCC.PET imaging visualizes tissue metabolic information that is closely associated with treatment.Dynamic PET imaging and dual-tracer have emerged as complementary techniques that aid in various aspects of HCC diagnosis.The advent of new radiotracers and the development of immuno-PET and PET-magnetic resonance imaging have improved the ability to detect lesions and have made great progress in treatment surveillance.The current PET diagnostic capabilities for HCC and the supplementary techniques are reviewed herein.

Findings of ¹⁸F-Fluorodeoxyglucose Positron-Emission Tomography in Methotrexate-Related Lymphoproliferative Disorder

Introduction: The use of methotrexate (MTX) for rheumatoid arthritis (RA) is increasing. However, the immune suppression state leads to the occurrence of lymphoproliferative disorder (MTX-LPD). The purpose of this study was to describe the findings of 18F-fluorodeoxyglucose (FDG) positron emission tomography (PET) in MTX-LPD patients, and compare it with non-MTX-related malignant lymphoma (ML). Materials and Methods: We retrospectively reviewed 11 MTX-LPD patients (9 female, mean age 68.3 years) and 21 ML patients (7 female, mean age 60.6 years) with a histopathological diagnosis. FDG-PET imaging was performed using a standard oncology procedure. We assessed the disease distribution based on FDG-PET images and measured the maximum standardized up take values (SUVmax) for each region. Results: Mean values of SUVmax in MTX-LPD and ML were 14.6 and 17.2, respectively (p = 0.49). In MTX-LPD, 55 lesions met the Cotswold classification, consisting of 37 nodal and 18 extranodal lesions. In ML, 82 lesions were found, consisting of 68 nodal and 14 extranodal lesions. MTX-LPD showed a higher incident of the involvement in extranodal lesions throughout the whole body (p < 0.001). Conclusion: Because this disease occurs widely throughout the whole body, we need to pay attention to the less frequent sites as well when performing PET imaging in patients with MTX-LPD.

Tomographic inversion of near-surface Q factor by combining surface and cross-hole seismic surveys

The estimation of the quality factor Q plays a fundamental role in enhancing seismic resolution via absorption compensation in the near-surface layer.We present a new geometry that can be used to acquire field data by combining surface and cross-hole surveys to decrease the effect of geophone coupling on Q estimation.In this study,we drilled number of receiver holes around the source hole,each hole has different depth and each geophone is placed geophones into the bottom of each receiver hole to avoid the effect of geophone coupling with the borehole wall on Q estimation in conventional cross-hole seismic surveys.We also propose a novel tomographic inversion of the Q factor without the effect of the source signature,and examine its stability and reliability using synthetic data.We estimate the Q factors of the near-surface layer in two different frequency bands using field data acquired in the Dagang Oilfield.The results show that seismic absorption in the nearsurface layer is much greater than that in the subsurface strata.Thus,it is of critical practical importance to enhance the seismic solution by compensating for near-surface absorption.In addition,we derive different Q factors from two frequency bands,which can be treated,to some extent,as evidence of a frequency-dependent Q.

Tomographic inversion for microseismic source parameters in mining

We propose a new method for inverting source function of microseismic event induced in mining. The observed data from microseismic monitoring during mining are represented by a wave equation in a spherical coordinate system and then the data are transformed from the time-space domain to the time-slowness domain based on tomographic principle, from whichwe can obtain the signals related to the source in the time-slowness domain. Through analyzing the relationship between the signal located at the maximum energy and the source function, we derive the tomographic equations to compute the source function from the signals and to calculate the effective radiated energy based on the source function. Moreover, we fit the real amplitude spectrum of the source function computed from the observed data into the co-2 model based on the least squares principle and determine the zero-frequency level spectrum and the corner frequency, finally, the source rupture radius of the event is calculated and The synthetic and field examples demonstrate that the proposed tomographic inversion methods are reliable and efficient

Wave equation tomographic velocity inversion method based on the Born/Rytov approximation

This paper discusses Born/Rytov approximation tomographic velocity inversion methods constrained by the Fresnel zone. Calculations of the sensitivity kernel function and traveltime residuals are critical in tomographic velocity inversion. Based on the Bom/Rytov approximation of the frequency-domain wave equation, we derive the traveltime sensitivity kemels of the wave equation on the band-limited wave field and simultaneously obtain the traveltime residuals based on the Rytov approximation. In contrast to single-ray tomography, the modified velocity inversion method improves the inversion stability. Tests of the near- surface velocity model and field data prove that the proposed method has higher accuracy and Computational efficiency than ray theory tomography and full waveform inversion methods.

Tomographic velocity inversion for ADCIGs in areas with a rugged surface

Pre-stack depth migration velocity analysis is one of the key techniques influencing image quality. As for areas with a rugged surface and complex subsurface, conventional prestack depth migration velocity analysis corrects the rugged surface to a known datum or designed surface velocity model on which to perform migration and update the velocity. We propose a rugged surface tomographic velocity inversion method based on angle-domain common image gathers by which the velocity field can be updated directly from the rugged surface without static correction for pre-stack data and improve inversion precision and efficiency. First, we introduce a method to acquire angle-domain common image gathers （ADCIGs） in rugged surface areas and then perform rugged surface tornographic velocity inversion. Tests with model and field data prove the method to be correct and effective.

Prognostic value of 18-fluorodeoxyglucose positron emission tomography-computed tomography in resectable colorectal cancer

AIM:To assess the prognostic value of preoperative 18 fluorodeoxyglucose positron emission tomography(FDG-PET)/computed tomography(CT) in patients with resectable colorectal cancer.METHODS:One hundred sixty-three patients with resectable colorectal cancer who underwent FDG-PET/CT before surgery were included.Patient data including pathologic stage at presentation,histology,treatment,disease-free survival and the maximum standardized uptake value(SUVmax) of the primary tumor on FDG-PET/CT were retrospectively analyzed.Median follow up duration was 756(range,419-1355).The primary end point was disease-free survival.RESULTS:Twenty-five of 163 patients(15.3%) had recurrences.The median SUVmax values of the recurrence and no-recurrence groups were 8.9(range,5-24) and 8.2(range,0-23,P = 0.998).Receiver operating characteristic(ROC) curve analysis showed no significant association between SUVmax and recurrence(area under the curve = 0.5,P = 0.998,95% CI:0.389-0.611).Because a statistically significant value was not found,SUVmax was dichotomized at its median of 8.6.The disease-free survival curve was analyzed using the median SUVmax(8.6) as the cut off.Univariate and multivariate analysis did not provide evidence that disease-free survival rates for the subgroups defined by the median SUVmax were significantly different(P = 0.52,P = 0.25).CONCLUSION:Our study suggests that the high FDG uptake of primary mass in resectable colorectal cancer doesn't have a significant relationship with tumor recurrence and disease-free survival.

Tomographic Principle of Multiconjugate Correction in Adaptive Optics

A wavefront sensing and correction correction is proposed that would allow the field of view (FOV) of an adaptive optics spstem to be increased in size by a factor of several tens. This concept is based on the idea of placing multiple deformable mirrors (DMs) at locations that are conjugate to corresponding. layers of atmospheric turbulence. In order to control properly each DM, a tomographic method for determining the phase distortion contributed by each atmospheric layer has been developed and used in dealing with the circumstance of two layers.

Advancements and challenges in neuroimaging for the diagnosis of intracranial aneurysms:Addressing false positive diagnoses and emerging techniques

Despite advancements in neuroimaging,false positive diagnoses of intracranial aneurysms remain a significant concern.This article examines the causes,prevalence,and implications of such false-positive diagnoses.We discuss how conditions like arterial occlusion with vascular stump formation and infundibular widening can mimic aneurysms,particularly in the anterior circulation.The article compares various imaging modalities,including computer tomography angiogram,magnetic resonance imaging/angiography,and digital subtraction angiogram,highlighting their strengths and limitations.We emphasize the im-portance of accurate differentiation to avoid unnecessary surgical interventions.The potential of emerging technologies,such as high-resolution vessel wall ima-ging and deep neural networks for automated detection,is explored as promising avenues for improving diagnostic accuracy.This manuscript underscores the need for continued research and clinical vigilance in the diagnosis of intracranial aneurysms.

The possible value of ~18F-FDG positron emission tomography/computerized tomography imaging in detection of atherosclerotic plaque

Objective：To evaluate the clinical value with positron emission tomography/computerized tomography（PET/CT） imaging for the detection of vulnerable plaque in atherosclerotic lesions. Methods：Sixty people with a age of over 60[mean age （69.2 ± 7.1）years] underwent three dimension（3D） whole-body fluorine-18-2-fluoro-2-deoxy-D-glucose（^18F-FDG） PET/CT imaging and were evaluated retrospectively, including 6 cases assessed as normal and 54 cases with active atherosclerotic plaque. Fifty-four cases with SUVs and CT values in the aortic wall of high-FDG-uptake were measured retrospectively. These high-FDG-uptake cases in the aortic wall were divided into three groups according their CT value. Cases in group 1 had high uptake in atherosclerotic lesions of the aortic wall with CT value of less than 60 Hu（soft plaque）. Cases in group 2 had high uptake with CT value between 60-100 Hu （intermediate plaque）, Cases in group 3 had high uptake with CT value more than 100 Hu（calcified plaque）, Group 4 was normal. Results： In group 1, there were 42 high-FDG-uptake sites （average SUV 1.553 ± 0.486）. In group 2, there were 30 high-FDG-uptake sites（average SUV 1.393 ± 0.296）. In group 3, there were 36 high-FDG-uptake sites（average SUV 1.354 ± 0.189）. In group 4, there were 33 normal-FDG-uptake sites （average SUV was 1.102 ± 0.141）, The SUVs showed significant difference among the four groups（F = 678.909, P = 0.000）. There were also significant difference found between the normal-FDG-uptake group and the high-FDG-uptake groups（P = 0.000, 0.000, 0.001, respectively）. Conclusion：Different degrees of ^18F-FDG uptake in active large atherosclerotic plaque were shown in different stages of atherosclerotic plaque formation. The soft plaque had the highest FDG uptake in this study. This suggested that ^18F- FDG PET/CT imaging may be of great potential value in early diagnosis and monitoring of vulnerable soft plaque in atherosclerotic lesions.

Automatically positioning microseismic sources in mining by the stereo tomographic method using full wavefields

For microseisimic monitoring it is difficult to determine wave modes and their propagation velocity. In this paper, we propose a new method for automatically inverting in real time the source characteristics of microseismic events in mine engineering without wave mode identification and velocities. Based on the wave equation in a spherical coordinate system, we derive a tomographic imaging equation and formulate a scanning parameter selection criterion by which the microseisimic event maximum energy and corresponding parameters can be determined. By determining the maximum energy positions inside a given risk district, we can indentify microseismic events inside or outside the risk districts. The synthetic and field examples demonstrate that the proposed tomographic imaging method can automatically position microseismic events by only knowing the risk district dimensions and range of velocities without identifying the wavefield modes and accurate velocities. Therefore, the new method utilizes the full wavefields to automatically monitor microseismic events.

Computed tomography colonography in 2014:An update on technique and indications

Twenty years after its introduction, computed tomographic colonography (CTC) has reached its maturity, and it can reasonably be considered the best radiological diagnostic test for imaging colorectal cancer (CRC) and polyps. This examination technique is less invasive than colonoscopy (CS), easy to perform, and standardized. Reduced bowel preparation and colonic distention using carbon dioxide favor patient compliance. Widespread implementation of a new image reconstruction algorithm has minimized radiation exposure, and the use of dedicated software with enhanced views has enabled easier image interpretation. Integration in the routine workflow of a computer-aided detection algorithm reduces perceptual errors, particularly for small polyps. Consolidated evidence from the literature shows that the diagnostic performances for the detection of CRC and large polyps in symptomatic and asymptomatic individuals are similar to CS and are largely superior to barium enema, the latter of which should be strongly discouraged. Favorable data regarding CTC performance open the possibility for many different indications, some of which are already supported by evidence-based data: incomplete, failed, or unfeasible CS; symptomatic, elderly, and frail patients; and investigation of diverticular disease. Other indications are still being debated and, thus, are recommended only if CS is unfeasible: the use of CTC in CRC screening and in surveillance after surgery for CRC or polypectomy. In order for CTC to be used appropriately, contraindications such as acute abdominal conditions (diverticulitis or the acute phase of inflammatory bowel diseases) and surveillance in patients with a long-standing history of ulcerative colitis or Crohn&#x02019;s disease and in those with hereditary colonic syndromes should not be overlooked. This will maximize the benefits of the technique and minimize potential sources of frustration or disappointment for both referring clinicians and patients.

基于沙漠区二维数据拟三维层析静校正技术研究及应用

在高大沙丘工区进行二维地震勘探存在比较严重的静校正问题,常规的二维测线近地表速度建模技术利用数据信息较少,速度建模不准确,尤其在测线交点处缺乏纵向信息,会导致测线交点处成像效果较差和测线之间不能做到闭合,严重影响低幅构造解释。拟三维层析静校正技术将研究区内所有二维线合并视为拟三维数据体,进行拟三维层析反演得到一个三维近地表模型,然后求取二维测线的静校正量。通过研究发现,采用拟三维层析静校正的叠加剖面比单独层析静校正的成像好,尤其是在观测系统变化比较大的位置(炮偏、弯线)。由于拟三维层析静校正能够真正做到全区统一浮动基准面,因此可以保证各个交点有比较小的闭合差,便于后期解释工作的开展。

Tomographic PIV investigation of coherent structures in a turbulent boundary layer flow

Tomographic particle image velocimetry was used to quantitatively visualize the three-dimensional co- herent structures in the logarithmic region of the turbulent boundary layer in a water tunnel. The Reynolds number based on momentum thickness is Reo = 2 460. The in- stantaneous velocity fields give evidence of hairpin vortices aligned in the streamwise direction forming very long zones of low speed fluid, which is flanked on either side by high- speed ones. Statistical support for the existence of hairpins is given by conditional averaged eddy within an increasing spanwise width as the distance from the wall increases, and the main vortex characteristic in different wall-normal re- gions can be reflected by comparing the proportion of ejec- tion and its contribution to Reynolds stress with that of sweep event. The pre-multiplied power spectra and two-point cor- relations indicate the presence of large-scale motions in the boundary layer, which are consistent with what have been termed very large scale motions （VLSMs）. The three dimen-sional spatial correlations of three components of veloc- ity further indicate that the elongated low-speed and high- speed regions will be accompanied by a counter-rotating roll modes, as the statistical imprint of hairpin packet structures, all of which together make up the characteristic of coherent structures in the logarithmic region of the turbulent boundary layer （TBL）.

Convection and correlation of coherent structure in turbulent boundary layer using tomographic particle image velocimetry

The present experimental work focuses on a new model for space-time correlation and the scale-dependencies of convection velocity and sweep velocity in turbulent boundary layer over a flat wail. A turbulent boundary layer flow at Reo = 2460 is measured by tomographic particle image velocimetry （tomographic PIV）. It is demonstrated that arch, cane, and hairpin vortices are dominant in the logarithmic layer. Hairpins and hairpin packets are responsible for the elongated low-momentum zones observed in the instantaneous flow field. The conditionally-averaged coherent structures systemically illustrate the key roles of hairpin vortice in the turbulence dynamic events, such as ejection and sweep events and energy transport. The space-time correlations of instantaneous streamwise fluctuation velocity are calculated and confirm the new elliptic model for the space-time correlation instead of Taylor hypothesis. The convection velocities derived from the space-time correlation and conditionally-averaged method both suggest the scaling with the local mean velocity in the logarithmic layer. Convection velocity result based on Fourier decomposition （FD） shows stronger scale- dependency in the spanwise direction than in streamwise direction. Compared with FD, the proper orthogonal decomposition （POD） has a distinct distribution of convection velocity for the large- and small-scales which are separated in light of their contributions of turbulent kinetic energy.

Study on local topology model of low/high streak structures in wall-bounded turbulence by tomographic time-resolved particle image velocimetry

The relationship between the in the logarithmic law （log-law） region of bursting event and the low/high-speed streak a turbulent boundary layer is investigated. A tomographic time-resolved particle image velocimetry （TRPIV） system is used to measure the instantaneous three-dimensional-three-component （3D-3C） velocity field. The momentum thickness based Reynolds number is about 2 460. The topological information in the log-law region is obtained experimentally. It is found that the existence of the quadrupole topological structure implies a three-pair hairpin-like vortex packet, which is in connection with the low/high-speed streak. An idealized 3D topological model is then proposed to characterize the observed hairpin vortex packet and low/high-speed streak.

Computed tomographic colonography:Hope or hype?

Computed tomographic colonography (CTC) is a promising emerging technology for imaging of the colon. This concise review discusses the currently available data on CTC technique,test characteristics,acceptance,safety,cost-effectiveness,follow-up strategy,and extracolonic findings. In summary,CTC technique is still evolving,and further research is needed to clarify the role of automated colonic insufflation,smooth-muscle relaxants,intravenous and oral contrast,soft-ware rendering,and patient positioning. Currently,full bowel preparation is still required to achieve optimal results. The sensitivity for detecting large polyps (> 1 cm) can be as high as 85%,with specificity of up to 97%. These test characteristics are almost comparable to those of conventional colonoscopy. Patient acceptance of CTC is generally higher than that for colonoscopy,especially in patients who have never undergone either procedure. CTC is generally safe,although uncommon instances of colonic perforation have been documented. In terms of cost-effectiveness,most decision analyses have concluded that CTC would only be cost-effective if it were considerably cheaper than conventional colonoscopy. The proper follow-up strategy for small polyps or incidental extracolonic findings discovered during CTC is still under debate. At present,the exact clinical role of virtual colonoscopy still awaits determination. Even though widespread CTC screening is not available today,in the future there may eventually be a role for this technology. Technological advances in this area will undoubtedly continue,with multi-detector row CT scanners allowing thinner collimation and higher reso-lution images. Stool-tagging techniques are likely to evolve and may eventually allow for low-preparation CTC. Perceptual and fatigue-related reading errors can potentially be minimized with the help of computer-aided detection software. Further research will define the exact role of this promising technology in our diagnostic armamentarium.

THE HIGH RESOLUTION SEISMIC TOMOGRAPHIC IMAGE IN QINGHAI—TIBET PLATEAU AND ITS DYNAMIC IMPLICATIONS

The Qinghai—Tibet plateau and its surrounding areas including Indian subcontinent, Xinjiang, Mongolia, is a largest lithosphere convergence place in the world, which characterized by continent\|continent collision with a thick crust and lithosphere. The high resolution seismic surface wave tomographic inversion has been conducted for studying the 3D velocity structure of crust and upper mantle in those areas. The seismic surface waveform data are from the archives of the CDSN, GSN and GEOSCOPE. About 2400 long period surface waveform recordings are available for both dispersion and waveform tomographic inversion. The block inversion by grid 1°×1°in Qinghai—Tibet plateau and 2°×2°in the surrounding areas were adapted. The resulting maps show the high resolution 3D shear wave velocity variation from earth’s surface to 400km depth.

Internal Structure of Cambrian Fossil Embryo Markuelia Revealed in the Light of Synchrotron Radiation X-ray Tomographic Microscopy

In the light of Synchrotron Radiation X-ray Tomographic Microscopy （SRXTM）, the internal structure of Markuelia hunanensis is revealed. In one example, vitrification and peeling show the annuli hidden under the chorion. Sectioning and 3-D reconstruction display an intact digestive tract from the inverted introvert to the terminal anus. The inverted introvert forms a rugby cavum. The following digestive tract is rope-like coiling, parallel to the body axis, about 650 μm in length, and uniform in diameter （-80 μm）. An exquisitely preserved pipe-like structure is hidden in the middle of the rope-like structure, diameter 20--40 lam, with a length of -120 μm. We interpret this pipe-like structure as the possible epidermis of the gut and its surroundings as the possible residue of musculature, similar to that in Priapulans. The two symmetrical rod-shape structures connecting the body wall and digestive tract are interpreted as the possible retractor muscles. After comparing the well preserved Left-form and Right-form Body of Markuelia, we suggest that they may represent a dimorphism. Counted directly, one sample of Markuelia hunanensis possesses 62 annulations and the other 68.