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At least 469 records · Page 26

Structural Studies of Alloyed and Nanoparticle Transition Metal Dichalcogenides by Selenium-77 Solid-State Nuclear Magnetic Resonance Spectroscopy

Layered transition metal dichalcogenides (TMDCs) such as MoS 2 , MoSe 2 , and WSe 2 are under intense investigation because they are atomically thin semiconductors with photophysical properties that can be tuned by changing their composition or morphology. Mechanochemical processing has been proposed as a method to obtain alloyed TMDCs in the series Mo 1–x W x S y Se 2–y (x = 0–1; y = 0–2). However, elucidating the chemical transformations occurring at the atomic scale following mechanochemical processing can be challenging because the products are often amorphous or microcrystalline. To address this challenge, we probe TMDC mixing and alloying by using a combination of powder X-ray diffraction, Raman spectroscopy, diffuse reflectance spectroscopy, 77 Se solid-state nuclear magnetic resonance (SSNMR) spectroscopy, and planewave density functional theory (DFT) calculations. The nature of the milling material and reaction atmosphere are shown to be essential factors in limiting the formation of undesired oxide byproducts. We demonstrate acquisition of 77 Se SSNMR spectra using different combinations of Carr-Purcell Meiboom-Gill acquisition (CPMG) pulse sequences, magic angle spinning (MAS), and MAS dynamic nuclear polarization. Further, the combination of SSNMR with the other characterization methods clearly demonstrates that high energy impact ball milling induces molecular level alloying of Mo, W and chalcogen atoms in the family Mo 1–x W x S y Se 2–y . Gauge including projector augmented wave DFT calculations yield accurate 77 Se chemical shift (CS) tensor components. 77 Se SSNMR spectroscopy was also applied to study the structure of WSe 2 nanocrystals intercalated with ethylenediamine. The intercalated WSe 2 nanocrystals exhibit a more positive isotropic 77 Se CS as compared to bulk WSe 2 , however, the 77 Se CS anisotropy is the same, confirming the WSe 2 layers have a similar structure as in their bulk counterparts.

36 MATERIALS SCIENCE↗

Magnetic resonance visualization of conductive structures by sequence-triggered direct currents and spin-echo phase imaging

Purpose: Instrument visualization in interventional magnetic resonance imaging (MRI) is commonly performed via susceptibility artifacts. Unfortunately, this approach suffers from limited conspicuity in inhomogeneous tissue and disturbed spatial encoding. Also, susceptibility artifacts are controllable only by sequence parameters. This work presents the basics of a new visualization method overcoming such problems by applying sequence-triggered direct current (DC) pulses in spin-echo (SE) imaging. SE phase images allow for background free current path localization. Methods: Application of a sequence-triggered DC pulse in SE imaging, e.g., during a time period between radiofrequency excitation and refocusing, results in transient field inhomogeneities. Dependent on the additional z-magnetic field from the DC, a phase offset results despite the refocusing pulse. False spatial encoding is avoided by DC application during periods when read-out or slice-encoding gradients are inactive. A water phantom containing a brass conductor (water equivalent susceptibility) and a titanium needle (serving as susceptibility source) was used to demonstrate the feasibility. Artifact dependence on current strength and orientation was examined. Results: Without DC, the brass conductor was only visible due to its water displacement. The titanium needle showed typical susceptibility artifacts. Applying triggered DC pulses, the phase offset of spins near the conductor appeared. Because SE phase images are homogenous also in regions of persistent field inhomogeneities, the position of the conductor could be determined with high reliability. Artifact characteristic could be easily controlled by amperage leaving sequence parameters unchanged. For an angle of 30° between current and static field visualization was still possible. Conclusions: SE phase images display the position of a conductor carrying pulsed DC free from artifacts caused by persistent field inhomogeneities. Magnitude and phase images are acquired simultaneously under the same conditions without the use of extra measurement time. The presented technique offers many advantages for precise instrument localization in interventional MRI.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

Characterization of Red/Green Cyanobacteriochrome NpR6012g4 by Solution Nuclear Magnetic Resonance Spectroscopy: A Hydrophobic Pocket for the C15- E,anti Chromophore in the Photoproduct

Cyanobacteriochromes (CBCRs) are cyanobacterial photosensory proteins distantly related to phytochromes. Like phytochromes, CBCRs reversibly photoconvert between a dark-stable state and a photoproduct via photoisomerization of the 15,16-double bond of their linear tetrapyrrole (bilin) chromophores. CBCRs provide cyanobacteria with complete coverage of the visible spectrum and near-ultraviolet region. One CBCR subfamily, the canonical red/green CBCRs typified by AnPixJg2 and NpR6012g4, can function as sensors of light color or intensity because of their great variation in photoproduct stability. The mechanistic basis for detection of green light by the photoproduct state in this subfamily has proven to be a challenging research topic, with competing hydration and trapped-twist models proposed. Here, we use 13 C-edited and 15 N-edited 1 H- 1 H NOESY solution nuclear magnetic resonance spectroscopy to probe changes in chromophore configuration and protein-chromophore interactions in the NpR6012g4 photocycle. Our results confirm a C15-Z,anti configuration for the red-absorbing dark state and reveal a C15-E,anti configuration for the green-absorbing photoproduct. The photoactive chromophore D-ring is located in a hydrophobic environment in the photoproduct, surrounded by both aliphatic and aromatic residues. Here, characterization of variant proteins demonstrates that no aliphatic residue is essential for photoproduct tuning. Taken together, our results support the trapped-twist model over the hydration model for the red/green photocycle of NpR6012g4.

37 INORGANIC, ORGANIC, PHYSICAL, AND ANALYTICAL CH↗

Modeling q 95 windows for the suppression of edge localized modes by resonant magnetic perturbations in the DIII-D tokamak

A toroidal asymptotic matching model of the response of a tokamak plasma to a static resonant magnetic perturbation (RMP) is used to simulate the n = 3 RMP-induced edge-localized-mode-suppression windows in q 95 that are evident when the plasma current is slowly ramped in DIII-D discharge #145380. All quantities employed in the simulation are derived from experimental measurements, apart from the neutral particle data. Three cases are considered. In the first case, the natural frequencies of tearing modes resonant in the plasma are determined by the ion flows at the corresponding resonant surfaces, which is the prediction of nonlinear tearing mode theory. In the second case, the natural frequencies are determined by the local E x B velocities at the resonant surfaces. In the third case, the natural frequencies are determined by the electron flows at the resonant surfaces, which is the prediction of linear tearing mode theory. The second case gives the best agreement between the simulations and the experimental observations. The first and third cases only lead to partial agreement between the simulations and the observations. In the first case, the lack of complete agreement may be a consequence of using an inaccurate assumption for the neutral particle distribution in the pedestal. In the third case, the lack of complete agreement is probably due to the fact that the response of a tokamak plasma to an RMP is not accurately described by linear tearing mode theory.

70 PLASMA PHYSICS AND FUSION TECHNOLOGY↗

Characterization of Red/Green Cyanobacteriochrome NpR6012g4 by Solution Nuclear Magnetic Resonance Spectroscopy: A Protonated Bilin Ring System in Both Photostates

Cyanobacteriochromes (CBCRs) are cyanobacterial photoreceptors distantly related to phytochromes. Both CBCRs and phytochromes use photoisomerization of a linear tetrapyrrole (bilin) chromophore to photoconvert between two states with distinct spectral and biochemical properties, the dark state and the photoproduct. The isolated CBCR domain NpR6012g4 from Nostoc punctiforme is a well-characterized member of the canonical red/green CBCR subfamily, photosensory domains that can function as sensors for light color or intensity to regulate phototactic responses of filamentous cyanobacteria. Such red/green CBCRs utilize conserved Phe residues to tune the photoproduct for green light absorption, but conflicting interpretations of the photoproduct chromophore structure have been proposed. In the hydration model, the proposed photoproduct state is extensively solvated, with a loosely bound, conformationally flexible chromophore. In the trapped-twist model, the photoproduct chromophore is sterically constrained by hydrophobic amino acids, including the known Phe residues. Here, we have characterized chromophore structure in NpR6012g4 using solution nuclear magnetic resonance spectroscopy and a series of labeled chromophores. Four NH resonances are assigned for both the red-absorbing dark state and the green-absorbing photoproduct. Moreover, observed 13 C chemical shifts are in good agreement with those obtained for protonated rather than deprotonated bilins in ab initio calculations. Our results demonstrate that NpR6012g4 has a protonated, cationic bilin π system in both photostates, consistent with a photoproduct structure in which the chromophore is not extensively hydrated.

59 BASIC BIOLOGICAL SCIENCES↗

An Atlas-Based Electron Density Mapping Method for Magnetic Resonance Imaging (MRI)-Alone Treatment Planning and Adaptive MRI-Based Prostate Radiation Therapy

Purpose: Prostate radiation therapy dose planning directly on magnetic resonance imaging (MRI) scans would reduce costs and uncertainties due to multimodality image registration. Adaptive planning using a combined MRI-linear accelerator approach will also require dose calculations to be performed using MRI data. The aim of this work was to develop an atlas-based method to map realistic electron densities to MRI scans for dose calculations and digitally reconstructed radiograph (DRR) generation. Methods and Materials: Whole-pelvis MRI and CT scan data were collected from 39 prostate patients. Scans from 2 patients showed significantly different anatomy from that of the remaining patient population, and these patients were excluded. A whole-pelvis MRI atlas was generated based on the manually delineated MRI scans. In addition, a conjugate electron-density atlas was generated from the coregistered computed tomography (CT)-MRI scans. Pseudo-CT scans for each patient were automatically generated by global and nonrigid registration of the MRI atlas to the patient MRI scan, followed by application of the same transformations to the electron-density atlas. Comparisons were made between organ segmentations by using the Dice similarity coefficient (DSC) and point dose calculations for 26 patients on planning CT and pseudo-CT scans. Results: The agreement between pseudo-CT and planning CT was quantified by differences in the point dose at isocenter and distance to agreement in corresponding voxels. Dose differences were found to be less than 2%. Chi-squared values indicated that the planning CT and pseudo-CT dose distributions were equivalent. No significant differences (p > 0.9) were found between CT and pseudo-CT Hounsfield units for organs of interest. Mean {+-} standard deviation DSC scores for the atlas-based segmentation of the pelvic bones were 0.79 {+-} 0.12, 0.70 {+-} 0.14 for the prostate, 0.64 {+-} 0.16 for the bladder, and 0.63 {+-} 0.16 for the rectum. Conclusions: The electron-density atlas method provides the ability to automatically define organs and map realistic electron densities to MRI scans for radiotherapy dose planning and DRR generation. This method provides the necessary tools for MRI-alone treatment planning and adaptive MRI-based prostate radiation therapy.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

Noninvasive Monitoring of Microvascular Changes With Partial Irradiation Using Dynamic Contrast-Enhanced and Blood Oxygen Level-Dependent Magnetic Resonance Imaging

Purpose: The microvasculature of a tumor plays an important role in its response to radiation therapy. Dynamic contrast-enhanced magnetic resonance imaging (DCE MRI) and blood oxygen level-dependent (BOLD) MRI are both sensitive to vascular characteristics. The present study proposed a partial irradiation approach to a xenograft tumor to investigate the intratumoral response to radiation therapy using DCE and BOLD MRI. Methods and Materials: TRAMP-C1 tumors were grown in C57BL/6J mice. Partial irradiation was performed on the distal half of the tumor with a single dose of 15 Gy. DCE MRI was performed to derive the endothelium transfer constant, K{sup trans}, using pharmacokinetic analysis. BOLD MRI was performed using quantitative R2* measurements with carbogen breathing. The histology of the tumor was analyzed using hematoxylin and eosin staining and CD31 staining to detect endothelial cells. The differences between the irradiated and nonirradiated regions of the tumor were assessed using K{sup trans} values, ΔR2* values in response to carbogen and microvascular density (MVD) measurements. Results: A significantly increased K{sup trans} and reduced BOLD response to carbogen were found in the irradiated region of the tumor compared with the nonirradiated region (P<.05). Histologic analysis showed a significant aggregation of giant cells and a reduced MVD in the irradiated region of the tumor. The radiation-induced difference in the BOLD response was associated with differences in MVD and K{sup trans}. Conclusions: We demonstrated that DCE MRI and carbogen-challenge BOLD MRI can detect differential responses within a tumor that may potentially serve as noninvasive imaging biomarkers to detect microvascular changes in response to radiation therapy.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

Quantification of Pediatric Abdominal Organ Motion With a 4-Dimensional Magnetic Resonance Imaging Method

Purpose: To characterize respiration-induced abdominal organ motion in children receiving radiation treatment with a 4-dimensional (4D) magnetic resonance imaging (MRI) method. Methods and Materials: We analyzed free-breathing coronal 4D MRI datasets acquired from 35 patients (aged 1-20 years) with abdominal tumors. A deformable image registration of the 4D MRI datasets was performed to derive motion trajectories of selected anatomic landmarks, from which organ motions were quantified. The association between organ motion and patient characteristics was investigated and compared with previous studies. The relation between patient height and organ motion was further investigated to predict organ motion in prospective patients. Results: Organ motion and its individual variation were reduced in younger patients (eg, kidney peak-to-peak motion <5 mm for all but 1 patient aged ≤8 years), although special motion management may be warranted in some adolescents. The liver and spleen exhibited greater motion than did the kidneys, while intraorgan variation was present. The motions in the liver and kidneys agreed with those reported by the previous 4D computed tomography studies. Individual variations of organ motion in younger patients were due, in part, to changes in respiration rate, which ostensibly reflected the effect of anesthesia. The prediction of organ motion was limited by large individual variations, particularly for older patients. Conclusions: The 4D MRI acquisition method and motion analysis described in this study provide a nonionizing approach to understand age-associated organ motion, which aids in the planning of abdominal radiation therapy for pediatric patients. Use of 4D MRI facilitates monitoring of changes in target motion patterns during treatment courses and in various studies of the effect of organ motion on radiation treatment.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

Modeling of q 95 windows for the suppression of edge localized modes by resonant magnetic perturbations in the KSTAR tokamak

The EPEC code is employed to model the q95 windows for n = 2 and n = 1 resonant magnetic perturbation (RMP)-induced edge localized mode (ELM) suppression in typical KSTAR H-mode discharges. The plasma equilibria used in the study are derived by rescaling the experimental plasma equilibrium in KSTAR discharge #18594 measured at time t = 6450 ms. The n = 2 and n = 1 ELM suppression windows predicted by EPEC are comparatively narrow in q95 (i.e., Δq 95 ≃ 0.1) and are such that (assuming a relative pedestal pressure reduction of 15% is required to trigger ELM suppression), even in the middle of the windows, there is a threshold RMP coil current of about 1–3 kA/turn that must be exceeded before ELM suppression occurs. Furthermore, the n = 2 and n = 1 ELM suppression windows calculated by the EPEC code are consistent with the experimental observations and are also broadly similar to those recently calculated by the TM1 code [Hu et al., Phys. Plasmas 28, 052505 (2021)].

70 PLASMA PHYSICS AND FUSION TECHNOLOGY↗

Investigation of the Suppression of Edge Localized Modes by Resonant Magnetic Perturbations in NSTX/NSTX-U (Final Technical Report)

The purpose of the grant was to investigate the suppression of edge localized modes by resonant magnetic perturbations in both NSTX and NSTX-U. Unfortunately, the project quickly exhausted all of the relevant experimental data from NSTX. It was originally intended to use new data from NSTX-U, when it restarted. However, the considerable delay in the restart made this impossible. Hence, with the permission of DOE, the grant was pivoted toward a more general examination of the MHD stability of tokamak plasmas.

70 PLASMA PHYSICS AND FUSION TECHNOLOGY↗

Predicting operational windows of ELMs suppression by resonant magnetic perturbations in the DIII-D and KSTAR tokamaks

A newly developed plasma response model, combining the nonlinear two-fluid MHD code TM1 and toroidal MHD code GPEC run in ideal mode, quantitatively predicts the narrow isolated q 95 windows (Δq 95 ~ 0.1) of ELM suppression by n = 1, 2 and 3 resonant magnetic perturbations (RMPs) in both DIII-D and KSTAR tokamaks across a wide range of plasma parameters. The key physics that unites both experimental observations and our simulations is the close alignment of essential resonant q-surfaces and the location of the top of the pedestal prior to an ELM. This alignment permits an applied RMP to produce field penetration due to the lower E × B rotation at the pedestal top rather than being screened. The model successfully predicts that narrow magnetic islands form when resonant field penetration occurs at the top of pedestal, and these islands are easily screened when q 95 moves off resonance, leading to very narrow windows of ELM suppression (typically Δq 95 ~ 0.1). Furthermore, the observed reduction in the pedestal height is also well captured by the calculated classical collisional transport across the island. We recover observed q 95 , β N and plasma shape dependence of ELM suppression due to the effect of magnetic islands on pedestal transport and Peeling-Ballooning- Mode (PBM) stability. Importantly, experiments do occasionally observe wide windows of ELM suppression (Δq 95 > 0.5). Our model reveals that at low pedestal-top density multiple islands open, leading to wide operational windows of ELM suppression consistent with experiment. The model indicates that wide q95 windows of ELM suppression can be achieved at substantially higher pedestal pressure with less confinement degradation in DIII-D by operating at higher toroidal mode number (n = 4) RMPs. As a result, this can have significant implications for the operation of the ITER ELM control coils for maintaining high confinement together with ELM suppression.

70 PLASMA PHYSICS AND FUSION TECHNOLOGY↗

Characterization of a novel weak interaction between MUC1 and Src-SH3 using nuclear magnetic resonance spectroscopy

Highlights: Black-Right-Pointing-Pointer MUC1 binds the Src-SH3 domain potentially triggering Src dependent cell migration. Black-Right-Pointing-Pointer NMR Spectroscopy was used to monitor MUC1-CD and Src SH3 domain titrations. Black-Right-Pointing-Pointer MUC1-CD peptides bind with a low affinity (K{sub d} of 2-3 mM) to a non-canonical site. Black-Right-Pointing-Pointer Weak interactions may mediate dynamic processes like migration. Black-Right-Pointing-Pointer The MUC1-CD and Src-SH3 interaction may be a prime target to inhibit cell migration. -- Abstract: Breast cancer causes death through cancer cell migration and subsequent metastasis to distant organs. In vitro, the MUC1 mucin can mediate breast cancer cell migration by binding to intercellular adhesion molecule-1 (ICAM-1). This migration is dependent on MUC1 cytoplasmic domain (MUC1-CD) activation of the non-receptor tyrosine kinase, Src, possibly through competitive displacement of an inhibitory Src intramolecular SH3 binding. Therefore, we characterized the binding site and affinity of the MUC1-CD for Src-SH3 using multidimensional nuclear magnetic resonance (NMR) spectroscopy to monitor the titration of the {sup 15}N labeled Src-SH3 domain with synthetic native and mutant peptides of MUC1-CD. The results revealed that the dissociation constant (K{sub d}) for the interaction of the native MUC1-CD peptides and Src-SH3 domain was weak with a K{sub d} of 2-3 mM. Notably, the SH3 residues most perturbed upon peptide binding were located outside the usual hydrophobic binding cleft in a previously described alternate binding site on the Src-SH3, suggesting that MUC1-CD binds to a non-canonical site. The binding characteristics outlined here suggest that the interaction between Src-SH3 and MUC1-CD represents a novel weak electrostatic interaction of the type which is increasingly recognized as important in transient and dynamic protein complexes required for cell migration and signal transduction. As such, this study forms the foundation for the design of specific inhibitors of this interaction which may target breast cancer metastases with exquisite specificity.

60 APPLIED LIFE SCIENCES↗

Effect of energy and momentum conservation on fluid resonances for resonant magnetic perturbations in a tokamak

In this paper, the impact of momentum and energy conservation of the collision operator in the kinetic description for Resonant Magnetic Perturbations (RMPs) in a tokamak is studied. The particle conserving differential collision operator of Ornstein-Uhlenbeck type is supplemented with integral parts such that energy and momentum are conserved. The application to RMP penetration in a tokamak shows that energy conservation in the electron collision operator is important for the quantitative description of plasma shielding effects at the resonant surface. On the other hand, momentum conservation in the ion collision operator does not significantly change the results.

70 PLASMA PHYSICS AND FUSION TECHNOLOGY↗

Full suppression of runaway electron generation by the mode penetration of resonant magnetic perturbations during disruptions on J-TEXT

The avoidance and suppression of runaway electron (RE) generation during disruptions is of great importance for the safe operation of tokamaks. Massive gas injection is enacted to suppress the generation of REs, but the poor gas mixing efficiency and extremely high density required to suppress RE generation make the full RE suppression unreliable. The magnetic perturbations provide an alternative RE suppression during disruptions. The use of mode penetration induced by resonant magnetic perturbations (RMPs) to suppress RE generation has been investigated on the J-TEXT tokamak. For a sufficiently long mode penetration duration, robust runaway suppression has been reached during the disruptions. The m/n = 2/1 mode RMP with high amplitude excites large magnetic islands inside the plasma and leads to the large-scale destruction of magnetic surfaces during disruptions, which results in RE loss and runaway-free disruptions. The essential island width required for runaway suppression is estimated to be larger than 0.16 as the minor radius. This value might be slightly underestimated because of the misalignment between the electron cyclotron emission diagnostic and the island O-point. NIMROD simulations are used to investigate the effect of magnetic islands on RE generation during disruption, showing that the large magnetic islands have the ability to enhance RE seed loss during disruptions. RMP can excite large magnetic islands in the target plasma without tearing mode and might be a way to prevent RE generation during disruptions.

70 PLASMA PHYSICS AND FUSION TECHNOLOGY↗

Femtosecond-laser–induced modifications in Co/Pt multilayers studied with tabletop resonant magnetic scattering

We characterize the magnetic domain structure of Co/Pt multilayer fi lms on length scales below one hundred nanometers using resonant magnetic scattering and magnetic force microscopy. The extreme ultraviolet light for the scattering experiment is created by a laser- based high-order harmonic generation source. After illumination with intense ultrashort laser pulses, we observe pronounced changes in the magnetic structure and morphology. Furthermore, this study points out the importance of a detailed analysis of the different laser-induced modifications of a magnetic thin fi lm that influence the scattering patterns.

75 CONDENSED MATTER PHYSICS, SUPERCONDUCTIVITY AND↗

Accelerating Dynamic Magnetic Resonance Imaging (MRI) for Lung Tumor Tracking Based on Low-Rank Decomposition in the Spatial–Temporal Domain: A Feasibility Study Based on Simulation and Preliminary Prospective Undersampled MRI

Purpose: To evaluate a low-rank decomposition method to reconstruct down-sampled k-space data for the purpose of tumor tracking. Methods and Materials: Seven retrospective lung cancer patients were included in the simulation study. The fully-sampled k-space data were first generated from existing 2-dimensional dynamic MR images and then down-sampled by 5 × -20 × before reconstruction using a Cartesian undersampling mask. Two methods, a low-rank decomposition method using combined dynamic MR images (k-t SLR based on sparsity and low-rank penalties) and a total variation (TV) method using individual dynamic MR frames, were used to reconstruct images. The tumor trajectories were derived on the basis of autosegmentation of the resultant images. To further test its feasibility, k-t SLR was used to reconstruct prospective data of a healthy subject. An undersampled balanced steady-state free precession sequence with the same undersampling mask was used to acquire the imaging data. Results: In the simulation study, higher imaging fidelity and low noise levels were achieved with the k-t SLR compared with TV. At 10 × undersampling, the k-t SLR method resulted in an average normalized mean square error <0.05, as opposed to 0.23 by using the TV reconstruction on individual frames. Less than 6% showed tracking errors >1 mm with 10 × down-sampling using k-t SLR, as opposed to 17% using TV. In the prospective study, k-t SLR substantially reduced reconstruction artifacts and retained anatomic details. Conclusions: Magnetic resonance reconstruction using k-t SLR on highly undersampled dynamic MR imaging data results in high image quality useful for tumor tracking. The k-t SLR was superior to TV by better exploiting the intrinsic anatomic coherence of the same patient. The feasibility of k-t SLR was demonstrated by prospective imaging acquisition and reconstruction.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

Diagnostic performance of magnetic resonance cholangiopancreatography (MRCP) versus endoscopic retrograde cholangiopancreatography (ERCP) in the pediatric population: a clinical effectiveness study

Purpose: To determine the diagnostic performance of magnetic resonance cholangiopancreatography (MRCP) for detecting biliary and pancreatic abnormalities in a pediatric population, using endoscopic retrograde cholangiopancreatography (ERCP) as the reference standard. Materials and methods: Institutional review board approval with a waiver of informed consent was obtained for this retrospective investigation. Records from the Cincinnati Children’s Hospital Medical Center, Division of Gastroenterology and Department of Radiology were used to identify patients aged ≤ 18 years who had undergone both ERCP and MRCP within a 4-week interval between January 2013 and May 2017. Biliary and pancreatic duct findings were documented for each modality to determine the diagnostic performance of MRCP (with 95% confidence intervals), using ERCP as the reference standard. Results: 54 patients met inclusion criteria. Mean patient age at time of ERCP was 10.4 ± 4.9 years, and 25 (46%) were male. Mean interval between ERCP and MRCP was 11.2 ± 9.7 days. For detection of any abnormality (n = 99 ERCP findings), MRCP had a sensitivity of 76.8% (67.5–84.0%) and a positive predictive value (PPV) of 81.7% (72.7–88.3%). MRCP was 75.7% (59.9–86.6%) sensitive, with a PPV of 84.9% (69.1–93.4%) for biliary findings (n = 37) and 73.5% (59.7–83.8%) sensitive, with a PPV of 78.3% (64.4–87.7%) for pancreatic findings (n = 49). For pancreatobiliary abnormalities (n = 13), MRCP had a sensitivity of 92.3% (66.7–99.6%) and a PPV of 85.7% (60.1–97.5%). Conclusion: In clinical practice, MRCP is moderately sensitive for biliary and pancreatic abnormalities, with false-negative and false-positive examinations being relatively common.

62 RADIOLOGY AND NUCLEAR MEDICINE↗