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At least 811 records · Page 45

Renoduodenal Fistula After Transcatheter Embolization of Renal Angiomyolipoma

Transcatheter embolization of renal angiomyolipomas is a routinely performed, nephron-sparing procedure with a favorable safety profile. Complications from this procedure are typically minor in severity, with postembolization syndrome the most common minor complication. Abscess formation is a recognized but uncommon major complication of this procedure and is presumably due to superinfection of the infarcted tissue after arterial embolization. In this case report, we describe the formation of a renoduodenal fistula after embolization of an angiomyolipoma, complicated by intracranial abscess formation and requiring multiple percutaneous drainage procedures and eventual partial nephrectomy.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

Radioembolization Dosimetry: The Road Ahead

Methods for calculating the activity to be administered during yttrium-90 radioembolization (RE) are largely based on empirical toxicity and efficacy analyses, rather than dosimetry. At the same time, it is recognized that treatment planning based on proper dosimetry is of vital importance for the optimization of the results of RE. The heterogeneous and often clustered intrahepatic biodistribution of millions of point-source radioactive particles poses a challenge for dosimetry. Several studies found a relationship between absorbed doses and treatment outcome, with regard to both toxicity and efficacy. This should ultimately lead to improved patient selection and individualized treatment planning. New calculation methods and imaging techniques and a new generation of microspheres for image-guided RE will all contribute to these improvements. The aim of this review is to give insight into the latest and most important developments in RE dosimetry and to suggest future directions on patient selection, individualized treatment planning, and study designs.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

Anomalous Posterior Intercostal Arterial Trunk Arising From the Abdominal Aorta

A common trunk of the ipsilateral posterior intercostal artery (PIA) arising from the thoracic aorta is usually an anatomical variation. However, a common trunk of bilateral posterior intercostal arterial trunk (PIAT) arising from the abdominal aorta is rare. It is important to recognize this anatomical variation of PIA when performing interventional radiological procedures. We present a rare case of an anomalous PIAT that originated from the abdominal aorta in a patient with hemoptysis caused by tuberculosis sequelae. Bilateral 4th to 11th PIAs arose from a common trunk and the trunk arising from the posterior aspect of the abdominal aorta at the level of T12/L1 intervertebral space. The pathological right 4th and 5th PIAs and bronchial arteries were embolized. Hemoptysis has been controlled for 3 months.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

Use of Suture-Mediated Closure Device in Percutaneous Direct Carotid Puncture During Chimney-Thoracic Endovascular Aortic Repair

BackgroundInsertion of a carotid chimney graft during thoracic endovascular aortic repair (Ch-TEVAR) is a recognized technique to extend the proximal landing zone into the aortic arch in the treatment of thoracic aortic disease. Conventional technique requires surgical exposure of the carotid artery for insertion of the carotid chimney graft.MethodologyWe describe our experience in the use of a suture-mediated closure device in percutaneous Ch-TEVAR in four patients.ResultsSuccessful hemostasis was achieved in all four patients. No complications related to the carotid puncture were recorded.ConclusionWe conclude that using suture-mediated closure device for carotid closure appears feasible and deserves further studies as a potential alternative to conventional surgical approach.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

Serious Neurological Complication Resulting from Inadvertent Intradiscal Injection During Fluoroscopically Guided Interlaminar Epidural Steroid Injection

We describe the case of a 30-year-old patient who was referred for lumbar epidural corticosteroid injection due to right L5 radiculopathy. Two months earlier, MRI demonstrated a right large paracentral L4–L5 disk extrusion causing disabling L5 radiculopathy. The L4–L5 level was selected for interlaminar injection, using fluoroscopic guidance. During injection, the patient developed severe pain in both lower extremities. Thus, the procedure was immediately terminated. Paraplegia occurred within several minutes. Urgent lumbar spine CT and MRI demonstrated contrast material in a massive extruded disk fragment and substantial increase in size of the disk extrusion compared to pre-injection MRI. Emergency surgery was performed for lumbar decompression and discectomy. Although rare, serious neurological complication can result from inadvertent intradiscal injection of contrast material during lumbar epidural injection. This case illustrates the importance of recognizing the possibility of dynamic change in the size of an extruded disk fragment when the MRI precedes injection by a substantial time interval. Level of Evidence: IV, Case Series.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

Palliative Prostate Artery Embolization for Prostate Cancer: A Case Series

Introduction: Prostate artery embolization (PAE) is recognized as a treatment for lower urinary tract symptoms (LUTS) in men with benign prostatic hyperplasia. LUTS and urinary retention are common in men with prostate cancer (PCa). The purpose of this study was to estimate the efficacy and safety of palliative PAE on LUTS or urinary retention in men with advanced PCa. Materials and methods: This prospective, single-center trial was conducted from March 2017 to November 2018. The trial protocol was registered online (ClinicalTrials.gov Identifier: NCT03104907). Only men with advanced PCa suffering from LUTS or urinary retention were included. The primary outcome was the ability to void without a catheter and International Prostate Symptom Score (IPSS) in non-catheter-dependent patients. The paired t test was used to analyze changes from baseline with 95% confidence intervals (CI). A p value < 0.05 was considered statistically significant. Results: Seventeen patients were assessed for eligibility, and 15 patients with a mean age of 73.8 years were enrolled. Four men did not complete follow-up: cancer-related death (n = 2), lost to follow-up (n = 1), and unsuccessful embolization due to severe atherosclerosis (n = 1). Bilateral embolization was achieved in ten cases, and urinary retention resolved in one of six patients. LUTS improved in the remaining (n = 5) patients by a mean 12.2-point reduction in IPSS (95% CI − 23.53; − 0.87). According to the CIRSE classification, two grade 1 and two grade 3 complications occurred. Conclusion: In this study, palliative PAE was safe and efficient for treatment for LUTS associated with PCa. Level of Evidence: Level 4, Case Series. Trial registration ClinicalTrials.gov Identifier: NCT03104907.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

Will {sup 177}Lu-DOTATATE Treatment Become More Effective in Salvage Meningioma Patients, When Boosting Somatostatin Receptor Saturation? A Promising Case on Intra-arterial Administration

Somatostatin receptor subtype 2 upregulation is very common in meningiomas, and the use of peptide receptor radionuclide therapy (PRRT) is recognized in recent European guidelines, with long-term stable disease and a long overall survival. Treatment efficacy of radionuclide treatments is correlated with tumour radiation absorbed dose. Meningioma patients with low tumour uptake might benefit less from treatment. Thus, a method to increase tumour uptake in these patients is needed. We describe a case treated with both intravenous and intra-arterial PRRT. Tumour uptake after intravenous PRRT was disappointing, and after intra-arterial administration significantly increased tumour uptake was seen. Patient had a partial response on imaging and reduction in tumour-related complaints. Potentially, intra-arterial administration of PRRT could increase treatment efficacy in meningioma patients. Level of Evidence 5 (case report).

62 RADIOLOGY AND NUCLEAR MEDICINE↗

Microwave Ablation of Renal Cell Carcinoma of the Transplanted Kidney: Two Cases

Thermal ablative techniques have been increasingly recognized as a valuable alternative to graftectomy and nephron-sparing surgery for the treatment of small neoplasms arising in the transplanted kidney. However, long-term efficacy and safety data are still lacking. In particular, current experience with microwave ablation is limited to a very recent single-centre series of three cases. We herein report two microwave ablations of renal cell carcinoma of the kidney allograft. The procedures were successfully performed under ultrasound guidance with complete tumour necrosis, no peri-operative complications, and preserved renal function. No recurrences were observed after 3 years of follow-up.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

Projections of winter polynyas and their biophysical impacts in the Ross Sea Antarctica

Abstract This study investigates winter polynyas in the southern Ross Sea, Antarctica where several polynyas are known to form. Coastal polynyas are areas of lower sea ice concentration and/or thickness along the coast that are otherwise surrounded by more extensive, thicker sea ice pack. Polynyas are also locations where organisms can exploit both the ice substrate and pelagic resources. Using a self organizing map algorithm, we identify polynya events in the Community Earth System Model Version 2 Large Ensemble (CESM2-LE). The neural network algorithm is able to identify polynya events without imposing an ice concentration or thickness threshold, as is often done when identifying polynyas. The CESM2-LE produces a wintertime polynya feature comparable in size and location to the Ross Sea polynya, and during polynya events there are large turbulent heat fluxes and export of sea ice from the Ross Sea. In the CESM2-LE polynya event frequency is projected to decrease sharply in the later twentyfirst century, leading to increasing sea ice concentrations and thicknesses in the region. The drivers of the polynya frequency decline are likely both large scale circulation changes and local atmosphere and ocean feedbacks. If declines in wintertime polynya frequency over the twentyfirst century do occur they may impact Antarctic Bottom Water formation and local net primary productivity. Thus, better understanding potential local and unexpected sea ice changes in the Ross Sea is important for both assessing climate system impacts and ecological impacts on the Ross Sea ecosystem, which is currently protected by an internationally recognized marine protected area.

Meteorology & Atmospheric Sciences↗

Applying the principles of isotope analysis in plant and animal ecology to forensic science in the Americas

Forensic science is an applied science that helps investigators answer questions at the heart of a crime: Who, What, When, Where, and How. As part of that process, forensic practitioners use basic laws of chemistry and physics to examine evidence and theories of origin to interpret said evidence. Ecological research has had an extraordinary impact on forensic science through the development and application of a specialized measurement technique useful for examining evidence that appears chemically and physically identical: stable isotope analysis. In this review, we examine the proven utility of stable isotope analysis in forensic settings from an ecological perspective, concentrating on work from the Americas completed within the last three decades. Our primary focus is on the interpretation of stable isotope ratios using plant and animal physiological models for “source inference,” although we also recognize that sample-to-sample comparison of stable isotope ratios can be useful in many forensic settings. Examples of the forensic application of stable isotope analysis cover the gamut, from cotton used in counterfeit bills to anthrax shipped through the U.S. Postal Service, from beer adulterated with cheap adjuncts to human remains discovered in shallow graves and never identified. Recent methodological developments—including isotope analysis of specific compounds, multiple elements, and radioisotopes—and the generation of isotope landscapes, or isoscapes, approaches for data interpretation promises that stable isotope analysis will continue to be used in forensic settings for another three decades… and beyond.

Chesson, Lesley A.↗

A minor respiratory process with major global implications: is atmospheric methane oxidation in tree stems driven by stem respiration rather than microbial methanotrophy?

Tree stem surfaces are widely recognized as sites of carbon dioxide (CO₂) efflux and oxygen (O₂) influx, reflecting the dynamics of aerobic respiration of photosynthate substrates, such as sugars, delivered via the phloem. Stems are also largely considered passive conduits for methane (CH₄) produced in anoxic soils via microbial methanogenesis, where CH₄ is thought to be transported upward through the transpiration stream and/or diffusion and emitted through stem surfaces and the canopy. However, recent observations from dynamic stem chambers suggest that stems may also act as active sinks for atmospheric CH₄. Despite these findings, the extent and drivers of stem CH₄ consumption remain poorly characterized across biomes, species, and environmental gradients, and its quantitative relationship to stem respiration has not been established. Moreover, previous studies captured only snapshot fluxes, leaving diurnal patterns of CH₄ exchange uncharacterized. Here, we address these limitations by combining real-time measurements of stem CH₄ and O₂ uptake under ambient conditions in a California cherry tree, using a dynamic stem gas exchange system with three chambers receiving a continuous flow of ambient air and automated chamber and reference air sampling every 10 min. Our results confirm that stems of upland trees can actively consume both atmospheric CH₄ and O₂, but with decreasing temperature sensitivity as daily temperatures increase. Early mornings were marked by rapid influxes of both gases, followed by declining uptake as temperatures rose further. Methane uptake was tightly coupled with O₂ influx and represented a minor (0.012% ± 0.002%) fraction of stem respiratory activity, as determined by concurrent O₂ uptake. These findings suggest that while atmospheric CH₄ oxidation is a minor respiratory process in stems, it is strongly linked with stem physiological activity. This challenges the current assumption that terrestrial CH₄ uptake is driven solely by microbial methanotrophy and raises the possibility that living stem tissues may contribute to CH₄ oxidation through an as-yet-unidentified plant-based mechanism.

Atmospheric greenhouse gases↗

Plant-mediated partner discrimination in ectomycorrhizal mutualisms

Although ectomycorrhizal fungi have well recognized effects on ecological processes ranging from plant community dynamics to carbon cycling rates, it is unclear how actively plants are able to influence the structure of these fungal communities. To address this knowledge gap, we performed two complementary experiments to determine 1) whether ectomycorrhizal plants can discriminate among potential fungal partners, and 2) to what extent the plants might reward better mutualists. In experiment 1, split-root Larix occidentalis seedlings were inoculated with spores from three Suillus species (S. clintonianus, S. grisellus, and S. spectabilis). In experiment 2, we manipulated the symbiotic quality of Suillus brevipes isolates on split-root Pinus muricata seedlings by changing the nitrogen resources available, and used carbon-13 labeling to track host investment in fungi. In experiment 1, we found that hosts can discriminate in multi-species settings. The split-root seedlings inhibited colonization by S. spectabilis whenever another fungus was available, despite similar benefits from all three fungi. In experiment 2, we found that roots and fungi with greater nitrogen supplies received more plant carbon. Furthermore, our results suggest that plants may be able to regulate this symbiosis at a relatively fine scale, and that this regulation can be integrated across spatially separated portions of a root system.

59 BASIC BIOLOGICAL SCIENCES↗

Coupled Thermo-Hydro-Mechanical Processes in Fractured Rocks: Some Past Scientific Highlights and Future Research Directions

Abstract Coupled thermo-hydro-mechanical (THM) processes in fractured rocks have been a topic of intense scientific research for more than 30 years. The present paper takes a look into the past and highlights some scientific advances which are of an unusual “out-of-the-box” nature, and then looks forward and discusses possible directions of future research in this interesting field of study. Concerning future research directions, we see a trend from a focus on coupled THM processes in single fractures or a few interacting fractures, to the study of coupled THM behavior in complex fracture network systems where the fractures act collectively giving rise to local stress concentration points and points of large pressure gradients. Three examples of future research directions are presented. First is an effort towards identifying characterizing parameters of a fracture network that play a direct controlling role in major coupled THM phenomena (such as induced seismicity and flow channeling), rather than parameters of stochastic distributions of fractures in the network. The second example of research direction is accounting for the heterogeneity and hierarchy of fractures in a fault or fracture zone which has been associated with major THM events in a number of geo-energy projects. The third example is at the opposite end of the first; here it is recognized that in some cases, the coupled THM processes in fractured rocks may be controlled dominantly by only a few key bridges. Identification, characterization, and evaluation of these key bridges should be one of the important research directions in the coming days.

58 GEOSCIENCES↗

Agile Allocation in the Tundra: A Single Growing Season of Warming Increases Nutrient Availability While Decreasing Fine-Root Length

The majority of plant biomass is located belowground in Arctic ecosystems and plant roots are responsible for the uptake of the nutrients that constrain plant growth in these infertile ecosystems. Despite performing a crucial role connecting primary producers to the soil, roots are relatively understudied in the Arctic and their functional response to a rapidly warming and increasingly variable climate is unknown. Here, we assessed whether one growing season with elevated temperatures would have an impact on nutrient uptake and allocation by applying a warming technique that increased daily air temperatures by 3.2 °C. Destructive sampling was performed at the peak of the growing season to quantify biomass pools of carbon (C) and nitrogen (N), root traits, and uptake of a 15 N tracer ( 15 NH 4 + ) for the dominant plant species, Arctagrostis latifolia. We found that soil nutrient availability increased with short-term warming, but A. latifolia NH 4 + uptake remained unchanged. Fine-root length density and root biomass within the soil profile, however, were both reduced by warming. N allocation patterns across plant tissues were also altered by warming. NH 4 + uptake was best fit with a logistic model that captured the spatial relationship between roots and soil (NH 4 + uptake expressed per length fine root and NH 4 + availability expressed per unit soil volume) rather than a traditional Michaelis–Menten model. Our results indicate that short-term experimental warming can shift plant–soil interactions, suggesting that the tundra’s belowground response to elevated temperatures may be more dynamic than previously recognized.

15N tracer↗

Estimation of bare soil evaporation for different depths of water table in the wind-blown sand area of the Ordos Basin, China

Soil surface evaporation is a significant component of the hydrological cycle, occurring at the interface between the atmosphere and vadose zone, but it is affected by factors such as groundwater level, soil properties, solar radiation and others. In order to understand the soil evaporation characteristics in arid regions, a field experiment was conducted in the Ordos Basin, central China, and high accuracy sensors of soil moisture, moisture potential and temperature were installed in three field soil profiles with water-table depths (WTDs) of about 0.4, 1.4 and 2.2 m. Soil-surface-evaporation values were estimated by observed data combined with Darcy’s law. Results showed that: (1) soil-surface-evaporation rate is linked to moisture content and it is also affected by air temperature. When there is sufficient moisture in the soil profile, soil evaporation increases with rising air temperature. For a WTD larger than the height of capillary rise, the soil evaporation is related to soil moisture content, and when air temperature is above 25 °C, the soil moisture content reduces quickly and the evaporation rate lowers; (2) phreatic water contributes to soil surface evaporation under conditions in which the WTD is within the capillary fringe. This indicates that phreatic water would not participate in soil evaporation for a WTD larger than the height of capillary rise. This finding developed further the understanding of phreatic evaporation, and this study provides valuable information on recognized soil evaporation processes in the arid environment.

58 GEOSCIENCES↗

ThunderSecure: deploying real-time intrusion detection for 100G research networks by leveraging stream-based features and one-class classification network

Nowadays, data generated by large-scale scientific experiments are on the scale of petabytes per month. These data are transferred through dedicated high-bandwidth networks (40/100G) across distributed sites for processing, storage, and analysis. Like general purpose networks, research networks experience intrusions. However, monitoring anomalies in such high-speed network traffics is challenging given current cyber-infrastructure. Moreover, traditional network intrusion detection systems (NIDS) are signature based. However, anomaly patterns are difficult to define and that rulesets are often not updated frequently enough to reflect the changes of attack behaviors. We present ThunderSecure, a high-throughput, unsupervised learning-based intrusions detection system for 100G research networks. ThunderSecure implements an efficient packet processing and detection pipeline using multi-cores and GPUs. It extracts statistical and temporal features from real-time network data streams and feeds them to a one-class anomaly detection network. A baseline of normal distribution will be created based on the training observation. Testing traffic deviated from the learned profile will be marked as anomalies. We trained ThunderSecure on hundreds of billions of science data packets mirrored from two 100G network connections at Fermi National Accelerator Laboratory. The detection performance was evaluated on traffic captured from the same research network days and weeks after the training with different types of attack flows injected. Results show that ThunderSecure can recognize science data traffic captured long after the training and made nearly certain detection on the segment of the streams where anomalous flows were injected.

100G research network↗

In vivo biosensors: mechanisms, development, and applications

Abstract In vivo biosensors can recognize and respond to specific cellular stimuli. In recent years, biosensors have been increasingly used in metabolic engineering and synthetic biology, because they can be implemented in synthetic circuits to control the expression of reporter genes in response to specific cellular stimuli, such as a certain metabolite or a change in pH. There are many types of natural sensing devices, which can be generally divided into two main categories: protein-based and nucleic acid-based. Both can be obtained either by directly mining from natural genetic components or by engineering the existing genetic components for novel specificity or improved characteristics. A wide range of new technologies have enabled rapid engineering and discovery of new biosensors, which are paving the way for a new era of biotechnological progress. Here, we review recent advances in the design, optimization, and applications of in vivo biosensors in the field of metabolic engineering and synthetic biology.

Shi, Shuobo↗

Transition in ICF Capsule Implosions

Longstanding design and reproducibility challenges in inertial confinement fusion (ICF) capsule implosion experiments involve recognizing the need for appropriately characterized and modeled three-dimensional initial conditions and high-fidelity simulation capabilities to predict transitional flow approaching turbulence, material mixing characteristics, and late-time quantities of interest—e.g., fusion yield. We build on previous coarse graining simulations of the indirect-drive national ignition facility (NIF) cryogenic capsule N170601 experiment-a precursor of N221205 which resulted in net energy gain. We apply effectively combined initialization aspects and multiphysics coupling in conjunction with newly available hydrodynamics simulation methods, including directional unsplit algorithms and low Mach-number correction-key advances enabling high fidelity coarse grained simulations of radiation-hydrodynamics driven transition. Our presentation includes discussion of the capsule initialization and implosion dynamics, analysis of the vorticity production budget, transition signatures, quantities of interest—late-time ion temperature and fusion-neutron yield, numerical uncertainty quantification, and comparisons with NIF data.

42 ENGINEERING↗