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Epithelial-myoepithelial carcinoma (EMC) is a rare salivary gland cancer characterized by biphasic tubular structures composed of inner ductal and outer clear myoepithelial cells. Because of its histological variety and overlap of histological features with other salivary gland tumors, there are broad differential diagnoses. The HRAS Q61R mutation has been reported to be frequent in and specific to EMC. We evaluated the usefulness of RAS Q61R mutant-specific immunohistochemical staining for detecting this genetic alteration in EMC. We investigated 83 EMC cases and 66 cases of salivary gland tumors with an EMC-like component, including pleomorphic adenoma, adenoid cystic carcinoma, basal cell adenoma/adenocarcinoma, and myoepithelial carcinoma. Sanger sequencing was performed for HRAS, KRAS, and NRAS. The diffuse and membranous/cytoplasmic RAS Q61R immunohistochemical expression was observed in 65% of EMC cases, in which all cases harbored the HRAS Q61R mutation. Immunohistochemistry-positive cases were present only in de novo EMCs (54/76 cases, 71%) but not in EMCs ex pleomorphic adenoma. The immunoreactivity was almost always restricted to the myoepithelial cells. Conversely, all EMC cases lacking the HRAS Q61R mutation were negative on immunohistochemistry. In addition, only 3% of EMC-like tumors showed the abovementioned immunopositivity. None of the cases examined carried KRAS or NRAS mutations. Immunohistochemistry for RAS Q61R is highly sensitive and specific for detecting the HRAS Q61R mutation in EMC. Since significant immunopositivity was almost exclusively identified in nearly two-thirds of EMCs but seldom in the histologic mimics, the immunohistochemistry of RAS Q61R is a useful tool for diagnosing EMC in general pathology laboratories.

As the commissioning phase of the Nagoya University Accelerator-driven Neutron Source for boron neutron capture therapy, in-phantom thermal neutron flux measurements were conducted using a small ⁶LiF/Eu:CaF₂ scintillator detector and activation foils. The spatial distribution of the measured thermal neutron flux agreed with the Monte Carlo simulation results. Based on this comparison, the free-in-air neutron spectrum, calculated at the exit aperture, was verified and the epithermal neutron flux, at a 0.25 mA proton current, was evaluated as (1.49 ± 0.10) × 10⁷ n/(cm2 s).

In this study, we proposed an objective estimation of decline of arousal level by analyzing microsaccade rate and pupil fluctuation while subjects were continuously gazing a fixation target. Previous studies show that the slow eye movements (SEMs) could be a candidate for an indicator of decline of arousal. However, it is not sufficient to evaluate transition of arousal states since SEMs appear just prior to sleep onset. To establish more objective assessment of arousal, we examined the effects of the transition of arousal on microsaccade rate and pupil fluctuation. The subjects were instructed to indicate by mouse clicks when they were aware of having slept. We have analyzed the eye movement and pupil fluctuation data in advance of the occurrence of SEMs which were detected just before the mouse clicks. In the results, longitudinal pupil diameter shrinking and gradual rise of microsaccade rate were observed prior to SEMs. These results suggest that the arousal level could be evaluated by monitoring eye movements and pupil fluctuations.