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At least 1,081 records · Page 60

Value of Nonrigid Registration of Pre-Procedure MR with Post-Procedure CT After Radiofrequency Ablation for Hepatocellular Carcinoma

PurposeTo evaluate the value of pre-radiofrequency ablation (RFA) MR and post-RFA CT registration for the assessment of the therapeutic response of hepatocellular carcinoma (HCC).Materials and MethodsA total of 178 patients with single HCC who received RFA as an initial treatment and had available pre-RFA MR and post-RFA CT images were included in this retrospective study. Two independent readers (one experienced radiologist, one inexperienced radiologist) scored the ablative margin (AM) of treated tumors on a four-point scale (1, residual tumor; 2, incomplete AM; 3, borderline AM; 4, sufficient AM), in two separate sessions: (1) visual comparison between pre-and post-RFA images; (2) with addition of nonrigid registration for pre- and post-RFA images. Local tumor progression (LTP) rates between low-risk (response score, 3–4) and high-risk groups (1–2) were analyzed using the Kaplan–Meier method at each interpretation session.ResultsThe patients’ reassignments after using the registered images were statistically significant for inexperienced reader (p < 0.001). In the inexperienced reader, LTP rates of low- and high-risk groups were significantly different with addition of registered images (session 2) (p < 0.001), but not significantly different in session 1 (p = 0.101). However, in the experienced reader, LTP rates of low- and high-risk groups were significantly different in both interpretation sessions (p < 0.001). Using the registered images, the cumulative incidence of LTP at 2 years was 3.0–6.6%, for the low-risk group, and 18.6–27.8% for the high-risk group.ConclusionRegistration between pre-RFA MR and post-RFA CT images may allow better assessment of the therapeutic response of HCC after RFA, especially for inexperienced radiologists, helping in the risk stratification for LTP.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

The Value of Hybrid Angio-CT in Preoperative Detection and Localization of Insulinomas: A Single-Center Retrospective Study

ObjectiveTo investigate the performance of hybrid angio-CT in preoperative detection and localization for insulinomas.MethodsFifty-four postoperative pathology-confirmed patients from April 2015 to March 2017 were retrospectively reviewed; all patients underwent angio-CT with administration of contrast media in SMA, GDA and SA due to negative, inconclusive or controversial findings by several preoperative diagnostic methods including TAUS, CEUS, EUS, ECT, EMRI and DSA. Surgery was used as gold standard for localization of insulinomas; detection sensitivity and localization accuracy of angio-CT were assessed and compared with other preoperative image options.ResultsFifty-six benign insulinomas (mean diameter, 15.8 mm) in 54 patients (18 men and 36 women) were found according to surgical results; the overall detection sensitivity of TAUS, CEUS, EUS, ECT, EMRI and DSA was 21.4, 78.4, 79.2, 70.0, 79.2 and 72.2%, respectively. The overall localization accuracy was 14.3, 58.8, 68.8, 60.0, 75.0 and 44.4%, respectively. A total of 53 tumors were detected by angio-CT, 51 tumors were accurately located, and the overall detection sensitivity and localization accuracy of angio-CT was 94.4 and 90.7%, which was significantly higher than that of all other preoperative diagnostic methods (p < 0.05). No any serious complications occurred during angio-CT.ConclusionOur study indicates the great potential value of angio-CT in the preoperative detection and localization of insulinomas; angio-CT can be used as a preferred invasive diagnostic method.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

Evaluation of dynamically downscaled extreme temperature using a spatially-aggregated generalized extreme value (GEV) model

The Weather Research and Forecast (WRF) model downscaling skill in extreme maximum daily temperature is evaluated by using the generalized extreme value (GEV) distribution. While the GEV distribution has been used extensively in climatology and meteorology for estimating probabilities of extreme events, accurately estimating GEV parameters based on data from a single pixel can be difficult, even with fairly long data records. This work proposes a simple method assuming that the shape parameter, the most difficult of the three parameters to estimate, does not vary over a relatively large region. This approach is applied to evaluate 31-year WRF-downscaled extreme maximum temperature through comparison with North American Regional Reanalysis (NARR) data. Uncertainty in GEV parameter estimates and the statistical significance in the differences of estimates between WRF and NARR are accounted for by conducting bootstrap resampling. Despite certain biases over parts of the United States, overall, WRF shows good agreement with NARR in the spatial pattern and magnitudes of GEV parameter estimates. Both WRF and NARR show a significant increase in extreme maximum temperature over the southern Great Plains and southeastern United States in January and over the western United States in July. The GEV model shows clear benefits from the regionally constant shape parameter assumption, for example, leading to estimates of the location and scale parameters of the model that show coherent spatial patterns.

Wang, Jiali↗

Defining and Computing a Valued Based Cyber-Security Measure

In earlier work, we presented a value based measure of cybersecurity that quantifies the security of a system in concrete terms, specifically, in terms of how much each system stakeholder stands to lose (in dollars per hour of operation) as a result of security threats and system vulnerabilities; our metric varies according to the stakes that each stakeholder has in meeting each security requirement. In this paper, we discuss the specification and design of a system that collects, updates, and maintains all the information that pertains to estimating our cybersecurity measure, and offers stakeholders quantitative means to make security-related decisions.

Algorithms↗

Fundamental Operator-Valued Functions of Singular Integrodifferential Operators in Banach Spaces

In this paper, using methods of the theory of generalized functions in Banach spaces, we examine the Cauchy problem for an abstract integrodifferential equation of a specific type. Under the assumption that there exist the complete Jordan structure of the differential part of the equation and the order of the zero of the kernel of the integral part, the fundamental operator-valued function (the fundamental solution) is constructed for the corresponding integrodifferential operator, which is used for further investigation of the problem.

97 MATHEMATICS AND COMPUTING↗

Nonlocal Boundary-Value Problem for a Differential-Operator Equation with Weak Nonlinearity in the Spaces of Dirichlet–Taylor Series with Fixed Spectrum

We study the nonlocal boundary-value problem for a differential-operator equation with nonlinear right-hand side and an operator B = (B{sub 1},…B{sub p}), where its components B{sub j} ≡ z{sub j}∂/∂z{sub j}, j = 1,…,p, are the operators of generalized differentiation with respect to the complex variable z{sub j}. By using the Nash–Moser iterative scheme, we establish the conditions of solvability of this problem in the scale of spaces of functions of several complex variables, which are Dirichlet–Taylor series with fixed spectrum.

97 MATHEMATICS AND COMPUTING↗

Semirings of Continuous (0,∞]-Valued Functions

The semiring C{sup ∞}(X) of all continuous functions on an arbitrary topological space X with values in the topological semiring (0,∞] is studied. General properties of semirings C{sup ∞}(X) are considered. Properties of lattices of ideals and congruences of semirings C{sup ∞}(X) over the P-spaces X, the F-spaces X, and the finite discrete spaces are proved.

97 MATHEMATICS AND COMPUTING↗

On the Equality of Values in the Monge and Kantorovich Problems

This paper is concerned with the study of conditions under which the Monge and Kantorovich problems with a continuous cost function on a product of two completely regular spaces and two given atomless Radon measures-projections on these spaces have equal values of the corresponding infima.

97 MATHEMATICS AND COMPUTING↗

Predictive value of {sup 18}F-FDG PET/CT in patients with acute type B aortic intramural hematoma

Background: The clinical course and predictors of adverse aortic events (AAE) in patients with acute Stanford type B intramural hematoma (IMH) remain controversial. This study aimed to investigate whether {sup 18}F-FDG PET/CT can predict risk in patients with acute type B IMH. Methods and Results: This study included 34 patients with acute type B IMH who underwent PET/CT within 14 days from the onset of symptoms. The maximal standardized uptake values (SUVmax) of {sup 18}F-FDG uptake was significantly different between patients with or without AAE (4.3 ± 0.6 vs 3.7 ± 1.0, P = 0.020), but not the target to blood ratio (TBR, SUVmax divided by SUV in the superior vena cava) (1.6 ± 0.2 vs 1.5 ± 0.5, P = 0.064). In patients with initial ulcer-like projection (ULP), a blood-filled pouch protruding into the IMH, which was seen in 25 patients(74%), both the SUVmax and TBR were significantly higher in patients who developed AAE, (4.3 ± 0.6 vs 3.3 ± 0.5, P = 0.001; 1.6 ± 0.2 vs 1.4 ± 0.2, P = 0.01); the TBR >1.5, which is determined from receiver-operating-characteristic curve, had a sensitivity of 73% and a specificity of 80% in predicting AAE. Conclusion: Patients with ULP and high {sup 18}F-FDG uptake were more likely to develop AAE and may require closer surveillance with serial imaging.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

Prediction of long-term (> 10 year) cardiovascular outcomes in heart transplant recipients: Value of stress technetium-99m tetrofosmin myocardial perfusion imaging

Background: Myocardial perfusion imaging (MPI) using single-photon emission computed tomography (SPECT) is useful in the evaluation of cardiac allograft vasculopathy (CAV) in heart transplant (HTx) recipients. The current study evaluated the long-term prognostic value of stress SPECT MPI for predicting all-cause mortality and cardiac events in HTx recipients. Methods: The study population consisted of 166 HTx recipients (mean age 54 ± 10 years, 84% male) who underwent exercise or dobutamine stress {sup 99m}Tc-tetrofosmin SPECT MPI for the assessment of CAV. An abnormal SPECT MPI was defined as the presence of a fixed or a reversible perfusion defect. Endpoints were all-cause mortality, cardiac mortality, and non-fatal myocardial infarction (MI). Results: MPI abnormalities were detected in 55 patients (33%), including fixed defects in 28 patients (17%), partially reversible in 17 patients (10%), and completely reversible defects in 10 patients (6%). During a median follow-up of 12.8 years (range 0-15, mean follow-up 9.5 years), 109 (66%) patients died (all-cause mortality), of which 67 (40%) were due to cardiac causes. A total of 5 (3%) patients experienced a non-fatal MI. HTx recipients with a normal stress {sup 99m}Tc-tetrofosmin SPECT MPI had a significantly better prognosis as compared with those with an abnormal study, up to 5 years after the initial test. The presence of a reversible perfusion defect was a significant predictor of all-cause mortality, cardiac mortality, and major cardiac events, during the entire follow-up period. Conclusions: Stress {sup 99m}Tc-tetrofosmin SPECT MPI provides valuable prognostic information for the prediction of long-term outcome in HTx recipients. Patients with a normal stress {sup 99m}Tc-tetrofosmin SPECT MPI have a significantly better prognosis as compared with those with an abnormal study, up to 5 years after initial testing.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

Additional value of systolic wall thickening in myocardial stunning evaluated by stress-rest gated perfusion SPECT

Aim and patients: The aim of the present study is to evaluate the additional value of systolic wall thickening to myocardial perfusion in diagnosing myocardial stunning in patients with angiography proven coronary artery disease. We selected 91 ischemic patients (82 males; mean age 59.7 ± 10.3) with CAD documented by angiography. Ischemia was defined as a summed difference score ≥5. All patients underwent a 2-day gated perfusion SPECT protocol. The patients received a dose of 740 MBq of {sup 99m}Tc-tetrofosmin after stress and at rest. Treadmill maximal exercise tests were performed on all patients. Results: The post-stress LVEF was significantly lower than rest LVEF (48.1% ± 10.3% vs 50.3% ± 10.7%; P = .0001). The wall thickening summed difference score was 4.44 ± 4.13 (P = .0001). At a multivariate regression analysis, only WT-SDS as independent variable was significantly correlated with myocardial ischemia (SDS). We also divided patients according to SDS in those with mild (SDS < 8) and severe (SDS ≥ 8) ischemia. WT-SDS, but not ∆LVEF, was significantly different between groups. Conclusions: WT-SDS, more than the depression in the global function (∆LVEF) of the left ventricle, correlates with the degree of ischemia and better identifies, when present, the stunning phenomenon.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

Some integral inequalities for interval-valued functions

In this paper, we explore some integral inequalities for interval-valued functions. More precisely, using the Kulisch–Miranker order on the space of real and compact intervals, we establish Minkowski’s inequality and then we derive Beckenbach’s inequality via an interval Radon’s inequality. Also, some examples and applications are presented for illustrating our results.

97 MATHEMATICS AND COMPUTING↗

On split inclusion problem and fixed point problem for multi-valued mappings

Many of the iterative schemes for solving split inclusion and fixed point problems involve step-sizes that depend on the norm of a bounded linear operator. The implementation of such algorithms are usually difficult to handle. This is because they require the computation of the operator norm. In this paper, we propose an algorithm involving a step-size selected in such a way that its implementation does not require the computation or an estimate of some spectral radius. Using our algorithm we proved strong convergence theorem for split inclusion problem and fixed point problem for multi-valued quasi-nonexpansive mappings in real Hilbert spaces. Our result generalizes some important and recent results in the literature. Some applications of our main result to game theory and variational inequality problem are also presented.

97 MATHEMATICS AND COMPUTING↗

Compact finite difference relaxation method for chaotic and hyperchaotic initial value systems

In this paper, we present a new application of higher order compact finite differences to solve nonlinear initial value problems exhibiting chaotic behaviour. The method involves dividing the domain of the problem into multiple sub-domains, with each sub-domain integrated using higher order compact finite difference schemes. The nonlinearity is dealt using a Gauss–Seidel-like relaxation. The method is, therefore, referred to as the multi-domain compact finite difference relaxation method (MD-CFDRM). In this new application, the MD-CFDRM is used to solve famous chaotic systems and hyperchaotic systems. The main advantage of the new approach is that it offers better accuracy on coarser grids which significantly improves the computational speed of the method. The results are compared with spectral-based multi-domain method.

97 MATHEMATICS AND COMPUTING↗

Giant dipole resonance parameters of ground-state photoabsorption: Experimental values with uncertainties

Updated values and corresponding uncertainties of Isovector Giant Dipole Resonance (GDR) parameters which are obtained by the least-squares fitting of theoretical photoabsorption cross sections to experimental data are presented. The theoretical photoabsorption cross sections are taken as a sum of the components corresponding to the excitation of the GDR and quasideuteron photodisintegration. The current compilation is an extension and improvement of the earlier compilations of Lorentzian parameters for ground-state photoneutron and photoabsorption cross sections and covers experimental data made available up to June 2017.

73 NUCLEAR PHYSICS AND RADIATION PHYSICS↗

Muconic acid production from algae hydrolysate as a high-value co-product of an algae biorefinery

Muconic acid is an attractive bio-derived product because it can be easily converted to adipic acid, a high-value and high-volume monomer used in the production of nylon and other valuable consumer plastics. As such, production of muconic acid from algae hydrolysate was explored to expand the suite of products available from algal biomass. Here we have established initial performance parameters and have shown that the range of substrates present in algae hydrolysate that are consumed by Pseudomonas putida includes at least glucose, mannose, glycerol, acetic acid, and lactic acid. We achieved complete utilization of these major carbon sources found in Scenedesmus acutus hydrolysate with a maximum muconic acid productivity of 0.25 g/L h. Final titer was 13.0 g/L (27% molar process yield) at approximately 50 h. In addition, algae hydrolysate does not require any additional nutrients to achieve these performance metrics. Techno-economic analysis showed the potential to support up to 150 algal biorefineries at this yield with significant greenhouse gas reductions.

09 BIOMASS FUELS↗

Extension of the input–output relation for a Michelson interferometer to arbitrary coherent-state light sources: Gravitational-wave detector and weak-value amplification

An extension of the input–output relation for a conventional Michelson interferometric gravitational-wave detector is carried out to treat an arbitrary coherent state for the injected optical beam. This extension is one of necessary researches toward the clarification of the relation between conventional gravitational-wave detectors and a simple model of a gravitational-wave detector inspired by weak-measurements in Nishizawa (2015). The derived input–output relation describes not only a conventional Michelson-interferometric gravitational-wave detector but also the situation of weak measurements. As a result, we may say that a conventional Michelson gravitational-wave detector already includes the essence of the weak-value amplification as the reduction of the quantum noise from the light source through the measurement at the dark port.

71 CLASSICAL AND QUANTUM MECHANICS, GENERAL PHYSIC↗