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Background Computed tomography (CT) has important roles for lung cancer screening, and therefore radiation dose reduction by using iterative reconstruction technique and scanning methods receive widespread attention. Purpose To evaluate the effect of two reconstruction techniques (filtered back projection [FBP] and adaptive iterative dose reduction using three-dimensional processing [AIDR 3D]) and two acquisition techniques (wide-volume scan [WVS] and helical scan as 64-detector-row CT [64HS]) on the lung nodule identifications of using a chest phantom. Material and Methods A chest CT phantom including lung nodules was scanned using WVS and 64HS at nine different tube currents (TCs; range, 270–10 mA). All CT datasets were reconstructed with AIDR 3D and FBP. Standard deviation (SD) measurements by region of interest placement and qualitative nodule identifications were statistically compared. 64HS and WVS were evaluated separately, and FBP images acquired with 270 mA was defined as the standard reference. Results SDs of all datasets with AIDR 3D showed no significant differences ( P > 0.05) with standard reference. When comparing nodule identifications, area under the curve on WVS with AIDR 3D with TC 0.05). Conclusion In term of SD of lung parenchyma and nodule identification, AIDR 3D can achieve more radiation dose reduction than FBP and there is no significant different between WVS and 64HS.

Background To determine the accuracy of pulmonary MR imaging with ultrashort echo time (UTE) for lung and mediastinum assessments using computed tomography (CT) as the reference standard, for various pulmonary parenchyma diseases. Methods Eight-five consecutive patients (46 males: mean age, 69 years and 39 females: mean age, 69 years) with various pulmonary parenchyma diseases were examined with chest standard- and low-dose CTs and pulmonary MR imaging with UTE. This was followed by visual assessment using a 5-point system of the presence of nodules or masses, ground-glass opacity, micronodules, nodules, patchy shadow or consolidation, emphysema or bullae, bronchiectasis, reticular opacity, and honeycomb and traction bronchiectasis. Presence of aneurysms, pleural or pericardial effusions, pleural thickening or tumor, and lymph adenopathy was also evaluated using a 5-point system. To compare the capability of the methods for lung parenchyma and mediastinum evaluation, intermethod agreement was evaluated by means of kappa statistics and χ2 test. Receiver operating characteristic analyses were used to compare diagnostic performance of all methods. Results Intermethod agreements between pulmonary MR imaging and standard-dose and low-dose CT were significant and either substantial or almost perfect (0.67 ≤ κ ≤ 0.98; P

To prospectively compare the capabilities for TNM classification and assessment of clinical stage and operability among whole-body magnetic resonance (MR) imaging, coregistered positron emission tomographic (PET)/MR imaging with and without MR signal intensity (SI) assessment, and integrated fluorine 18 fluorodeoxyglucose (FDG) PET/computed tomography (CT) in non-small cell lung cancer (NSCLC) patients.The institutional review board approved this study, and written informed consent was obtained from each patient. One hundred forty consecutive NSCLC patients (75 men, 65 women; mean age, 72 years) prospectively underwent whole-body MR imaging, FDG PET/CT, conventional radiologic examinations, and surgical, pathologic, and/or follow-up examinations. All factors and clinical stage and operability were then visually assessed. All PET/MR examinations were assessed with and without SI assessment. One examination used anatomic, metabolic, and relaxation-time information, and the other used only anatomic and metabolic information. κ statistics were used for assessment of all factors and clinical stages with final diagnoses. McNemar test was used to compare the capability of all methods to assess operability.Agreements of assessment of every factor (κ = 0.63-0.97) and clinical stage (κ = 0.65-0.90) were substantial or almost perfect. Regarding capability to assess operability, accuracy of whole-body MR imaging and PET/MR imaging with SI assessment (97.1% [136 of 140]) was significantly higher than that of MR/PET without SI assessment and integrated FDG PET/CT (85.0% [119 of 140]; P.001).Accuracies of whole-body MR imaging and PET/MR imaging with SI assessment are superior to PET/MR without SI assessment and PET/CT for identification of TNM factor, clinical stage, and operability evaluation of NSCLC patients.

Magnetic skyrmions with a topological particle nature have recently attracted attention as a potential information carrier for novel magnetic storage devices. For single-phase bulk crystals, skyrmions usually appear for a very narrow temperature region just below the magnetic ordering temperature ${T}_{c}$, and the stabilization of skyrmions for a wider temperature range remains an important challenge. Here, by investigating the impact of uniaxial tensile stress for a chiral magnet ${\mathrm{Cu}}_{2}{\mathrm{OSeO}}_{3}$, we demonstrate that only less than 0.2% of uniaxial elongation can dramatically stabilize skyrmions for an entire temperature range from ${T}_{c}$ to the lowest temperature. The stability of skyrmions essentially depends on the geometrical relationship among the directions of strain, magnetic field, and crystallographic axes, which is consistently explained in terms of the anisotropic modulation of the Dzyaloshinskii-Moriya interaction and magnetocrystalline anisotropy. Our finding may provide a good strategy for materials design to enhance the stability of skyrmions.

We demonstrate emergence of both the chiral soliton lattice and skyrmion lattice and investigate their magnetic-field variation in the strained ${\mathrm{Cu}}_{2}{\mathrm{OSeO}}_{3}$ thin plate by means of small-angle resonant soft x-ray scattering. The tensile strain stabilizes a helical spin structure with the modulation vector along the strain direction. Consequently, when increasing the field perpendicular to the modulation vector, it undergoes large shrinkage and higher-order diffraction peaks are also observed, which is in accord with a typical feature of the chiral soliton lattice. The skyrmion lattice also appears in the presence of tensile strain but is elongated along the strain direction in reciprocal space. The magnetic-field dependence of the modulation vector along the strain direction agrees with the theoretical model quantitatively, while that along other directions does not. The agreement, however, becomes worse at lower temperatures, which may be attributed to the large potential barrier for skyrmion annihilation.

Ultrafast x-ray scattering studies of the topological Skyrmion phase in Cu_{2}OSeO_{3} show the dynamics to be strongly dependent on the excitation energy and fluence. At high photon energies, where the electron-spin scattering cross section is relatively high, the excitation of the topological Skyrmion phase shows a nonlinear dependence on the excitation fluence, in contrast to the excitation of the conical phase which is linearly dependent on the excitation fluence. The excitation of the Skyrmion order parameter is nonlinear in the magnetic excitation resulting from scattering during electron-hole recombination, indicating different dominant scattering processes in the conical and Skyrmion phases.

The real-space spin texture and the relevant magnetic parameters were investigated for an easy-axis noncentrosymmetric ferromagnet ${\mathrm{Cr}}_{11}{\mathrm{Ge}}_{19}$ with Nowotny chimney ladder structure. Using Lorentz transmission electron microscopy, we report the formation of bi-Skyrmions, i.e., pairs of spin vortices with opposite magnetic helicities. The quantitative evaluation of the magnetocrystalline anisotropy and Dzyaloshinskii-Moriya interaction (DMI) proves that the magnetic dipolar interaction plays a more important role than the DMI on the observed bi-Skyrmion formation. Notably, the critical magnetic field value required for the formation of bi-Skyrmions turned out to be extremely small in this system, which is ascribed to strong easy-axis anisotropy associated with the characteristic helix crystal structure. The family of Nowotny chimney ladder compounds may offer a unique material platform where two distinctive Skyrmion formation mechanisms favoring different topological spin textures can become simultaneously active.

Purpose To directly compare fat suppression efficacy of Dixon, spectral attenuated inversion recovery (SPAIR) and short tau inversion recovery (STIR) techniques for a 3 T MR system. Materials and methods Nineteen consecutive patients (11 men, 8 women; mean age 67.9 years) underwent chest MR imaging. Contrast-noise ratio (CNR) between muscle and fat (CNRFat) was calculated by ROI measurement. Then, two radiologists used a five-point scale for visual assessment of image quality, fat suppression capability and lesion detection. Next, the quantitative calculations obtained with all three techniques were compared by means of Tukey's honest significant difference (HSD) test. Inter-observer agreements were assessed by kappa statistics and χ2 test. Fisher's least significant difference (LSD) test was used for comparison among all scores. Results CNRFat of SPAIR were significantly higher than those of Dixon and STIR (p Conclusion Dixon technique has better fat suppression capability on T2-weighted turbo SE imaging than SPAIR technique on chest MR imaging examined with a 3 T MR system, although it can't substitute STIR technique on fat suppression and lesion visualization.

Purpose To compare the capability of amide proton transfer-weighted (APTw) imaging, diffusion-weighted imaging (DWI), and FDG-PET/CT for the differentiation of malignant from benign pulmonary nodules. Materials and Methods In all, 82 consecutive patients with pulmonary nodules underwent APTw imaging and DWI with a 3T system, and FDG-PET/CT. All nodules were divided as either malignant (n = 49) or benign (n = 39) groups based on pathological and follow-up examinations. To evaluate the capability for differentiation of malignant from benign nodules, magnetization transfer ratio asymmetry (MTRasym)(3.5ppm) on APTw imaging, apparent diffusion coefficient (ADC), and maximum value of standard uptake value (SUVmax) were assessed. Receiver operating characteristic (ROC) analyses were performed to computationally determine each feasible threshold value. Next, McNemar's test was used for comparing diagnostic performance with each other as well as with a combination of the significant factors determined by multivariate logistic regression analysis. Results Although sensitivity of ADC was significantly higher than that of MTRasym(3.5 ppm) (P = 0.002) and SUVmax (P = 0.004), specificity of MTRasym(3.5 ppm) and SUVmax was significantly higher than that of ADC (P < 0.05). Sensitivity of combined MTRasym(3.5ppm) with SUVmax was significantly higher than that of MTRasym(3.5ppm) (P = 0.001) and SUVmax (P = 0.002) alone. Moreover, specificity and accuracy of combined MTRasym(3.5ppm) with SUVmax were significantly higher than that of ADC (specificity: P = 0.002, accuracy: P = 0.008). Conclusion APTw imaging appears to be as useful as DWI and FDG-PET/CT for differentiation of malignant from benign nodules. Level of Evidence: 2 Technical Efficacy: Stage 2 J. Magn. Reson. Imaging 2017.

Propagation character of spin wave was investigated for chiral magnets FeGe and Co-Zn-Mn alloys, which can host magnetic skyrmions near room temperature. On the basis of the frequency shift between counter-propagating spin waves, the magnitude and sign of Dzyaloshinskii-Moriya (DM) interaction were directly evaluated. The obtained magnetic parameters quantitatively account for the size and helicity of skyrmions as well as their materials variation, proving that the DM interaction plays a decisive role in the skyrmion formation in this class of room-temperature chiral magnets. The propagating spin-wave spectroscopy can thus be an efficient tool to study DM interaction in bulk single-phase compounds. Our results also demonstrate a function of spin-wave diode based on chiral crystal structures at room temperature., 19 pages, 4 figures, 1 table (Supplementary Material included)

Small angle neutron scattering measurements have been performed to study the thermodynamic stability of skyrmion-lattice phases in Cu$_2$OSeO$_3$. We found that the two distinct skyrmion-lattice phases [SkX(1) and SkX(2) phases] can be stabilized through different thermal histories; by cooling from the paramagnetic phase under finite magnetic field, the SkX(2) phase is selected. On the other hand, the 30$^{\circ}$-rotated SkX(1) phase becomes dominant by heating the sample from the ordered conical phase under finite field. This difference in stabilization is surprisingly similar to the irreversibility observed in spin glasses. The zero-field cooling results in the co-existence of the two phases. It is further found that once one of the skyrmion-lattice phases is formed, it is hardly destabilized. This indicates unusual thermal stability of the two skyrmion-lattice phases originating from an unexpectedly large energy barrier between them., 9 pages, 10 figures

Oxygen-enhanced magnetic resonance (MR) imaging has been advocated since 1996 as a technique for evaluation of regional ventilation using molecular oxygen as the contrast agent. Molecular oxygen, which contains two unpaired electrons and is weakly paramagnetic, can provide not only regional ventilation, but also oxygen transfer (i.e., diffusion of oxygen from alveoli to capillary bed) and related information for oxygen-enhanced MR imaging. Many investigators have successfully used oxygen-enhanced MR imaging for patients with pulmonary diseases such as chronic obstructive pulmonary disease, asthma, interstitial lung disease, pulmonary vascular diseases, and lung cancer in a clinical setting, and demonstrated the physiological significance of oxygen enhancement. In this review article, we discuss (1) respiratory physiology relevant for oxygen-enhanced MR imaging; (2) theory of oxygen enhancement; (3) oxygen-enhanced MR imaging sequence design; (4) basic study of oxygen-enhanced MR imaging for animal models and humans; (5) clinical studies of oxygen-enhanced MR imaging; and (6) advantages and disadvantages of oxygen-enhanced MR imaging compared with those of hyperpolarized noble gas MR imaging.

To compare the use of dynamic oxygen-enhanced magnetic resonance (MR) imaging with the use of quantitatively assessed computed tomography (CT) for assessment of clinical stage and evaluation of pulmonary functional change due to treatment in patients with asthma.The institutional review board of Kobe University Hospital approved this study, and written informed consent was obtained from each subject. Thirty consecutive patients with asthma (17 men and 13 women; age range, 27-78 years) underwent dynamic oxygen-enhanced MR imaging, multidetector CT, and assessment of forced expiratory volume in 1 second. All patients were classified as having one of four stages of asthma according to the guidelines of the National Asthma Education and Prevention Program. Relative enhancement ratio ( RER relative enhancement ratio ) and wash-in time maps were generated by means of pixel-by-pixel analyses. Regions of interest were placed on images of the lung in all sections, and all measurements were averaged to determine mean RER relative enhancement ratio and mean wash-in time for each subject. Percentage of airway wall area and mean lung density were determined at quantitative CT. For comparison of the modalities for assessment of clinical stage, indexes of subjects at all clinical stages were compared by means of the Tukey honestly significant difference test. Evaluation of pulmonary functional improvement was assessed by correlating improvement of each index with that of forced expiratory volume.Mean wash-in time was significantly different among patients with asthma of different clinical stages (P.05), but significant differences between mean RER relative enhancement ratio and percentage of airway wall area were observed for a limited number of clinical stages (P.05). Improvement of mean RER relative enhancement ratio (r = 0.63, P = .0002) and mean wash-in time (r = -0.75, P.0001) was significantly correlated with forced expiratory volume.Dynamic oxygen-enhanced MR imaging has potential as a tool for assessment of clinical stage and evaluation of pulmonary functional change due to treatment in patients with asthma.

Purpose To compare predictive capabilities of non-contrast-enhanced (CE)- and dynamic CE-perfusion MRIs, thin-section multidetector computed tomography (CT) (MDCT), and perfusion scan for postoperative lung function in non-small cell lung cancer (NSCLC) patients. Materials and Methods Sixty consecutive pathologically diagnosed NSCLC patients were included and prospectively underwent thin-section MDCT, non-CE-, and dynamic CE-perfusion MRIs and perfusion scan, and had their pre- and postoperative forced expiratory volume in one second (FEV1) measured. Postoperative percent FEV1 (po%FEV1) was then predicted from the fractional lung volume determined on semiquantitatively assessed non-CE- and dynamic CE-perfusion MRIs, from the functional lung volumes determined on quantitative CT, from the number of segments observed on qualitative CT, and from uptakes detected on perfusion scans within total and resected lungs. Predicted po%FEV1s were then correlated with actual po%FEV1s, which were %FEV1s measured postoperatively. The limits of agreement were also determined. Results All predicted po%FEV1s showed significant correlation (0.73 ≤ r ≤ 0.93, P

To evaluate and compare the capability of diffusion-weighted MR imaging (DWI) and CT for assessment of management needs for anterior mediastinal solitary tumors.Thirty-five patients with pathologically confirmed anterior mediastinal tumors were enrolled. The tumors were divided into two groups according to need for management: tumors not needing further intervention or treatment (group A; thymoma type A, AB and B1) and tumors needing further intervention and treatment (group B; other thymoma types and malignancies). The apparent diffusion coefficient (ADC) of each tumor was measured, and probabilities of malignancy and need for further intervention and treatment were visually assessed on CT. The differences in ADCs between group A and B and between malignancies and thymomas in group B were evaluated with the Mann-Whitney's U-test. Feasible threshold values for differentiation of group B from group A and distinguishing malignancies from thymomas assessed as group B were determined by the ROC-based positive test, and McNemar's test was used for comparing diagnostic capabilities of DWI with those of CT.ADCs for the two groups were significantly different (p0.001). Application of the threshold value for differentiation of group B from A showed no significant difference (p0.05). Application of the feasible threshold value for distinguishing malignant from thymomas assessed as group B showed that specificity (76.9%) and accuracy (85.2%) of DWI were significantly better than those of visual score (p0.05).DWI has useful potential for the assessment of management needs for anterior mediastinum solitary tumors as well as CT.

To prospectively and directly compare oxygen-enhanced (O2-enhanced) MRI with thin-section CT for pulmonary functional loss and disease severity assessment in connective tissue disease (CTD) patients with interstitial lung disease (ILD).Thin-section CT, O2-enhanced MRI, pulmonary function test and serum KL-6 were administered to 36 CTD patients with ILD (23 men, 13 women; mean age: 63.9 years) and nine CTD patients without ILD (six men, and three women; mean age: 62.0 years). A relative-enhancement ratio (RER) map was generated from O2-enhanced MRI and mean relative enhancement ratio (MRER) for each subject was calculated from all ROI measurements. CT-assessed disease severity was evaluated with a visual scoring system from each of the thin-section CT data. MRER and CT-assessed disease severities of CTD patients with and without ILD were then statistically compared. To assess capability for pulmonary functional loss and disease severity assessment in CTD patients, correlations of MRER and CT-assessed disease severity with pulmonary functional parameters and serum KL-6 in all subjects were statistically determined.MRER and CT-assessed disease severity showed significant differences between CTD patients with (MRER: 0.15 ± 0.08, CT-assessed disease severity: 13.0 ± 7.4%) and without ILD (MRER: 0.25 ± 0.06, p=0.0011; CT-assessed disease severity: 1.6 ± 1.6%, p0.0001). MRER and CT-assessed disease severity correlated significantly with pulmonary functional parameters and serum KL-6 in all subjects (0.61 ≤ r ≤ 0.79, p0.05).O2-enhanced MRI was found to be as useful as thin-section CT for pulmonary functional loss and disease severity assessment of CTD patients with ILD.

Spontaneously emergent chirality is an issue of fundamental importance across the natural sciences. It has been argued that a unidirectional (chiral) rotation of a mechanical ratchet is forbidden in thermal equilibrium, but becomes possible in systems out of equilibrium. Here we report our finding that a topologically nontrivial spin texture known as a skyrmion - a particle-like object in which spins point in all directions to wrap a sphere - constitutes such a ratchet. By means of Lorentz transmission electron microscopy we show that micron-sized crystals of skyrmions in thin films of Cu2OSeO3 and MnSi display a unidirectional rotation motion. Our numerical simulations based on a stochastic Landau-Lifshitz-Gilbert equation suggest that this rotation is driven solely by thermal fluctuations in the presence of a temperature gradient, whereas in thermal equilibrium it is forbidden by the Bohr-van Leeuwen theorem. We show that the rotational flow of magnons driven by the effective magnetic field of skyrmions gives rise to the skyrmion rotation, therefore suggesting that magnons can be used to control the motion of these spin textures., Comment: 17 pages, 4 figures

Purpose The purpose of this study was to compare diagnostic capabilities for assessment of recurrence in non-small cell lung cancer (NSCLC) patients by contrast-enhanced whole-body MRI (CE-WB-MRI) with and without CE-Quick 3D and double RF fat suppression technique (DFS), FDG-PET/CT and conventional radiological examinations. Materials and methods A total of 134 pathologically proven and completely resected NSCLC patients (78 males, 56 females; mean age: 72 years) underwent FDG-PET/CT, CE-WB-MRI with and without Quick 3D and DFS at 3 T as well as conventional radiological examinations. The probability of recurrence was assessed with a 5-point scoring system on a per-patient basis, and final diagnosis was made by consensus between two readers. The capability for overall recurrence assessment by all the methods was compared by means of ROC analysis and their sensitivity, specificity and accuracy by means of McNemar's test. Results Although areas under the curve did not show any significant differences, specificity (100%) and accuracy (95.5%) of CE-WB-MRI with CE-Quick 3D and DFS were significantly higher than those of FDG-PET/CT (specificity: 93.6%, p = 0.02; accuracy: 89.6%, p = 0.01) and conventional radiological examinations (specificity: 92.7%, p = 0.01; accuracy: 91.0%, p = 0.03). In addition, specificity of CE-WB-MRI without CE-Quick 3D and DFS (100%) was significantly higher than that of FDG-PET/CT (p = 0.02) and conventional radiological examinations (p = 0.01). Conclusion Specificity and accuracy of CE-WB-MRI with CE-Quick 3D and DFS for assessment of recurrence in NSCLC patients are at least as high as, or higher than those of others.

Purpose To assess the influence of ultrashort TE (UTE) intervals on pulmonary magnetic resonance imaging (MRI) with UTEs (UTE-MRI) for pulmonary functional loss assessment and clinical stage classification of smokers. Materials and Methods A total 60 consecutive smokers (43 men and 17 women; mean age 70 years) with and without COPD underwent thin-section multidetector row computed tomography (MDCT), UTE-MRI, and pulmonary functional measurements. For each smoker, UTE-MRI was performed with three different UTE intervals (UTE-MRI A: 0.5 msec, UTE-MRI B: 1.0 msec, UTE-MRI C: 1.5 msec). By using the GOLD guidelines, the subjects were classified as: “smokers without COPD,” “mild COPD,” “moderate COPD,” and “severe or very severe COPD.” Then the mean T2* value from each UTE-MRI and CT-based functional lung volume (FLV) were correlated with pulmonary function test. Finally, Fisher's PLSD test was used to evaluate differences in each index among the four clinical stages. Results Each index correlated significantly with pulmonary function test results (P

Since the publication of the Radiologic Diagnostic Oncology Group Report in 1991, the clinical application of pulmonary magnetic resonance imaging (MRI) in patients with lung cancer has been limited. In contrast, MRI for lung cancer has undergone continuous development, and several promising techniques have been introduced to overcome the previously suggested limitations. In addition, comparative studies involving multidetector-row computed tomography and positron emission tomography or positron emission tomography/computed tomography with 2-deoxy-2-[F]fluoro-D-glucose have shown useful new clinical applications for MRI in lung cancer. Moreover, MRI can provide not only morphologic information based on various parameters such as T1 and T2 relaxation times, tissue diffusion, perfusion, etc. but also functional information; it also has a significant role in nuclear medicine studies. In this review article, we describe recent advances made in MRI with respect to lung cancer, focusing on (1) detection of solid pulmonary nodules; (2) characterization of solid pulmonary nodules; (3) TNM staging assessment using chest and whole-body MRI examinations; (4) prediction of postsurgical lung function; and (5) prediction of tumor treatment response. We believe that further basic studies, as well as studies on clinical applications of new MRI techniques, are important for improving the management of lung cancer patients.

To compare the diagnostic performance of positron emission tomography with [18F] fluoro-2-deoxy-glucose (FDG-PET) coregistered with magnetic resonance imaging (FDG-PET/MRI), MRI with and without diffusion-weighted imaging (DWI), FDG-PET fused with computed tomography (FDG-PET/CT) with brain contrast-enhanced (CE-) MRI, and routine radiological examination for assessment of postoperative recurrence in nonsmall-cell lung cancer (NSCLC) patients.96 consecutive postoperative NSCLC patients (52 men, 44 women; mean age 72 years) prospectively underwent whole-body 3T MRI with and without DWI; PET/CTs and routine radiological examinations consisted of CE-brain MRI, whole-body CE-CT, and bone scintigraphy. The patients were divided into a recurrence (n = 17) and a nonrecurrence (n = 79) group based on pathological and follow-up examinations. All coregistered PET/MRIs were generated by proprietary software. The probability of recurrence was visually assessed on a per-patient basis. Receiver operating characteristic analyses were used to compare the diagnostic performance of all methods. Finally, diagnostic capabilities were compared by means of McNemar's test.Areas under the curves (Azs) were significantly larger for PET/MRI and whole-body MRI with DWI (Az = 0.99) than for PET/CT (Az = 0.92, P0.05) and conventional radiological examination (Az = 0.91, P0.05). Specificity and accuracy of PET/MRI and MRI with and without DWI were significantly higher than those of PET/CT (P0.05) and routine radiological examination (P0.05).Whole-body FDG-PET/MRI and MRI with DWI were found to be more specific and accurate than FDG-PET/CT and routine radiological examinations for assessment of recurrence in NSCLC patients, although MRI with and without DWI demonstrated slightly lower sensitivity than PET/CT.2 Technical Efficacy: Stage 2 J. Magn. Reson. Imaging 2017;46:1707-1717.

Purpose To directly compare the capability of dynamic first-pass contrast-enhanced (CE-) perfusion area-detector CT (ADCT) and PET/CT for early prediction of treatment response, disease progression and overall survival of non-small cell carcinoma (NSCLC) patients treated with chemoradiotherapy. Materials and methods Fifty-three consecutive Stage IIIB NSCLC patients who had undergone PET/CT, dynamic first-pass CE-perfusion ADCT, chemoradiotherapy, and follow-up examination were enrolled in this study. They were divided into two groups: 1) complete or partial response (CR+PR) and 2) stable or progressive disease (SD+PD). Pulmonary arterial and systemic arterial perfusions and total perfusion were assessed at targeted lesions with the dual-input maximum slope method, permeability surface and distribution volume with the Patlak plot method, tumor perfusion with the single-input maximum slope method, and SUV max , and results were averaged to determine final values for each patient. Next, step-wise regression analysis was used to determine which indices were the most useful for predicting therapeutic effect. Finally, overall survival of responders and non-responders assessed by using the indices that had a significant effect on prediction of therapeutic outcome was statistically compared. Results The step-wise regression test showed that therapeutic effect (r 2 =0.63, p=0.01) was significantly affected by the following three factors in order of magnitude of impact: systemic arterial perfusion, total perfusion, and SUV max . Mean overall survival showed a significant difference for total perfusion (p=0.003) and systemic arterial perfusion (p=0.04). Conclusion Dynamic first-pass CE-perfusion ADCT as well as PET/CT are useful for treatment response prediction in NSCLC patients treated with chemoradiotherapy.

Dissipation-less electric control of magnetic state variable is an important target of contemporary spintronics. The non-volatile control of magnetic skyrmions, nanometre-sized spin-swirling objects, with electric fields may exemplify this goal. The skyrmion-hosting magnetoelectric chiral magnet Cu2OSeO3 provides a unique platform for the implementation of such control; however, the hysteresis that accompanies the first-order transition associated with the skyrmion phase is negligibly narrow in practice. Here we demonstrate another method that functions irrespective of the transition boundary. Combination of magnetic-susceptibility measurements and microwave spectroscopy reveals that although the metastable skyrmion lattice is normally hidden behind a more thermodynamically stable conical phase, it emerges under electric fields and persists down to the lowest temperature. Once created, this metastable skyrmion lattice remains without electric fields, establishing a bistability distinct from the transition hysteresis. This bistability thus enables non-volatile electric-field control of the skyrmion lattice even in temperature/magnetic-field regions far from the transition boundary., Magnetoelectric material Cu2OSeO3 hosts topologically-protected skyrmion magnetization textures, however only in an impractically narrow temperature range. Here, the authors demonstrate how the metastable skyrmion phase may be extended to low temperatures by an applied electric field.

In magnetic materials with chiral crystal structure, it has been predicted that quasiparticle flows propagating parallel and antiparallel to the external magnetic field can show different propagating character, with its sign of nonreciprocity dependent on the chirality of the underlying bulk crystal lattice. This unique phenomenon, termed magnetochiral nonreciprocity, has previously been demonstrated for the propagating light and conduction electrons but seldom for other quasiparticles. In this study, we report the experimental observation of magnetochiral nonreciprocity of propagating magnons for a chiral-lattice ferromagnet ${\mathrm{Cu}}_{2}{\mathrm{OSeO}}_{3}$ by employing the spin wave spectroscopy. We found that the sign of nonreciprocity is reversed for the opposite chirality of crystal, and also directly identified the wave-number-linear term in the spin wave dispersion associated with the Dzyaloshinskii-Moriya (DM) interaction as the origin of observed nonreciprocity. Our present results pave a route for the design of efficient spin wave diode based on the bulk crystallographic symmetry breaking and also offer a unique method to evaluate the magnitude of DM interaction in chiral-lattice bulk compounds.

There are many reports on the variation of origin site of the lingual artery branching from the external carotid artery. However, there are few reports systematically investigating the course of the lingual artery in detail from branching site to the body of tongue. The purpose of this study is to classify systematically the courses of the lingual artery including variations. Using 111 body sides of 63 Japanese cadavers for dissection practices, the lingual artery and the surrounding structures were investigated gross anatomically. The courses of the lingual artery were classified into five types based on the positional relationships with the hyoglossus and the mylohyoid as follows; type M: coursing medial to the hyoglossus (normal course, 104 sides), type L: coursing lateral to the hyoglossus (2 sides), type T: transferring its course from lateral to medial to the hyoglossus (2 sides), type P: penetrating the mylohyoid (2 sides), and type C: the coinciding of types M and P (1 side). Types L, T, P, and C were considered to be variant lingual arteries. Types M and T, type L, and type P arose from the external carotid, facial, and submental arteries, respectively. In types L and P, adding to the variant lingual artery, the remnant of the normal lingual artery was also observed. The present study provides detailed information on the courses of lingual artery which will be of clinical importance especially in the super-selective arterial angiography.

Experimentally, skyrmion spin textures are observed in various magnetic systems with distinctive characteristics. In this chapter, some typical material environments, i.e. (1) non-centrosymmetric ferromagnets, (2) centrosymmetric ferromagnets with uniaxial anisotropy and (3) surface/interface of ferromagnetic monolayers, are introduced for realising skyrmion spin textures. (1) and (3) are systems with broken space-inversion symmetry, and thus, the Dzyaloshinskii–Moriya interaction is active and serves as a key source for stabilising skyrmion spin textures. For (2), in contrast, the breaking of space-inversion symmetry is not relevant, but an interplay between the dipole–dipole interaction and magnetic anisotropies is important for the realisation of magnetic skyrmions. In all cases, the typical size of a magnetic skyrmion ranges from sub-micrometre to nanometre, which implies that specific experimental techniques are required to identify the emergence of skyrmion spin textures directly.

Skyrmions were originally proposed by Tony Skyrme in the 1960s to account for the stability of hadrons in particle physics as a topological solution of the non-linear sigma model. Bogdanov and his collaborators theoretically predicted their realisation in chiral-lattice ferromagnets with finite Dzyaloshinskii–Moriya interaction due to the lack of spatial inversion symmetry. In this chapter, an overview of theoretical aspects of magnetic skyrmions is provided.

In metallic materials, non-collinear or non-coplanar spin textures such as skyrmions, helices or domain walls give rise to intriguing phenomena via coupling to conduction electrons. In this chapter, we introduce the emergent electromagnetic fields generated by a skyrmion spin texture acting on conduction electrons. These cause the topological Hall effect and the electric-current-driven motion of skyrmions with a significantly small threshold current density jc of 105–106 A/m2, which is five or six orders of magnitude smaller than that of a ferromagnetic domain wall and a helical magnetic structure.

In insulating materials, conduction electrons and associated emergent fields are absent; instead, magnetic skyrmions in insulators induce spatially inhomogeneous charge distributions through the relativistic spin-orbit interaction. Depending on the symmetry of an underlying crystallographic lattice, skyrmions carry electric dipoles or quadrupoles and can be manipulated by an external electric field. This property may provide an energetically more efficient method to control skyrmions because the electric field in an insulating system causes only negligible Joule heat loss compared with the current-driven approach in a metallic system. In this chapter, this magnetoelectric nature of skyrmions is discussed. Skyrmions also show resonant oscillation against both ac magnetic and electric fields of gigahertz frequency. The interference of these excitations causes unique optical responses called directional dichroism, where the sign reversal of light (microwave) propagation direction gives different absorption spectra.

Involvement of the respiratory system is common in connective tissue diseases (CTDs), and the resultant lung injury can affect every part of the lung: the pleura, alveoli, interstitium, vasculature, lymphatic tissue, and large and/or small airways. Most of the parenchymal manifestations of CTD are similar to those found in interstitial lung diseases (ILDs), especially idiopathic interstitial pneumonias, and can be classified using the same system. Although there is some overlap, each CTD is associated with a characteristic pattern of pulmonary involvement. For this reason, thin-section CT as well as pulmonary function tests and serum markers are utilized for diagnosis, disease severity assessment, and therapeutic efficacy evaluation of ILD associated with CTD. In addition, newly developed pulmonary magnetic resonance imaging (MRI) procedures have been recommended as useful alternative imaging options for patients with CTD. This review article will (1) address radiological findings for chest radiography and conventional or thin-section CT currently used for six major types of CTD, rheumatoid arthritis, scleroderma (progressive systemic sclerosis), polymyositis/dermatomyositis, systemic lupus erythematosus, Sjögren syndrome and mixed connective tissue disease; (2) briefly deal with radiation dose reduction for thin-section CT examination; and (3) discuss clinically applicable or state-of-the-art MR imaging for CTD patients.

Longitudinal spin Seebeck effect has been investigated for an uniaxial antiferromagnetic insulator Cr2O3, characterized by a spin-flop transition under magnetic field along the c-axis. We have found that temperature gradient applied normal to Cr2O3/Pt interface induces inverse spin Hall voltage of spin current origin in Pt, whose magnitude turns out to be always proportional to magnetization in Cr2O3. The observed voltage shows significant enhancement for the lower temperature region, which can be ascribed to the phonon-drag effect on the relevant spin excitations. The above results establish that antiferromagnetic spin waves with high frequency above 100 GHz can be an effective carrier of spin current., Comment: 5 pages, 4 figures

Purpose To determine the capability and influence of the mathematical method on dynamic contrast-enhanced (CE-) perfusion area detector CT (ADCT) for early prediction of treatment response as well as progression free and overall survival (PFS and OS) of non-small cell lung cancer (NSCLC) patients treated with chemoradiotherapy. Materials and methods Sixty-six consecutive stage III NSCLC patients underwent dynamic CE-perfusion ADCT examinations, chemoradiotherapy and follow-up examinations. Response Evaluation Criteria in Solid Tumors (RECIST) criteria were used to divide all patients into responders and non-responders. Differences in each of the indices for all targeted lesions between measurements obtained 2 weeks prior to the first and the third course of chemotherapy were determined for all patients. ROC analyses were employed to determine the capability of perfusion indices as markers for distinguishing RECIST responders from non-responders. To evaluate their capability for early prediction of therapeutic effect, OS of perfusion index-based responders and non-responders were compared by using the Kaplan–Meier method followed by log-rank test. Results Area under the curve (Az) for total perfusion by means of the dual-input maximum slope method was significantly larger than that of pulmonary arterial perfusion using the same method (p = 0.007) and of perfusion with the single-input maximum slope method (p = 0.007). Mean OS demonstrated significantly difference between responder- and non-responder groups for total perfusion (p = 0.02). Conclusion Mathematical models have significant influence on assessment for early prediction of treatment response, disease progression and overall survival using dynamic CE-perfusion ADCT for NSCLC patients treated with chemoradiotherapy.

Magnetic skyrmions in an insulating chiral magnet Cu2OSeO3 were studied by all-optical spin wave spectroscopy. The spins in the conical and skyrmion phases were excited by the impulsive magnetic field from the inverse-Faraday effect and resultant spin dynamics were detected by using time-resolved magneto-optics. Clear dispersions of the helimagnon were observed, which is accompanied by a distinct transition into the skyrmion phase, by sweeping temperature and magnetic field. In addition to the collective excitations of skyrmions, i.e., rotation and breathing modes, several spin precession modes were identified, which would be specific to optical excitation. The ultrafast, nonthermal and local excitation of the spin systems by photons would lead to the efficient manipulation of nano-magnetic structures.

The concept of a skyrmion, which was first introduced by Tony Skyrme in the field of particle physics, has become widespread in condensed matter physics to describe various topological orders. Skyrmions in magnetic materials have recently received particular attention; they represent vortex-like spin structures with the character of nanometric particles and produce fascinating physical properties rooted in their topological nature. Here, a series of noncentrosymmetric ferromagnets hosting skyrmions is reviewed: B20 metals, Cu2 OSeO3 , Co-Zn-Mn alloys, and GaV4 S8 , where Dzyaloshinskii-Moriya interaction plays a key role in the stabilization of skyrmion spin texture. Their topological spin arrangements and consequent emergent electromagnetic fields give rise to striking features in transport and magnetoelectric properties in metals and insulators, such as the topological Hall effect, efficient electric-drive of skyrmions, and multiferroic behavior. Such electric controllability and nanometric particle natures highlight magnetic skyrmions as a potential information carrier for high-density magnetic storage devices with excellent energy efficiency.

To prospectively compare the capabilities of dynamic perfusion area-detector computed tomography (CT), dynamic magnetic resonance (MR) imaging, and positron emission tomography (PET) combined with CT (PET/CT) with use of fluorine 18 fluorodeoxyglucose (FDG) for the diagnosis of solitary pulmonary nodules.The institutional review board approved this study, and written informed consent was obtained from each subject. A total of 198 consecutive patients with 218 nodules prospectively underwent dynamic perfusion area-detector CT, dynamic MR imaging, FDG PET/CT, and microbacterial and/or pathologic examinations. Nodules were classified into three groups: malignant nodules (n = 133) and benign nodules with low (n = 53) or high (n = 32) biologic activity. Total perfusion was determined with dual-input maximum slope models at area-detector CT, maximum and slope of enhancement ratio at MR imaging, and maximum standardized uptake value (SUVmax) at PET/CT. Next, all indexes for malignant and benign nodules were compared with the Tukey honest significant difference test. Then, receiver operating characteristic analysis was performed for each index. Finally, sensitivity, specificity, and accuracy were compared with the McNemar test.All indexes showed significant differences between malignant nodules and benign nodules with low biologic activity (P.0001). The area under the receiver operating characteristic curve for total perfusion was significantly larger than that for other indexes (.0006 ≤ P ≤ .04). The specificity and accuracy of total perfusion were significantly higher than those of maximum relative enhancement ratio (specificity, P.0001; accuracy, P.0001), slope of enhancement ratio (specificity, P.0001; accuracy, P.0001), and SUVmax (specificity, P.0001; accuracy, P.0001).Dynamic perfusion area-detector CT is more specific and accurate than dynamic MR imaging and FDG PET/CT in the diagnosis of solitary pulmonary nodules in routine clinical practice.

Objectives To determine the appropriate parameters and evaluation method for characterizing solitary pulmonary nodules (SPNs) using quantitative parameters of diffusion-weighted imaging (DWI). Methods Thirty-two subjects with 36 SPNs underwent DWI with seven different b values (0, 50, 100, 150, 300, 500, and 1000 s/mm 2 ). Five quantitative parameters were obtained from the region of interest drawn over each SPN: apparent diffusion coefficients (ADCs), true diffusion coefficients (DCs), and perfusion fractions (PFs), and signal–intensity ratios between lesion and spinal cord from DWI ( b values: 1000 [LSR 1000 ] and 500 [LSR 500 )]). All quantitative parameters and the diagnostic capabilities were statistically compared. Results SPNs were diagnosed as follow: malignant ( n = 27) and benign ( n = 9). Parameter comparisons for malignant and benign showed both LSRs differed significantly ( p 500 specificity (88.9% [8/9]) and accuracy (77.8% [28/36]) were significantly higher than ADC, DC, and PF specificity and accuracy ( p 1000 accuracy (72.2% [26/36]) was significantly higher than DC accuracy, and its specificity (88.9% [8/9]) was significantly higher than ADC, DC, and PF specificities ( p Conclusions For quantitative differentiation of SPNs, LSR evaluation was more useful and practical than ADC, DC, and PF, and choice of b values showed little impact for the differentiation.

Cross-coupling between magnetism and electricity in a solid can be hosted by multiferroics with both magnetic and ferroelectric orders. In multiferroics, the collective spin excitations active for both electric and magnetic fields, termed electromagnons, play a crucial role in the elementary process of magnetoelectric (ME) coupling. Here we report the colossal dynamical (optical) ME effect, or more specifically the magnetochiral (MCh) effect, in the electromagnon resonance for the screw spin helimagnet CuFe(1-x)Ga(x)O2 (x = 0.035). The MCh effect shows up as the nonreciprocal directional dichroism; the extinction coefficient is different for counter-propagating lights, as large as by 400%. The MCh effect derived from the screw spin order is proved by control of the magnetic helicity of helimagnetism and its magnetization. The results point to the general presence of the MCh effect in helimagnets, paving a way to the ME control of electromagnetic wave in the giga- to tera-hertz region.

In our ongoing series of anatomical studies to determine the three-dimensional architecture of the human velar muscles, we have previously reported on the palatopharyngeus. The present study deals with the musculus uvulae (MU), in which the positional relationships of its origin to the posterior nasal spine and the palatine aponeurosis, as well as the interrelation between its anatomical status and functions, have yet to be clarified. Macroscopic and microscopic examinations were performed on 25 and 2 cadavers, respectively. In the former, bilateral MUs and their adjacent structures were exposed mainly from the nasal aspect. In the latter, the soft palates embedded in paraffin were cut into frontal and sagittal sections and alternately processed with HE and Azan stains. The left and right MUs adjacent to each other were found to run longitudinally along the midline beneath the nasal aspect of velum. It was overlaid by glandular tissue that increased in amount as it coursed distally. After originating from the oral surface of palatine aponeurosis, it ran backward to cross above the sling formed by the levator veli palatini muscles of both sides and reached the tip of uvula with its muscle fibers intermingled with glandular tissue. Past studies have proposed three functions of MU to enhance the efficiency of velopharyngeal closure: space occupier, stiffness modifier, and velar extensor. All of the above-described anatomical characteristics of MU could be explained as being adapted for these functions. This implies that MU is actively responsible for maintaining the velopharyngeal closure efficiency.

We report the observation of a Skyrmion lattice in the chiral multiferroic insulator Cu2OSeO3 using Cu L3-edge resonant soft x-ray diffraction. We observe the unexpected existence of two distinct Skyrmion sublattices that arise from inequivalent Cu sites with chemically identical coordination numbers but different magnetically active orbitals. The Skyrmion sublattices are rotated with respect to each other, implying a long wavelength modulation of the lattice. The modulation vector is controlled with an applied magnetic field, associating this moirelike phase with a continuous phase transition. Our findings will open up a new class of science involving manipulation of quantum topological states.

The purpose of this article is to prospectively and directly compare the capabilities of non-contrast-enhanced MR angiography (MRA), 4D contrast-enhanced MRA, and contrast-enhanced MDCT for assessing pulmonary vasculature in patients with non-small cell lung cancer (NSCLC) before surgical treatment.A total of 77 consecutive patients (41 men and 36 women; mean age, 71 years) with pathologically proven and clinically assessed stage I NSCLC underwent thin-section contrast-enhanced MDCT, non-contrast-enhanced and contrast-enhanced MRA, and surgical treatment. The capability for anomaly assessment of the three methods was independently evaluated by two reviewers using a 5-point visual scoring system, and final assessment for each patient was made by consensus of the two readers. Interobserver agreement for pulmonary arterial and venous assessment was evaluated with the kappa statistic. Then, sensitivity, specificity, and accuracy for the detection of anomalies were directly compared among the three methods by use of the McNemar test.Interobserver agreement for pulmonary artery and vein assessment was substantial or almost perfect (κ=0.72-0.86). For pulmonary arterial and venous variation assessment, there were no significant differences in sensitivity, specificity, and accuracy among non-contrast-enhanced MRA (pulmonary arteries: sensitivity, 77.1%; specificity, 97.4%; accuracy, 87.7%; pulmonary veins: sensitivity, 50%; specificity, 98.5%; accuracy, 93.2%), 4D contrast-enhanced MRA (pulmonary arteries: sensitivity, 77.1%; specificity, 97.4%; accuracy, 87.7%; pulmonary veins: sensitivity, 62.5%; specificity, 100.0%; accuracy, 95.9%), and thin-section contrast-enhanced MDCT (pulmonary arteries: sensitivity, 91.4%; specificity, 89.5%; accuracy, 90.4%; pulmonary veins: sensitivity, 50%; specificity, 100.0%; accuracy, 95.9%) (p0.05).Pulmonary vascular assessment of patients with NSCLC before surgical resection by non-contrast-enhanced MRA can be considered equivalent to that by 4D contrast-enhanced MRA and contrast-enhanced MDCT.

The aim of this study was to evaluate the utility of the iterative reconstruction (IR) technique for quantitative bronchial assessment during low-dose computed tomography (CT) as a substitute for standard-dose CT in patients with/without chronic obstructive pulmonary disease. Fifty patients (mean age, 69.2; mean % predicted FEV1, 79.4) underwent standard-dose CT (150mAs) and low-dose CT (25mAs). Except for tube current, the imaging parameters were identical for both protocols. Standard-dose CT was reconstructed using filtered back-projection (FBP), and low-dose CT was reconstructed using IR and FBP. For quantitative bronchial assessment, the wall area percentage (WA%) of the sub-segmental bronchi and the airway luminal volume percentage (LV%) from the main bronchus to the peripheral bronchi were acquired in each dataset. The correlation and agreement of WA% and LV% between standard-dose CT and both low-dose CTs were statistically evaluated. WA% and LV% between standard-dose CT and both low-dose CTs were significant correlated (r > 0.77, p

The race to obtain a higher critical temperature (Tc) in the superconducting cuprates has been virtually suspended since it was optimized under high pressure in a hole-doped trilayer cuprate. We report the anomalous increase in Tc under high pressure for the electron-doped infinite-layer cuprate Sr0.9La0.1CuO2 in the vicinity of the antiferromagnetic critical point. By the application of a pressure of 15 GPa, Tc increases to 45 K, which is the highest temperature among the electron-doped cuprates and ensures unconventional superconductivity. We describe the electronic phase diagram of Sr1-xLaxCuO2 to discuss the relation between the antiferromagnetic order and superconductivity., 9 pages, 4 figures

The change in the electronic structure of layered Cu${}_{x}$IrTe${}_{2}$ has been characterized by transport and spectroscopic measurements, combined with first-principles calculations. The Cu intercalation suppresses the monoclinic distortion, giving rise to the stabilization of the trigonal phase with superconductivity. Thermopower and Hall resistivity measurements suggest the multiband nature with hole and electron carriers for this system, which is masked by the predominance of the hole carriers enhanced by the interlayer hybridization in the trigonal phase. Rather than the instability of the Ir $d$ band, a subtle balance between the interlayer and intralayer Te-Te hybridizations is proposed as a main factor dominating the structural transition and the superconductivity.

Magnetic skyrmion, a topologically stable spin-swirling object, can host emergent electromagnetism, as exemplified by the topological Hall effect and electric-current-driven skyrmion motion. To achieve efficient manipulation of nano-sized functional spin textures, it is imperative to exploit the resonant motion of skyrmions, analogously to the role of the ferromagnetic resonance in spintronics. The magnetic resonance of skyrmions has recently been detected with oscillating magnetic fields at 1-2 GHz, launching a search for new skyrmion functionality operating at microwave frequencies. Here we show a microwave magnetoelectric effect in resonant skyrmion dynamics. Through microwave transmittance spectroscopy on the skyrmion-hosting multiferroic crystal Cu₂OSeO₃ combined with theoretical simulations, we reveal nonreciprocal directional dichroism (NDD) at the resonant mode, that is, oppositely propagating microwaves exhibit different absorption. The microscopic mechanism of the present NDD is not associated with the conventional Faraday effect but with the skyrmion magnetoelectric resonance instead, suggesting a conceptually new microwave functionality.