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Aims: While the prevalence of transthyretin-derived amyloid cardiomyopathy (ATTR-CM) is on the rise, detailed understanding of its morphological and functional characteristics within the left ventricle (LV) across heart failure (HF) remains limited., Methods and Results: Utilizing two-dimensional (2D) speckle-tracking echocardiography, we assessed longitudinal strain (LS) in 63 histology-confirmed ATTR-CM patients. Additionally, cardiac magnetic resonance (CMR) images measured native T1 and extracellular volume (ECV), compared with LS across 18 LV segments. Patients were categorized into three groups based on HF status: Group 1 (no HF symptoms), Group 2 (HF with preserved LV ejection fraction), and Group 3 (HF with reduced LV ejection fraction). LS analysis unveiled susceptibility to deformation in the basal inferoseptal segment, persisting even in asymptomatic cases. CMR demonstrated increasing native T1 deviation, particularly evident in segments distant from the inferoseptal region. Contrastingly, maximal ECV was consistently observed in the basal and mid-ventricular inferior-septum, even in asymptomatic individuals. Segmental LS decline correlated with ECV expansion but not with native T1 values., Conclusion: Our findings suggest that the inferoseptal segment is highly susceptible to amyloid infiltration, and 2D speckle-tracking echocardiography and CMR may serve as a valuable tool for its early detection., Competing Interests: Conflict of interest: T.T. received lecture fees from Pfizer Japan Inc and Alnylam Japan. K.K. received lecture fees from Bayer Yakuhin, Daiichi-Sankyo, Novartis Pharma AG, Otsuka Pharmaceutical, Bristol-Myers K.K., and Kowa, as well as scholarship funds from Abbott Medical., (© The Author(s) 2024. Published by Oxford University Press on behalf of the European Society of Cardiology.)

Purpose: The aim of this study was to validate the potential of substituting an observer in a paired comparison with a deep-learning observer., Methods: Phantom images were obtained using computed tomography. Imaging conditions included a standard setting of 120 kVp and 200 mA, with tube current variations ranging from 160 mA, 120 mA, 80 mA, 40 mA, and 20 mA, resulting in six different imaging conditions. Fourteen radiologic technologists with >10 years of experience conducted pairwise comparisons using Ura's method. After training, VGG16 and VGG19 models were combined to form deep learning models, which were then evaluated for accuracy, recall, precision, specificity, and F 1 value. The validation results were used as the standard, and the results of the average degree of preference and significance tests between images were compared to the standard if the results of deep learning were incorporated., Results: The average accuracy of the deep learning model was 82%, with a maximum difference of 0.13 from the standard regarding the average degree of preference, a minimum difference of 0, and an average difference of 0.05. Significant differences were observed in the test results when replacing human observers with AI counterparts for image pairs with tube currents of 160 mA vs. 120 mA and 200 mA vs. 160 mA., Conclusion: In paired comparisons with a limited phantom (7-point noise evaluation), the potential use of deep learning was suggested as one of the observers.

The photonic time-stretch technique is a single-pulse broadband spectroscopy method enabled by dispersive Fourier transformation. This technique enables an extremely high spectrum acquisition rate, determined by the repetition rates of femtosecond mode-locked lasers, which are typically in the range of tens of MHz. However, achieving this high spectrum acquisition rate necessitates a compromise in either the spectral resolution or the spectral bandwidth to prevent overlaps between adjacent stretched pulses. In this study, we introduce a method that overcomes this limitation by incorporating compressive sensing with pulse-by-pulse amplitude modulation, enabling the decomposition of excessively stretched, overlapping pulses. Through numerical evaluations of optofluidic microparticle flow analysis and high-speed gas-phase molecular spectroscopy, we demonstrate the efficacy of our noise-resilient algorithm, showcasing a severalfold increase in the spectrum acquisition rate without compromising resolution and bandwidth.

Quantitative phase imaging (QPI), such as digital holography, is considered a promising tool in the field of life science due to its noninvasive and quantitative visualization capabilities without the need for fluorescence labeling. However, the popularity of QPI systems is limited due to the cost and complexity of their hardware. In contrast, Zernike phase-contrast microscopy (ZPM) has been widely used in practical scenarios but has not been categorized as QPI, owing to halo and shade-off artifacts and the weak phase condition. Here, we present a single-image phase retrieval method for ZPM that addresses these issues without requiring hardware modifications. By employing a rigorous physical model of ZPM and a gradient descent algorithm for its inversion, we achieve single-shot QPI with an off-the-shelf ZPM system. Our approach is validated in simulations and experiments, demonstrating QPI of a polymer microbead and biological cells. The quantitative nature of our method for single-cell imaging is confirmed through comparisons with observations from an established QPI technique conducted through digital holography. This study paves the way for transforming non-QPI ZPM systems into QPI systems.

Objective: The primary care for acute coronary syndrome (ACS) includes the administration of nitroglycerin (GTN). This study aimed to investigate the association between the use of GTN before percutaneous coronary intervention (PCI) for ACS and clinical outcomes., Methods: Nine-hundred and forty-seven patients who underwent PCI for ACS were examined and classified into two groups: those who were treated with GTN before PCI (GTN group) and those who were not (non-GTN group). The incidence of major adverse cardiovascular events (MACE), which consist of all-cause mortality, non-fatal myocardial infarction, stroke and rehospitalisation for heart failure at 1 year, was compared between the two groups., Results: This study identified 289 patients with ACS who used GTN preceding PCI. Pre-PCI systolic blood pressure was significantly lower in the GTN group than in the non-GTN group (median (IQR); 132.0 (110.0-143.5) mm Hg vs 134.0 (112.0-157.0) mm Hg, respectively, p=0.03). Multivariate Cox regression analysis indicated that GTN use preceding PCI showed an independent association with the incidence of MACE (HR 1.57; 95% CI 1.09-2.28; p=0.016). Overall, the incidence of MACE 1 year after PCI for ACS was significantly higher in the GTN group than in the non-GTN group (log-rank test, p=0.024); however, this trend was consistently found in elderly patients aged ≥75 years (p=0.002) but not in non-elderly patients aged <75 years (p=0.773)., Conclusions: GTN use preceding PCI for ACS is associated with lower blood pressure and adverse clinical outcomes in elderly patients., Competing Interests: Competing interests: KKa has received remuneration for lectures from Bayer Yakuhin, Daiichi-Sankyo, Novartis Pharma AG, and Otsuka Pharmaceutical; has received trust research/joint research funds from Bayer Yakuhin and Daiichi-Sankyo; and has received scholarship funds from Abbott Medical., (© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY. Published by BMJ.)

Advancement in mid-infrared (MIR) technology has led to promising biomedical applications of MIR spectroscopy, such as liquid biopsy or breath diagnosis. On the contrary, MIR microscopy has been rarely used for live biological samples in an aqueous environment due to the lack of spatial resolution and the large water absorption background. Recently, mid-infrared photothermal (MIP) imaging has proven to be applicable to 2D and 3D single-cell imaging with high spatial resolution inherited from visible light. However, the maximum measurement rate has been limited to several frames s -1 , limiting its range of use. Here, we develop a significantly improved wide-field MIP quantitative phase microscope with two orders-of-magnitude higher signal-to-noise ratio than previous MIP imaging techniques and demonstrate live-cell imaging beyond video rate. We first derive optimal system design by numerically simulating thermal conduction following the photothermal effect. Then, we develop the designed system with a homemade nanosecond MIR optical parametric oscillator and a high full-well-capacity image sensor. Our high-speed and high-spatial-resolution MIR microscope has great potential to become a new tool for life science, in particular for live-cell analysis., (© 2023. The Author(s).)

Quantitative phase microscopy (QPM) literally images the quantitative phase shift associated with image contrast, where the phase shift can be altered by laser heating. In this study, the thermal conductivity and thermo-optic coefficient (TOC) of a transparent substrate are simultaneously determined by measuring the phase difference induced by an external heating laser using a QPM setup. The substrates are coated with a 50-nm-thick titanium nitride film to photothermally generate heat. Then, the phase difference is semi-analytically modeled based on the heat transfer and thermo-optic effect to simultaneously extract the thermal conductivity and TOC. The measured thermal conductivity and TOC agree reasonably well, indicating the potential for measuring the thermal conductivities and TOCs of other transparent substrates. The concise setup and simple modeling differentiate the advantages of our method from other techniques.

High-speed measurement confronts the extreme speed limit when the signal becomes comparable to the noise level. In the context of broadband mid-infrared spectroscopy, state-of-the-art ultrafast Fourier-transform infrared spectrometers, in particular dual-comb spectrometers, have improved the measurement rate up to a few MSpectra s -1 , which is limited by the signal-to-noise ratio. Time-stretch infrared spectroscopy, an emerging ultrafast frequency-swept mid-infrared spectroscopy technique, has shown a record-high rate of 80 MSpectra s -1 with an intrinsically higher signal-to-noise ratio than Fourier-transform spectroscopy by more than the square-root of the number of spectral elements. However, it can measure no more than ~30 spectral elements with a low resolution of several cm -1 . Here, we significantly increase the measurable number of spectral elements to more than 1000 by incorporating a nonlinear upconversion process. The one-to-one mapping of a broadband spectrum from the mid-infrared to the near-infrared telecommunication region enables low-loss time-stretching with a single-mode optical fiber and low-noise signal detection with a high-bandwidth photoreceiver. We demonstrate high-resolution mid-infrared spectroscopy of gas-phase methane molecules with a high resolution of 0.017 cm -1 . This unprecedentedly high-speed vibrational spectroscopy technique would satisfy various unmet needs in experimental molecular science, e.g., measuring ultrafast dynamics of irreversible phenomena, statistically analyzing a large amount of heterogeneous spectral data, or taking broadband hyperspectral images at a high frame rate., (© 2023. The Author(s).)

Objective: Subject contrast of pulmonary tissues was investigated for five X-ray beams (70 kV without filter, 90 kV with 0.15 mm Cu filter, 90 kV with 0.2 mm Cu filter, 120 kV without filter, and 120 kV with 0.2 mm Cu filter) in CsI-FPD chest radiography using two types of model phantoms by Monte Carlo simulation., Methods: A total of 72 million photons were entered to the model lung phantom (width, 300 mm; length, 300 mm; thickness, 200 mm; air space, 120 mm) and model mediastinum phantom (width, 300 mm; length, 300 mm; thickness, 200 mm; air space, 40 mm). Individual primary and secondary photon's process (absorption, scattering, and penetration) in the phantom and CsI-detector was recorded by Monte Carlo simulation. Subject contrast was calculated by entered and absorbed photon's number in the CsI-detector., Results: Subject contrast pulmonary tissues were high to low energy X-ray beam; however, the ones of soft tissue and soft tissue overlaying bone had few differences for beam quality except 70 kV without filter. Moreover, the subject contrast by absorbed photons was higher compared to the one by entered photons in CsI., Conclusion: It was shown that the subject contrast study by Monte Carlo calculation can be replaced by the way of physical chest phantom, and that the subject contrast by absorbed photons and by injected photons in CsI was different. Furthermore, be verified that the subject contrast of soft tissue and soft tissue overlaying bone differs hardly.

Broadband mid-infrared (MIR) molecular spectroscopy demands a bright and broadband light source in the molecular fingerprint region. To this end, intra-pulse difference frequency generation (IDFG) has shown excellent properties among various techniques. Although IDFG systems pumped with 1.5- or 2-µm ultrashort pulsed lasers have been extensively developed, few systems have been demonstrated with 1-µm lasers, which use bulky 100-W-class high-power Yb thin-disk lasers. In this work, we demonstrate a simple and robust approach of 1-µm-pumped broadband IDFG with a conventional mode-locked Yb-doped fiber laser. We first generate 3.3-W, 12.1-fs ultrashort pulses at 50 MHz by a simple combination of spectral broadening with a short single-mode fiber and pulse compression with chirped mirrors. Then, we use them for pumping a thin orientation-patterned gallium phosphide crystal, generating 1.2-mW broadband MIR pulses with the -20-dB bandwidth of 480 cm -1 in the fingerprint region (760-1240 cm -1 , 8.1-13.1 µm). The 1-µm-based IDFG system allows for additional generations of ultrashort pulses in the ultraviolet and visible regions, enabling, for example, 50-MHz-level high-repetition-rate vibrational sum-frequency generation spectroscopy or pump-probe spectroscopy.

Objectives: Contrast-to-noise ratio (CNR) of four X-ray beams (90 kV with 0.15-mm Cu filter, 90 kV with 0.2-mm Cu filter, 120 kV without filter and 120 kV with 0.2-mm Cu filter) in CsI-flat panel detector (FPD) radiography for lung cancer diagnosis was investigated using Monte Carlo simulation., Method: Two billion photons were injected to the chest phantom model (width: 300 mm, length: 300 mm, thickness: 200 mm) with imitated lung nodules (10 mm diameter, CT value: +30 Hounsfield unit (HU), -375 HU, and -620 HU). Individual primary and secondary photon's process (absorption, scattering and penetration) in the phantom and CsI-detector was recorded by Monte Carlo simulation. CNR was calculated using primary and secondary absorbed photon's number in the CsI-detector., Results: CNR of 90 kV X-ray beam with 0.15 mm and 0.2 mm Cu filters was higher to 120 kV X-ray beam because of higher primary object contrast and photon's contribution, and high photon's absorption to CsI., Conclusion: By Monte Carlo calculation, it was verified that 90 kV X-ray beam with 0.15 mm and 0.2 mm Cu filters yielded higher CNR to 120 kV X-ray beam.

One of the essential goals of molecular spectroscopy is to measure all fundamental molecular vibrations simultaneously. To this end, one needs to measure broadband infrared (IR) absorption and Raman scattering spectra, which provide complementary vibrational information. A recently demonstrated technique called complementary vibrational spectroscopy (CVS) enables simultaneous measurements of IR and Raman spectra with a single device based on a single laser source. However, the spectral coverage was limited to ∼1000 c m -1 , which partially covers the spectral regions of the fundamental vibrations. In this work, we demonstrate a simple method to expand the spectral bandwidth of the CVS with a cascaded intra-pulse difference-frequency generation (IDFG). Using the system, we measure broadband CVS spectra of organic liquids spanning over 2000 c m -1 , more than double the previous study.

Broadband, high resolution, and rapid measurements of dual-comb spectroscopy (DCS) generate a large amount of data stream. We numerically demonstrate significant data compression of DCS spectra by using a compressive sensing technique. Our numerical simulation shows a compression rate of more than 100 with a 3% error in mole fraction estimation of mid-infrared (MIR) DCS of two molecular species in a broadband (~ 30 THz) and high resolution (~ 115 MHz) condition. We also numerically demonstrate a massively parallel MIR DCS spectrum of 10 different molecular species can be reconstructed with a compression rate of 10.5 with a transmittance error of 0.003 from the original spectrum.

Background: An implantable cardioverter defibrillator (ICD) is the most reliable therapeutic device for preventing sudden cardiac death in patients with sustained ventricular tachycardia (VT). Regarding its effectiveness, targeted VT is defined based on the tachyarrhythmia cycle length. However, variations in RR interval variability of VTs may occur. Few studies have reported on VT characteristics and effects of ICD therapy according to the RR interval variability. We aimed to identify the clinical characteristics of VTs and ICD therapy effects according to the RR interval variability., Methods: We analyzed 821 VT episodes in 69 patients with ICDs or cardiac resynchronization therapy defibrillators. VTs were classified as irregular when the difference between two successive beats was >20 ms in at least one of 10 RR intervals; otherwise, they were classified as regular. We evaluated successful termination using anti-tachycardia pacing (ATP)/shock therapy, spontaneous termination, and acceleration between regular and irregular VTs. The RR interval variability reproducibility rates were evaluated., Results: Regular VT was significantly more successfully terminated than irregular VT by ATP. No significant difference was found in shock therapy or VT acceleration between the regular and irregular VTs. Spontaneous termination occurred significantly more often in irregular than in regular VT cases. The reproducibility rates of RR interval variability in each episode and in all episodes were 89% and 73%, respectively., Conclusions: ATP therapy showed greater effectiveness for regular than for irregular VT. Spontaneous termination was more common in irregular than in regular VT. RR interval variability of VTs seems to be reproducible., Competing Interests: This study was financially supported by Medtronic Japan. Dr Satoshi Higa is a consultant to Japan Life Line and Johnson & Johnson and received speaker's honoraria from Japan Life Line, Medtronic, Abbott, Bayer, Biotronik, Boehringer‐Ingelheim, Bristol‐Myers, Daiichi‐Sankyo Pharmaceutical Company, and Pfizer., (© 2021 The Authors. Journal of Arrhythmia published by John Wiley & Sons Australia, Ltd on behalf of the Japanese Heart Rhythm Society.)

Quantitative phase imaging (QPI) with its high-contrast images of optical phase delay (OPD) maps is often used for label-free single-cell analysis. Contrary to other imaging methods, sensitivity improvement has not been intensively explored because conventional QPI is sensitive enough to observe the surface roughness of a substrate that restricts the minimum measurable OPD. However, emerging QPI techniques that utilize, for example, differential image analysis of consecutive temporal frames, such as mid-infrared photothermal QPI, mitigate the minimum OPD limit by decoupling the static OPD contribution and allow measurement of much smaller OPDs. Here, we propose and demonstrate supersensitive QPI with an expanded dynamic range. It is enabled by adaptive dynamic range shift through a combination of wavefront shaping and dark-field QPI techniques. As a proof-of-concept demonstration, we show dynamic range expansion (sensitivity improvement) of QPI by a factor of 6.6 and its utility in improving the sensitivity of mid-infrared photothermal QPI. This technique can also be applied for wide-field scattering imaging of dynamically changing nanoscale objects inside and outside a biological cell without losing global cellular morphological image information.

Nonlinear optical microscopy allows for rapid high-resolution microscopy with image contrast generated from the intrinsic properties of the sample. Established modalities, such as multiphoton excited fluorescence and second/third-harmonic generation, can be combined with other nonlinear techniques, such as coherent Raman spectroscopy, which typically allow chemical imaging of a single resonant vibrational mode of a sample. Here, we utilize a single ultrafast laser source to obtain broadband coherent Raman spectra on a microscope, together with other nonlinear microscopy approaches on the same instrument. We demonstrate that the coherent Raman modality allows broadband measurement (>1000 cm -1 ), with high spectral resolution (<5 cm -1 ), with a rapid spectral acquisition rate (3-12 kHz). This enables Raman hyperspectral imaging of kilo-pixel images at >11 frames per second.

Cellular metabolites are valuable in a diverse range of applications. For example, the unicellular green alga Haematococcus lacustris produces as a secondary metabolite the carotenoid pigment astaxanthin (AXT), which is widely used in nutraceutical, cosmetic, and food industries due to its strong antioxidant activity. In order to enhance the productivity of H. lacustris , spatial and temporal understanding of its metabolic dynamics is essential. Here we show spatiotemporal monitoring of AXT production in H. lacustris cells by resonance Raman microscopy combined with stable isotope labeling. Specifically, we incorporated carbon dioxide ( 13 CO 2 ) labeled with a stable isotope ( 13 C) into H. lacustris cells through carbon fixation and traced its conversion to 13 C-AXT using our resonance Raman microscope. We incubated H. lacustris cells under various conditions by switching, pulsing, and replacing 13 CO 2 and 12 CO 2 . By measurement of these cells we determined the fixation time of 13 C-carbon, visualized the intracellular localization of 13 C- and 12 C-AXTs, and revealed the dynamic consumption-production equilibrium of the accumulated AXT. This work is a valuable step in the development of effective screening criteria for high AXT-producing H. lacustris cells., Competing Interests: There are no conflicts to declare., (This journal is © The Royal Society of Chemistry.)

The spectral resolution of broadband Fourier-transform coherent anti-Stokes Raman spectroscopy is limited by the maximum optical path length difference that can be scanned within a short time in an interferometer. However, alternatives to the Fourier transform exist which can bypass this limitation with certain assumptions. We apply one such approach to broadband coherent Raman spectroscopy using interferometers with a short delay line (low Fourier spectral resolution) and large delay line (high Fourier spectral resolution). With this method, we demonstrate that broadband coherent Raman spectroscopy of closely spaced vibrational bands is possible using a short delay line interferometer with comparable spectral resolution to the longer delay line instrument. We discuss how this approach may be particularly useful for more complex Raman spectra, such as those measured from biological samples.

Vibrational spectroscopy, comprised of infrared absorption and Raman scattering spectroscopy, is widely used for label-free optical sensing and imaging in various scientific and industrial fields. The two molecular spectroscopy methods are sensitive to different types of vibrations and provide complementary vibrational spectra, but obtaining complete vibrational information with a single spectroscopic device is challenging due to the large wavelength discrepancy between the two methods. Here, we demonstrate simultaneous infrared absorption and Raman scattering spectroscopy that allows us to measure the complete broadband vibrational spectra in the molecular fingerprint region with a single instrument based on an ultrashort pulsed laser. The system is based on dual-modal Fourier-transform spectroscopy enabled by efficient use of nonlinear optical effects. Our proof-of-concept experiment demonstrates rapid, broadband and high spectral resolution measurements of complementary spectra of organic liquids for precise and accurate molecular analysis.