Local Extent Research Articles

Retrospective Evaluation of Peri-Implant Marginal Bone Level of Reduced Diameter Implants by Mixed Model Analysis.

The goal of successful implant placement is to maintain a long-term stable marginal peri-implant bone level (MBL). This retrospective study investigated the MBL of reduceddiameter implants (RDI). The implants were analyzed in different indication in the context of various surgical and prosthetic treatment strategies using heterogeneous data from a private practice. Mixed model analysis was used to process the heterogeneous data structure. This method has not been a standard method of data analysis in implantology, and it shows considerable advantages over conventional variance analyses regarding data integration from outpatient practices. 123 patients were treated with 326 implants. 247 implants were diameter-reduced, the remaining 79 implants were standard implants (SDI) as patient related controls. The mean observation time was 24.4 months, and the maximum observation time 76.0 months. The peri-implant bone level of the implants was evaluated, while considering the diameter, as well as the time of implant placement, time of loading, extent of augmentation and localization of the implants. The data were evaluated after restructuring using mixed model analysis. No significant difference was found between the use of RDI or SDI in the analyzed indication. Furthermore, no significant difference was found for the implant placement time, loading time, and the use of two-stage augmentations regarding the stability of the peri-implant bone level. Narrow-diameter implants are a sufficient treatment option in horizontally deficient bone conditions. The use of diameterreduced implants in the posterior region shows promising results; 3.5mm diameter implants may be indicated considering the individual patient situation. The use of mixed model analysis for the evaluation of heterogeneous practice data can lead to a significant increase in the number of retrospective studies and data integration from practices, forming a sound basis for evidence-based dentistry.

Inter-observer variation in gross tumour volume delineation of oesophageal cancer on MR, CT and PET/CT.

The aim of our study was to assess the inter-observer variability in delineation of the gross tumour volume (GTV) of oesophageal cancer on magnetic resonance (MR) in comparison to computed tomography (CT) and positron emission tomography and CT (PET/CT). Twenty-three consecutive patients with oesophageal cancer treated with chemo-radiotherapy were enrolled. All patients had PET/CT and MR imaging in treatment position. Five observers independently delineated the GTV on CT alone, MR alone, CT with co-registered MR, PET/CT alone and MR with co-registered PET/CT. Volumes of GTV were measured per patient and imaging modality. Inter-observer agreement, expressed in generalized conformity index (CIgen), volumetric conformity index (VCI), planar conformity index (PCI) and inter-delineation distance (IDD) were calculated per patient and imaging modality. Linear mixed models were used for statistical analysis. GTV volume was significantly lower on MR (33.03 cm3) compared to CT (37.1 cm3; p = 0.002) and on PET/CT MR (35.2 cm3; p = 0.018) compared to PET/CT (39.1 cm3). The CIgen was lowest on CT (0.56) and highest on PET/CT MR (0.67). The difference in CIgen between MR (0.61) and CT was borderline significant (p = 0.048). The VCI was significantly higher on MR (0.71; p = 0.007) and on CT MR (0.71; p = 0.004) compared to CT (0.67). The PCI was significantly higher on CT MR (0.67; p = 0.031) compared to CT (0.64). The largest differences were observed in the cranio-caudal direction. The highest inter-observer agreement was found for PET/CT MR and the lowest for CT. MR could reduce the difference in delineation between observers and provide additional information about the local extent of the tumour.

DEM study of structuralized cemented slopes under excavation conditions

Structuralized cementation has emerged as a promising method for reinforcing excavated slopes. The Discrete Element analysis is conducted on the structuralized cemented slopes under excavation with its validity verified through centrifuge model tests. The results indicate that structuralized cemented slopes exhibit progressive failure from the bottom to the top under excavation conditions. As the slope elevation decreases, the failure mode transitions from tension failure to shear failure, due to the presence of tensile stress only in the upper part of the slope. Microscopically, structuralized cementation prevents contact breakage, reducing fabric anisotropy and the variation of contact orientation from the vertical direction. Macroscopically, it increases the safety limit of slopes. The significant coupling between fabric evolution localization and local failure explains the failure mechanism of structuralized cemented slopes under excavation conditions. Increasing the size of the solidification zone reduces the localization extent of fabric evolution, thereby reinforcing the slope.

PET/MRI: pictorial review of hepatobiliary and pancreatic applications.

PET and MRI both play valuable roles in the management of hepatobiliary and pancreatic (HBP) malignancies. Simultaneous PET/MRI combines the excellent soft-tissue resolution and anatomic details from MRI with functional information from PET in a single comprehensive examination. MRI is the main imaging modality in evaluating HCC, playing important roles in screening, characterization, local extent, and evaluating tumor response, whereas 18F-fluorodeoxyglucose (FDG) PET can help evaluate for lymph node involvement and metastatic disease. In cholangiocarcinoma and pancreatic malignancies, both PET and MRI have excellent utility in initial staging as well as assessing treatment response. In all HBP malignancies, FDG-PET/MRI is a unique problem-solving tool in complex cases and diagnostic challenges, especially after locoregional therapy and when differentiating residual or recurrent viable disease from inflammatory and other benign processes. In this manuscript, we review the role of PET/MRI in the diagnosis, staging, assessing treatment response, and characterizing post-treatment processes. With the introduction of multiple new tracers, the value of PET/MRI has not yet been fully realized, and more studies are needed to demonstrate the utility and efficacy of PET/MRI in improving patient care in hepatobiliary and pancreatic oncology.

ThP5.4 - Which Resection for Distal Cholangiocarcinoma?: Retrospective Study

Abstract Introduction The treatment of distal cholangiocarcinoma (DCC) is contingent upon the patient's condition and the local and lymphatic extent of the disease. Surgery remains the sole radical treatment, albeit infrequently feasible and often followed by biliary drainage. The surgical procedure involves resecting the bile duct with healthy distal and proximal margins, accompanied by lymphadenectomy. Cephalic pancreatectomy (DPC) is deemed the optimal oncological treatment for DCC. Method This retrospective study encompasses cancers of the main bile duct. Various factors influencing treatment were analyzed, focusing on the type of resection (biliary and pancreatic). Results From January 2014 to December 2021, 119 patients were treated for distal cholangiocarcinoma (88 men, 31 women, average age: 61 years). Twenty-one patients underwent endoscopic drainage, 17 transhepatic drainage, and 55 surgical interventions. Among them, 9 underwent preoperative drainage, 28 radical resection, 10 DPC, 18 biliary resections, and one total pancreatectomy. In 27 patients, radical surgery was impossible; 20 underwent drainage, and 7 did not. Three early surgical revisions in the biliary resection group, with incidents of digestive hemorrhage and hemoperitoneum. Two moderate pancreatic fistulas and immediate postoperative hypoglycemia were recorded. Two deaths in the biliary resection group and 7 in-hospital deaths in the biliary drainage group. All patients with external drainage died before 12 months, while 8 patients from the endoscopic drainage group survived after 12 months. Patients with radical surgery and adjuvant treatment exhibited longer survivals (36 months vs. 45 months). Conclusion Improving the prognosis of DCC requires early diagnosis and radical surgery combined with adjuvant treatment.

Applications and challenges of digital soil mapping in Africa

The mapping of soils in Africa is at least a century old. We currently have access to various maps depicting mapping units locally and for the continent. In the past two decades, there has been a growing interest in alternatives for generating soil maps through digital soil mapping (DSM) techniques. There are, however, numerous challenges pertaining to the implementation of DSM in Africa, such as the unavailability of appropriate covariates, age and positional error in the measurements, low sampling density, and spatial clustering of the soil data used to fit and validate the models. This review aims to investigate the current state of DSM in Africa, identify challenges specific to implementing DSM in Africa and the ways it has been solved in the literature. We found that nearly half of African countries had an existing digital soil map covering either a local or national area, and that most studies were performed at a local extent. Soil carbon was the most common property under study, whereas soil hydraulic variables were seldom reported. Nearly all studies performed mapping for the topsoil up to 30 cm and calculated validation statistics using existing datasets but without collecting a post-mapping probability sample. Few studies (i.e., 11%) reported an estimate of map uncertainty. Half of the studies had in mind a downstream application (e.g., soil fertility assessment) in the map generation. We further correlated the area of study and sampling density and found a strong negative relationship. About 30% of the studies relied on legacy soil datasets and had a lack of sufficient spatial coverage of their area of study. From this review, we highlight some research opportunities and suggest improvements in the current methodologies. Future research should focus on capacity building in DSM, new data collection, and legacy data rescue. New initiatives, that should be initiated and led from within the continent, could support the long-term monitoring of soils and updating of soil information systems while ensuring their contextualised usability. This pairs with better delivery of existing DSM studies to stakeholders and the generation of a value-added proposition to governmental institutions.

Assessing Scotland’s self-sufficiency of major food commodities

BackgroundAnalysis of food self-sufficiency at the regional level helps to better understand its dependency on, and vulnerability to, the food system. Moreover, achieving food self-sufficiency has gained prominence in the present policy agenda to increase resilience to adverse events and lower food resource footprint. Using a novel method, we estimated the food balance sheets of Scotland, the second-largest region in the United Kingdom, and assessed the self-sufficiency of major food commodities for the first time.MethodsData from 2003 to 2019 were obtained from Economic Reports on Scottish Agriculture and the Department for Environment, Food and Rural Affairs (DEFRA)’s family food statistics. Food import and export data are not readily available for Scotland. Therefore, we developed a consumption-based approach to estimate the net trade values of each commodity. We also assessed the contribution of domestic production toward nutrient security.ResultsAccording to our estimates, Scotland is a net exporter of beef, exporting an average of 51.3 thousand tons per year. It is also a net exporter of cereal (wheat, barley, oats) and potatoes, although this was not always the case between 2003 and 2019. Scotland has a strong level of self-sufficiency in cereals, potatoes, lamb, beef, dairy, and eggs. However, there is room for improvement in achieving self-sufficiency in poultry and pork, where the self-sufficiency ratio is relatively low. Our analysis of nutrient security indicates that wheat and dairy sourced from Scotland play crucial roles in the food supply chain, markedly influencing total energy, dietary protein, and primary dietary fat sources.ConclusionsOur assessment can serve as a foundation for evidence-based decision-making in Scotland's agricultural and food policy. It offers insights into where investments and support may be needed to enhance domestic production and promote a resilient and sustainable food system. Estimated self-sufficiency ratios provide a more accurate assessment of the extent of food localization in Scotland. The method we developed in this study has the potential to be a valuable tool for future research studies, allowing for the estimation of regional-level food self-sufficiency even when trade data and food balance sheets are unavailable.

Climate-mediating role of forests in Central and Eastern Europe

ABSTRACT The material-and-energy impact of forests on the environment is significant for climate and public health, depending on their local extent and productivity. The boreal-nemoral forests of Germany, Poland and Ukraine make up more than one-fifth of the production potential of Central and Eastern Europe forests. Forests in Germany with an average annual increment of 10.8 m3timber/ha produce 5.26 t/ha/y of oxygen, transpire 3152 t/ha/y of water and, by evaporation, consume 2.17 GWh/ha/y of thermal energy. Accordingly, Polish forests with an annual increment of 5.7 m3/ha have only half of this environmental potential; and Ukrainian forests with an annual increment of 3.9 m3/ha have a potential one-fifth of those in Germany. Consumption of thermal energy during evaporation cools the 30 m surface layer of air over Germany by 2.09°С, Poland by 1.01°С, and Ukraine by 0.39°С.

Importance and implementation of radiological modalities in the diagnostics of soft tissue tumors

Malignant soft tissue tumors, in particular, require amultimodal treatment concept involving interdisciplinary cooperation between radiologists, pathologists, surgeons and oncologists at special tumor centers. The foundations of the treatment decision are the imaging diagnostics and the diagnosis confirmation based on tissue samples. The (local) extent and growth behavior of atumor are among the most important findings of imaging as they have adirect influence on the surgical procedure. The most important diagnostic procedure here is magnetic resonance imaging (MRI). The T1-weighted and fat-suppressed sequences after i.v. contrast administration are used to visualize the extent of the tumor. In synopsis with diffusion-weighted and T2-weighted sequences, adifferentiation between vital tumor tissue and tumor necrosis is additionally possible. This also enables targeted sampling from vital tumor parts so that the patient can be assigned to the appropriate treatment concept as quickly as possible.

Imaging Modalities for Preoperative Staging of Rectal Cancer in Developing Countries: A Comparative Study of F-FDG PET/CT and MRI

Rectal cancer represents a significant health care challenge globally, demanding accurate pre-operative staging to guide therapeutic interventions and prognostic estimations.This study aims to compare the efficacy and use of F-FDGPET/CT and MRI in preoperative staging of rectal cancer in developing countries such as india. Using a cross-sectional study design, a total of 70 patients diagnosed with rectal cancer were prospectively enrolled and equally divided Into group A and group B. For group A f- fdg PET/CT and for group B MRI was conducted. The primary outcome measures were accuracy, sensitivity, and specificity of each imaging modalityin detecting local tumor extent (T stage), lymph nodeinvolvement (N stage), and distant metastasis (M stage). Histopathological biopsy was taken for each patient and considered as reference standard. Data were analyzed using descriptive statistics and diagnostic accuracy measures.Results showed that both F-FDG PET/CT (71.4%) and MRI(75..5%) had high accuracy in T staging, with comparablesen sitivity (F -FDG PET/CT - 59.6%, MRI - 72.0%) and specificity ( F -FDG- 94.8% , MRI - 82.2%). MRI showed higher sensitivity ( 78.6%) in detecting lymph node involvement than F-FDG PET/CT (72.2%) .F-FDG PET/xCT demonstrated higher sensitivity in detecting distant metastasis compared to MRI. Conclusion: F-FDG PET/CT and MRI are comparable for preoperative staging of rectal cancer, with their own limitations and benifits . MRI provides detailed information about the local tissue involvement, and presence of lymph node metastases where as F-FDG PET/CT is more helpful in detecting distant metastases. But as MRI is more readily available and is more cost effective than F-FDG PET/CT in developing countries such as india, it should be used as the imaging modality of choice for pre - operative staging of rectal cancer.

Cervical cancer in Malaysia.

Cervical cancer is preventable due to effective screening to detect pre-malignant lesion, and vaccination against its causative organism namely human papillomavirus (HPV). This review article described current situation of cervical cancer in Malaysia. There is decreasing cervical cancer incidence in the country, with age-standardized rate of 10.3, versus 14.1 and 7.5 per 100 000 for worldwide and high-income countries, respectively. School-based HPV vaccination is part of national immunization since 2010, with yearly coverage rate of 83%-91%. The figure declined during coronavirus disease-19 pandemic due to scarce vaccine supply and movement-control order, resulting in about 500 000 students missing their course, with catch-up program currently onboard. Opportunistic cervical screening program started in 1960s with cervical smear cytology, which is succeeded by HPV DNA screening since 2020. Cervical cytology remains indispensable screening method in healthcare facility without access to HPV test kit, and used to triage high-risk HPV positive with abnormal cytology that require urgent colposcopy. Computed tomography is the main imaging modality to assess local and distal extent of cervical cancer. Primary surgical treatment for early-stage cancer is performed by trained gynecologic oncologist, with long waiting list for radiation therapy in locally advanced disease due to limited available public facility. There is restricted access to targeted therapy due to high treatment cost. In conclusion, Malaysia is heading toward cervical cancer elimination through rigorous investment in primary and secondary prevention, and increase in public engagement with the support of government policy enforcement.

Ornithogenic sedimentary profiles of n-alkanes and PAHs constrain breeding penguin population dynamics at Cape Bird, Ross Island, Antarctica, over the past 1,500 years

Ornithogenic sediment may contain important paleoecological information concerning past bird population dynamics. In this paper, we analyse the distribution of n-alkanes and polycyclic aromatic hydrocarbons (PAHs) in two sedimentary profiles collected from abandoned penguin colonies at Cape Bird, Ross Island, Antarctica. The geochronology of the sediment profiles was determined using 210Pb and AMS 14C dating techniques, and spans the past 1500 years. We observe low levels of n-alkanes (0.93–2.67 μg g−1) and PAHs (20.5–46.8 ng g−1) concentrations dominated by short-chain n-alkanes, low-molecular-weight and alkyl PAHs. Principal Component Analysis (PCA) shows that the PC 1 scores for n-alkanes and PAHs are significantly correlated with the input intensity of penguin guano and penguin bioelements. Using these proxies in combination with Generalized Additive Model (GAM), we reveal that breeding penguin population growth reaches a historical peak during the Medieval Climate Anomaly (MCA) prior to 1550 CE. This growth in population size corresponds to the extent of sea ice cover and the activity of the local atmospheric-ocean circulation. Warming induced by El Niño and the positive phase of the Southern Annular Mode, along with the expansion of ice-free zones and increased oceanic nutrient and food availability, are considered primary factors contributing to the growth of breeding penguin populations. Additionally, variations in sea ice extent and Amundsen Sea Low significantly influence penguin population dynamics. Our study suggests that n-alkanes and PAHs may be valuable organic proxies for reconstructing historical changes in breeding penguin populations, with the local sea ice extent and atmospheric-oceanic circulation exerting a major influence on Antarctic penguin population dynamics.

High-grade glioma in infants and very young children: characteristics, treatment, and outcomes.

High-grade gliomas in infants and very young children (less than 3 to 5years old) pose significant challenges due to the limited scientific literature available and high risks associated with treatments. This study aims to investigate their characteristics, treatment, and outcomes. A cohort study was conducted at Children's Cancer Hospital, Egypt. Cases included children aged < 5years old with confirmed CNS high-grade glioma. Baseline clinical and radiological characteristics, besides potential prognostic factors were assessed. In total, 76 cases were identified, 7 of them were < 1year old. Gross- or near-total resection (GTR/NTR) was achieved in 32.9% of all cases. Of the tested cases, H3K27M-alteration was present in 5 subjects only. The 3-year OS and EFS for all cases were 26.9% and 15.4%, respectively. Extent of resection was the most important prognostic factor, as those achieving GTR/NTR experienced more than double the survival compared to those who do not (p = 0.05). Age had a "bimodal" effect on EFS, with those aged 1 to 3years old faring better than younger and older age groups. Subjects with midline tumors had worse survival compared to non-midline tumors (1-year EFS = 18.5% vs 35%, respectively, p = 0.02). This study in a large cohort of HGG in infants and very young children offers insights into the characteristics and treatment challenges. Extent of resection, age group, and tumor localization are important prognostic factors. Further research with larger sample size is warranted to refine treatment approaches and improve outcomes.

Epidemiology, treatment and outcomes of primary renal sarcomas in adult patients

To assess epidemiology, clinical presentation, treatment and overall survival of adult patients with renal sarcomas, the 2004–2016 SEER and NCDB databases were queried for adult patients diagnosed with renal sarcoma, calculating average annual age-adjusted incidence rates (AAIR) and average annual percentage change (AAPC) as well as overall survival (OS). In n = 1279 included renal sarcoma patients, AAIR remained constant over the study period (average 0.53 cases/1million; AAPC = 0.7, p = 0.6). Leiomyosarcoma (AAIR 0.14 cases/1 million) and malignant rhabdoid tumors (0.06 cases/1 million) were most common. Sarcoma histiotypes demonstrated considerable heterogeneity regarding demographic and cancer-related variables. Patients presented with advanced local extent (T3 33.3%; T4 14.2%) or distant metastases (29.1%) and commonly underwent surgical resection (81.6%). Longer OS was independently associated with younger age, female sex, lower comorbidity index, low T stage, negative surgical margins, absence of tumor necrosis or distant metastases and leiomyosarcoma histiotype (multivariable p < 0.05 each). Treatment efficacy varied according to sarcoma histiotype (interaction p < 0.001). Accounting for 0.25% of renal malignancies, renal sarcomas include 43 histiotypes with distinct epidemiology, clinical presentation, outcomes and sensitivity to systemic therapy, thereby reflecting soft-tissue sarcoma behavior. Renal sarcoma treatment patterns follow recommendations by renal cancer guidelines with surgical resection as the cornerstone of therapy.

Abstract PO2-07-09: Early stage invasive lobular breast cancer is underestimated on conventional imaging including MRI

Abstract Background: Invasive lobular carcinoma (ILC), representing 15% of all invasive breast cancers, is characterized by loss or dysfunction of the adhesion molecule E-cadherin. This leads to an infiltrative growth pattern that is unlikely to disrupt the normal architecture of breast tissue. As a result, ILC is often non-mass forming and imaging is limited in correctly diagnosing stage I-III ILC. Mammography is believed to underestimate ILC, while MRI tends to overestimate the extent of ILC. The aim of this retrospective study was to correlate radiological with pathological findings. Methods: All patients diagnosed with stage I-III pure (i.e. not mixed) ILC between January 2000 and December 2020 who underwent primary surgery in University Hospitals Leuven, were included. Data on patient characteristics, preoperative imaging and pathology were collected from the patient files. Imaging and pathology measurements were compared by use of Pearson correlation coefficient, Whitney U test or Chi-square test. Weighted kappa statistics were used to assess agreement. Since the techniques of mammography and ultrasound have evolved in the past 20 years, different time periods were considered in sub-analyses (2000-2004, 2005-2009, 2010-2014, 2015-2020). Results: In total 1029 patients were included. Median age at diagnosis was 61.0 years (range 32.0 – 95.0 years). The breast density score determined on mammogram was Bi-RADS type A for 52 (5.1%) patients, B for 238 (23.1%) patients, C for 235 (22.8%) patients and D for 141 (13.7%) patients. Density score was missing from the reports of the remaining patients (n=363, 35.3%). Contrast enhanced breast magnetic resonance imaging (MRI) was performed in 709 (68.9%) patients. An increase in preoperative use of MRI was seen over the years. In comparison to tumor size reported by pathology, all imaging techniques underestimated the tumor size. The mean difference in largest tumor size compared to pathology was 14.64 ± 21.15 mm for mammography, 18.19 ± 21.66 mm for ultrasound and 9.93 ± 20.63 mm for MRI. A higher breast density level and a larger tumor size were significantly associated with a larger difference between diameter on pathology versus mammography (ρ=0.102, p-value 0.025 and ρ=0.530, p-value &amp;lt; 0.001 respectively). Changes over different time periods are shown in Table 1 for mammography and ultrasound. There was an agreement on unifocality versus multifocality between pathology and mammography for 81.2% of the patients. In 52.1% of the 236 cases where multifocality was reported on MRI, only 1 lesion was reported by the pathologist. Multifocality was seen on pathology in 12.0% of the 460 cases that were seen as unifocal lesions on MRI. Considering adenopathies, the false positive rate of ultrasound was 3.0%. However, the false negative rate was 68.3%. Conclusions: The local extent of ILC is underestimated by conventional imaging techniques. Unlike previous reports, our results suggest that tumor size of ILC is also underestimated by MRI. Ultrasound was inferior to mammography and MRI in estimating tumor size in our series. It was confirmed that MRI tends to overestimate the number of foci which might lead to unnecessary secondary ultrasounds and biopsies. The presurgical underestimation of lymph node involvement might increase the need of secondary surgeries. It is crucial to address these limitations in imaging of ILC and to prioritize the development of enhanced imaging techniques to improve diagnostic accuracy for these patients. Table 1: difference between imaging techniques and pathology by year of diagnosis Citation Format: Kaat Van Herck, Karen Van Baelen, Chantal Van Ongeval, Valerie Celis, Helen De Boodt, Machteld Keupers, Renate Prevos, Giuseppe Floris, Ines Nevelsteen, Ann Smeets, Thaïs Baert, Sileny Han, Hans Wildiers, Annouschka Laenen, Christine Desmedt, Patrick Neven. Early stage invasive lobular breast cancer is underestimated on conventional imaging including MRI [abstract]. In: Proceedings of the 2023 San Antonio Breast Cancer Symposium; 2023 Dec 5-9; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2024;84(9 Suppl):Abstract nr PO2-07-09.

Controlled terahertz emission and electron localization dynamics in semiconductors

Dynamic localization has been thoroughly studied since 1986 by Dunlap in superlattice structures. However, its implications for terahertz (THz) radiation have not been fully explored. Here, we investigate the interplay between dynamic localization and THz radiation generation in semiconductor structures. Utilizing a two-color laser field, we reveal that intraband current is the primary source of THz radiation. Furthermore, we identify minima in THz radiation yield at specific laser field strengths, indicating the presence of dynamic localization. The relative phase of the two-color laser field and dephasing time can manipulate the extent and range of dynamic localization, thereby influencing the efficiency of THz radiation. Our findings provide valuable insights into simultaneous investigations on materials across different time scales.

Application of PET/MRI in Gynecologic Malignancies.

The diagnosis, treatment, and management of gynecologic malignancies benefit from both positron emission tomography/computed tomography (PET/CT) and MRI. PET/CT provides important information on the local extent of disease as well as diffuse metastatic involvement. MRI offers soft tissue delineation and loco-regional disease involvement. The combination of these two technologies is key in diagnosis, treatment planning, and evaluating treatment response in gynecological malignancies. This review aims to assess the performance of PET/MRI in gynecologic cancer patients and outlines the technical challenges and clinical advantages of PET/MR systems when specifically applied to gynecologic malignancies.

Impact of Surface Ligand Identity and Density on the Thermodynamics of H Atom Uptake at Polyoxovanadate-Alkoxide Surfaces.

An understanding of how molecular structure influences the thermodynamics of H atom transfer is critical to designing efficient catalysts for reductive chemistries. Herein, we report experimental and theoretical investigations summarizing structure-function relationships of polyoxovanadate-alkoxides that influence bond dissociation free energies of hydroxide ligands located at the surface of the cluster. We evaluate the thermochemical descriptors of O-H bond strength for a series of clusters, namely [V6O13-x(OH)x(TRIOLR)2]-2 (x = 2, 4, 6; R = NO2, Me) and [V6O11-x(OMe)2(OH)x(TRIOLNO2)2]-2, via computational analysis and open circuit potential measurements. Our findings reveal that modifications to the TRIOL ligand (e.g., changing from the previously reported electron withdrawing nitro-backed ligand to the electron-donating methyl variant) have limited influence on the strength of surface O-H bonds as a result of near complete thermodynamic compensation in these systems (i.e., correlated changes in redox potential and cluster basicity). In contrast, changes in surface density of alkoxide ligands via direct alkoxylation of the polyoxovanadate-alkoxide surface result in measurable increases in bond dissociation free energies of surface O-H bonds for the mixed-valent derivatives. Our findings indicate that the extent of (de)localization of electron density across the cluster core has an impact on the bond dissociation free energies of surface O-H bonds across all oxidation states of the assembly.

Dynamical localization in a non-Hermitian Floquet synthetic system

We investigate the non-Hermitian effects on quantum diffusion in a kicked rotor model where the complex kicking potential is quasi-periodically modulated in the time domain. The synthetic space with arbitrary dimension can be created by incorporating incommensurate frequencies in the quasi-periodical modulation. In the Hermitian case, strong kicking induces the chaotic diffusion in the four-dimension momentum space characterized by linear growth of mean energy. We find that the quantum coherence in deep non-Hermitian regime can effectively suppress the chaotic diffusion and hence result in the emergence of dynamical localization. Moreover, the extent of dynamical localization is dramatically enhanced by increasing the non-Hermitian parameter. Interestingly, the quasi-energies become complex when the non-Hermitian parameter exceeds a certain threshold value. The quantum state will finally evolve to a quasi-eigenstate for which the imaginary part of its quasi-energy is large most. The exponential localization length decreases with the increase of the non-Hermitian parameter, unveiling the underlying mechanism of the enhancement of the dynamical localization by non-Hermiticity.

Farm management and landscape context shape plant diversity at wetland edges in the Prairie Pothole Region of Canada.

Evaluating the impacts of farming systems on biodiversity is increasingly important given the need to stem biodiversity loss, decrease fossil fuel dependency, and maintain ecosystem services benefiting farmers. We recorded woody and herbaceous plant species diversity, composition, and abundance in 43 wetland-adjacent prairie remnants beside crop fields managed using conventional, minimum tillage, organic, or perennial cover (wildlife-friendly) land management in the Prairie Pothole Region. We used a hierarchical framework to estimate diversity at regional and local scales (gamma, alpha), and how these are related through species turnover (beta diversity). We tested the expectation that gamma richness/evenness and beta diversity of all plants would be higher in remnants adjacent to perennial cover and organic fields than in conventional and minimum tillage fields. We expected the same findings for plants providing ecosystem services (bee-pollinated species) and disservices (introduced species). We predicted similar relative effects of land management on alpha diversity, but with the expectation that the benefits of organic farming would decrease with increasing grassland in surrounding landscapes. Gamma richness and evenness of all plants were highest for perennial cover, followed by minimum tillage, organic, and conventional sites. Bee-pollinated species followed a similar pattern for richness, but for evenness organic farming came second, after perennial cover sites, followed by minimum tillage and conventional. For introduced species, organic sites had the highest gamma richness and evenness. Grassland amount moderated the effect of land management type on all plants and bee-pollinated plant richness, but not as expected. The richness of organic sites increased with the amount of grassland in the surrounding landscape. Conversely, for conventional sites, richness increased as the amount of grassland in the landscape declined. Our results are consistent with the expectation that adopting wildlife-friendly land management practices can benefit biodiversity at regional and local scales, in particular the use of perennial cover to benefit plant diversity at regional scales. At more local extents, organic farming increased plant richness, but only when sufficient grassland was available in the surrounding landscape; organic farms also had the highest beta diversity for all plants and bee-pollinated plants. Maintaining native cover in agroecosystems, in addition to low-intensity farming practices, could sustain plant biodiversity and facilitate important ecosystem services.