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PURPOSE: To evaluate repeatability of ROI sampling strategies for quantifying hepatic proton density fat fraction (PDFF) and to assess error relative to the 9-ROI PDFF. METHODS: This was a secondary analysis in subjects with known or suspected nonalcoholic fatty liver disease who underwent MRI for magnitude-based hepatic PDFF quantification. Each subject underwent three exams, each including three acquisitions (nine acquisitions total). An ROI was placed in each hepatic segment on the first acquisition of the first exam and propagated to other acquisitions. PDFF was calculated for each of 511 sampling strategies using every combination of 1, 2, …, all 9 ROIs. Intra- and inter-exam intraclass correlation coefficients (ICCs) and repeatability coefficients (RCs) were estimated for each sampling strategy. Mean absolute error (MAE) was estimated relative to the 9-ROI PDFF. Strategies that sampled both lobes evenly (“balanced”) were compared with those that did not (“unbalanced”) using two-sample t-tests. RESULTS: The 29 enrolled subjects (23 male, mean age 24 years) had mean 9-ROI PDFF 11.8% (1.1–36.3%). With more ROIs, ICCs increased, RCs decreased, and MAE decreased. Of the 60 balanced strategies with 4 ROIs, all (100%) achieved inter- and intra-exam ICCs>0.998, 55 (92%) achieved intra-exam RC

ObjectivesThis study assesses the risk of progression of Liver Imaging Reporting and Data System (LI-RADS) categories, and the effects of inter-exam changes in modality or radiologist on LI-RADS categorization.MethodsClinical LI-RADS v2014 CT and MRI exams at our institution between January 2014 and September 2017 were retrospectively identified. Untreated LR-1, LR-2, LR-3, and LR-4 observations with at least one follow-up exam were included. Three hundred and seventy-two observations in 214 patients (149 male, 65 female, mean age 61 ± 10years) were included during the study period (715 exams total). Cumulative incidence curves for progression to malignant LI-RADS categories (LR-5 or LR-M) and to LR-4 or higher were generated for each index category and compared using log-rank tests with a resampling extension. Relationships between inter-exam changes in LI-RADS category and modality or radiologist, adjusted for inter-exam time intervals, were modeled using mixed effect logistic regressions.ResultsMedian inter-exam follow-up interval and total follow-up duration were 123 and 227 days, respectively. Index LR-1, LR-2, LR-3, and LR-4 differed significantly in their cumulative incidences of progression to malignant categories (p&nbsp

The purpose of this study was to (1) evaluate proton density fat fraction (PDFF) distribution across liver segments at baseline and (2) compare longitudinal segmental PDFF changes across time points in adult patients undergoing a very low-calorie diet (VLCD) and subsequent bariatric weight loss surgery (WLS). We performed a secondary analysis of data from 118 morbidly obese adult patients enrolled in a VLCD-WLS program. PDFF was estimated using magnitude-based confounder-corrected chemical-shift-encoded (CSE) MRI in each hepatic segment and lobe at baseline (visit 1), after completion of VLCD (visit 2), and at 1, 3, and 6 months (visits 3–5) following WLS. Linear regressions were used to estimate the rate of PDFF change across visits. Lobar and segmental rates of change were compared pairwise. Baseline PDFF was significantly higher in the right lobe compared to the left lobe (p

PURPOSE:To determine the inter-reader agreement of magnetic resonance imaging proton density fat fraction (PDFF) and its longitudinal change in a clinical trial of adults with nonalcoholic steatohepatitis (NASH). STUDY TYPE:We performed a secondary analysis of a placebo-controlled randomized clinical trial of a bile acid sequestrant in 45 adults with NASH. A six-echo spoiled gradient-recalled-echo magnitude-based fat quantification technique was performed at 3T. Three independent readers measured MRI-PDFF by placing one primary and two additional regions of interest (ROIs) in each segment at both time points. Cross-sectional agreement between the three readers was evaluated using intra-class correlation coefficients (ICCs) and coefficients of variation (CV). Additionally, we used Bland-Altman analyses to examine pairwise agreement between the three readers at baseline, end of treatment (EOT), and for longitudinal change. RESULTS:Using all ROIs by all readers, mean PDFF at baseline, at EOT, and mean change in PDFF was 16.1%, 16.0%, and 0.07%, respectively. The 27-ROI PDFF measurements had 0.998 ICC and 1.8% CV at baseline, 0.998 ICC and 1.8% CV at EOT, and 0.997 ICC for longitudinal change. The 9-ROI PDFF measurements had corresponding values of 0.997 and 2.6%, 0.996 and 2.4%, and 0.994. Using 27 ROIs, the magnitude of the bias between readers for whole-liver PDFF measurement ranged from 0.03% to 0.06% points at baseline, 0.01% to 0.07% points at EOT, and 0.01% to 0.02% points for longitudinal change. CONCLUSION:Inter-reader agreement for measuring whole-liver PDFF and its longitudinal change is high. 9-ROI measurements have only slightly lower agreement than 27-ROI measurements.

Non-membrane bound, hydrogel-like entities, such as RNA granules, nucleate essential cellular functions through their unique physico-chemical properties. However, these intracellular hydrogels have not been as extensively studied as their extracellular counterparts, primarily due to technical challenges in probing these materials in situ. Here, by taking advantage of a chemically inducible dimerization paradigm, we developed iPOLYMER, a strategy for rapid induction of protein-based hydrogels inside living cells. A series of biochemical and biophysical characterizations, in conjunction with computational modeling, revealed that the polymer network formed in the cytosol resembles a physiological hydrogel-like entity that behaves as a size-dependent molecular sieve. We studied several properties of the gel and functionalized it with RNA binding motifs that sequester polyadenine-containing nucleotides to synthetically mimic RNA granules. Therefore, we here demonstrate that iPOLYMER presents a unique and powerful approach to synthetically reconstitute hydrogel-like structures including RNA granules in intact cells.

We here discuss the concept of the magnitude and the intensity of disaster of a storm surge and propose a method of calculation based on the principle of the wind scale and the earthquake magnitude. The magnitude of a storm surge is the quantitative index that describes the scale of the storm surge, and the intensity of disaster of a storm surge is the quantitative index that describes the losses caused by the storm surge.

Indium nitride (InN) is a promising yet technologically challenging material with a high defect density and unusual material properties. Its high electron mobility may be utilized in high power electronic devices, and its high absorbance and low energy optical response make it a promising candidate for multi-junction, high-efficient solar cell technology. Studies of absorption and photoluminescence optical response of epitaxial InN resulted in a large correction of the fundamental bandgap from the originally proposed 1.9 eV to now below 0.7 eV. Yet, it is still debated if the commonly measured optical transitions below the original high bandgap values are actually caused by a large concentration of defects, on the order of 1020/cm3, rather than reflecting a low fundamental bandgap. Many applications of this material, e.g. in high-efficient solar cell technology, are primarily dependent on the successful production of a contacted p-n junction, which has not yet been achieved. This contribution addresses the controversy in the bandgap discussion of InN. Valence electron energy loss spectroscopy (VEELS) of InN allows spatially resolved analysis of the density of states in the transmission electron microscope (TEM). Standard optical characterization is compared with results from TEM characterization.

Dr. Little and his colleagues report successful results for lung tumor microwave ablation. [1] One underappreciated technical pitfall which can be seen with microwave ablation in the lung is needle slippage and stabilization. This may become more relevant with the emergence of microwave and cryoablation needles which often have heavy hubs, hardware and cords exerting forces on the needle, which can change the depth or angle of insertion of the needle when not stabilized by the operator’s hand. This may pull the needle off-angle or deeper than desired, and may be more common in compliant lung tissue. In one patient, while performing microwave ablation of a lung cancer, the microwave needle advanced 2cm further towards the heart, due to the weight of the device and gravity towards the table (Figure 1). A similar phenomenon can also be seen with steep cranio-caudal access for ablations in the liver dome during respiration, with the liver moving along the needle insertion axis (ie- subcostal skin to liver dome). A common simple technique for needle stabilization is propping the needle's handle in position by rolling sterile towels around its hub, however the needle is not absolutely fixed in place. The “stick” feature in cryoablation may also mitigate this pitfall and prevent migration. Figure 1 Cone beam CT before (A) and after (B) needle slippage. Planned needle path and planned treatment volume (C) in navigation and ablation planner software (Allura Xper FD20, Phillips Healthcare, Best, Netherlands) Disposable needle guidance and stabilization devices, such as the SeeStar® (AprioMed, Uppsala, Sweden) [2,3] and the SimpliFY™ (NeoRad, Oslo, Norway), may help address this challenge. These sterile devices are placed on the skin, and the needle is placed into the clamp of the device allowing fixation of the microwave needle in the insertion angle. (Figure 2) Figure 2 SimpliFY™ (A) stabilizing an radio-frequency ablation needle (Covidien, Boulder, CO, USA) and SeeStar® (B) stabilizing a cryo-ablation needle (Endocare , HealthTronics Inc, Austin, TX, USA) Note bending of needle shaft caused by tension ... However, not all guiding devices secure the depth of insertion. The SimpliFY™ has a mobile needle gripper with an adjustable screw/clamp that can subsequently be used to hold the needle in place at the pre-determined depth. (Figure 2a) In contrast, note the similar SeeStar® allows for simultaneous alignment of the needle along both angular axes (Figure 2b), but does not have a mechanism to secure the depth of the needle insertion. Physicians performing percutaneous interventions should be aware of the possibility of needle slippage and theoretical risks posed to surrounding tissue and organs, as well as potential solutions.