Resolution Measurements Research Articles

Reflectance mapping with microsphere-assisted white light interference nanoscopy

AbstractThe characterisation of novel materials presents a challenge that requires new and original developments. To face some of these demands for making measurements at the nanoscale, a new microsphere-assisted white light interference nanoscope performing local reflectance mapping is presented. This technique presents the advantages of being non-destructive, full-field and label-free. A 145 μm diameter microsphere, glued to the end of an optical fiber, is inserted inside the white light interference microscope to improve the lateral resolution from 940 nm to 520 nm. The acquisition and the Fourier transform processing of a stack of interference images superimposed on the virtual image produced by the microsphere allows the extraction of the local reflectance over a wavelength range of 460 nm to 900 nm and a field of view of 8 μm in diameter. The enhancement in the lateral resolution of the reflectance is demonstrated through the spectral distinction of neighboring ripples on a laser-textured colored stainless-steel sample that cannot be resolved without the microsphere, on regions with a surface of 279 × 279 nm2 horizontally spaced 279 nm apart. Future improvements could potentially lead to a lateral resolution of reflectance measurement over a 100 nm diameter area in air, paving the way to sub-diffraction reflectance mapping.

Imaging system high dynamic range colorimetric calibration method based on a digital chain

Research on high dynamic range (HDR) color management imposes critical requirements on calibration methods between imaging systems and standard radiation. This paper proposes a colorimetric calibration method based on digital chain measurement for imaging systems. First, a HDR colorimetric calibration process model for imaging systems is constructed based on an imaging chain. It includes a light source, target reflectance, optical system parameters, spectral sensitivities, and color matching functions. Subsequently, visual tristimulus values and three-channel response values of an imaging system are obtained using the proposed model in response to the same target, and the target characteristic parameters are adjusted to simulate different HDR imaging scenarios. Following that, various regression algorithms can be employed for HDR colorimetric calibration of imaging systems. The experimental findings demonstrate that the method proposed in this paper boasts a broader dynamic range and denser sampling, thereby enhancing the accuracy of colorimetric characterization models and achieving superior resolution in color measurement.

Measurement of dynamic deformation during shock loading using a fiber-optic loop-sensor

Abstract Characterizing materials under shock loading has been of interest in fields such as protective material development, biomechanics to study the injury mechanics and high-speed aerodynamic structures. However, shock loading of material is a very short duration phenomenon and it is extremely challenging to develop sensors for dynamic measurements under such loading conditions. Optical fiber sensors that present the possibilities to allow high resolution measurement of force or displacement in such high strain rate loading conditions. This work studies the possibility of developing a single mode optical fiber sensor based on the principle of power losses from the curved section for dynamic measurements under shock loading conditions. The strain measurement results obtained from the optical sensors are validated with the controlled digital image correlation measurements are found to be in close correlation. The sensor was able to provide time sensitivity of better than 1 ms. The results show that the fiber sensor has the characteristics of high sensitivity and high precision, which can be used to measure fine vibration in real-time.

Ultrafast carrier dynamics and transient nonlinear absorption in chalcogenide perovskite BaZrS3

The unique combination of excellent semiconducting properties in halide perovskites and the high stability and nontoxicity of oxide perovskites has led to a recent surge in interest in chalcogenide perovskite BaZrS3 for optoelectronic applications. However, to realize its potential in future device technologies, a comprehensive understanding of photoexcited carrier dynamics and transient optical response is imperative, yet it remains largely unexplored for BaZrS3. In this work, employing transient absorption spectroscopy, we have revealed that photoexcited carriers in epitaxial BaZrS3 nanofilms exhibit two exponential decay components relating to optical phonon cooling and interband recombinations. Meanwhile, our investigation unveils an intriguing transient nonlinear absorption phenomenon in BaZrS3, characterized by the ultrafast switching of the pump-induced transparency (i.e., the saturable absorption) to the absorption enhancement within a timescale commensurate with the measurement resolution (hundreds of femtosecond). This study provides crucial dynamic insights essential for leveraging chalcogenide perovskites, such as BaZrS3, in the development of advanced optoelectronic devices.

Analysis of sagittal plane cine magnetic resonance imaging for measurement of pancreatic tumor residual motion during breath hold and evaluation of gating margins used in radiotherapy treatment.

In pancreatic radiotherapy, residual tumor motion during treatment increases the risk of toxicity. Cine imaging acquired during magnetic resonance guided radiotherapy (MRgRT) enables real-time treatment gating in response to anatomical motion, which can reduce this risk; however, treatment gating can negatively impact the efficiency of treatment. This study aimed to quantify the extent of residual tumor motion during breath hold and evaluate the appropriateness of the treatment gating margins used in current clinical practice. Cine imaging acquired during pancreatic MRgRT of 11 patients on the ViewRay MRIdian was analyzed. The total duration of treatment analyzed was 12 h 13 min. Improved methods for processing and analyzing cine imaging were developed: breath holds were systematically separated with frequency analysis, residual motion was measured with consideration of both the tracking structure contour and centroid, and residual motion measurements were supported by phantom measurements of image scaling, resolution, and noise. Residual motion was measured at angles 0°, 45°, 90°, and 135° to the superior-inferior (SI) direction. Total residual motion was measured by combining directional measurements. The minimum tracking structure displacement resolvable through cine imaging was found to be 1.5mm; therefore, residual motion analysis was limited to 1.5mm spatial resolution. Total residual motion was contained within margins ±1.5, ±3, and ±4.5mm with mean percentage frequencies of 97.0%, 91.1%, and 67.8%. Most residual motion was observed in the SI direction, and significantly more residual motion was measured for the tracking structure contour than the centroid. The results demonstrate that patients are largely able to maintain breath hold positions to within a 3mm margin, thus provide evidence that supports the use of a 3mm gating margin in clinical practice. Residual motion frequently exceeded 1.5mm so a reduction in gating margin would have an undesirable impact on treatment efficiency.

The water vapor distribution profile in dry soil layer during evaporating with high spatial resolution monitored by distributed fibre-optic sensing technology

The dry soil layer (DSL) typically forms on the surface of sandy soils during the evaporation process, with water in the DSL moving solely as vapor. Understanding the DSL thickness and its water vapor distribution is crucial for accurately estimating soil water flux, improving evaporation mechanisms, and enhancing ecological conservation efforts. This study employed distributed fibre-optic sensing (DFOS) technology to achieve high spatial resolution measurements (up to 1 mm) of the water vapor distribution within the DSL. We measured soil water vapor profiles in a sand column subjected to evaporation over 24 days using a 60 cm long relative humidity sensing probe and an optical frequency domain reflection (OFDR) interrogator. We effectively captured the downward migration of the evaporating surface from the sand surface and quantified the inhibitory effect of DSL thickness on evaporation using a logarithmic function. Additionally, we identified a linear distribution of water vapor with depth in the DSL. Our findings offer novel insights into the role of DSL in the hydrological behaviour of unsaturated soils and demonstrate the potential of our approach for investigating dynamic changes in in-situ DSLs, particularly in arid and semi-arid regions.

Potential to recover a record of Holocene climate and sea ice from Müller Ice Cap, Canada

Abstract Müller Ice Cap sits on Umingmat Nunaat (Axel Heiberg Island), Nunavut, Canada, ~ 80°N. Its high latitude and elevation suggest it experiences relatively little melt and preserves an undisturbed paleoclimate record. Here, we present a suite of field measurements, complemented by remote sensing, that constrain the ice thickness, accumulation rate, temperature, ice-flow velocity, and surface-elevation change of Müller Ice Cap. These measurements show that some areas near the top of the ice cap are more than 600 m thick, have nearly stable surface elevation, and flow slowly, making them good candidates for an ice core. The current mean annual surface temperature is −19.6 °C, which combined with modeling of the temperature profile indicates that the ice is frozen to the bed. Modeling of the depth-age scale indicates that Pleistocene ice is likely to exist with measurable resolution (300–1000 yr m−1) 20–90 m from the bed, assuming that Müller Ice Cap survived the Holocene Climatic Optimum with substantial ice thickness (~400 m or more). These conditions suggest that an undisturbed Holocene climate record could likely be recovered from Müller Ice Cap. We suggest 91.795°W, 79.874°N as the most promising drill site.

Cavity-based bunch length measurement study for the Super Tau-Charm Facility transport line

In this paper, a nondestructive cavity-based scheme is proposed to achieve high-resolution bunch length measurement in the Super Tau-Charm Facility (STCF) transport line. By extracting the TM010 and TM020 mode signals excited by the beam within a single pillbox cavity, a beam spectrum can be obtained to deduce the Root-Mean-Square (RMS) bunch length. This scheme is more spatially compact compared to the traditional method using double cavities. In this study, the basic principles of the cavity-based bunch length measurement method are explained, the monitor layout is introduced, and the design methods for the cavity and electronics are described. A prototype cavity was machined. Offline tests demonstrate that the eigenmodes in the cavity meet the design requirements and can be used for the bunch length measurements. Based on the online signal characteristics of the Cavity Beam Position Monitors (CBPMs) and the beam parameters of the STCF, the performance of this measurement method is evaluated. For picosecond-level bunches in the STCF transport line, this scheme can provide a bunch length measurement resolution of 233.5 fs at 1.5 nC.

3D shape measurement method for high-reflective surface based on a color camera

Fringe projection profilometry (FPP) has been widely utilized in many fields due to its non-contact, high accuracy, high resolution and full-field measurement capabilities. However, the limited dynamic range of the camera sensor can result in overexposure of high-reflective parts in industrial production measurement. To effectively solve the above issue, this paper proposes a 3D shape measurement method for the high-reflective surface based on a color camera. Firstly, the optimal exposure time for the low-reflective region is estimated using the relationship between the standard variance of the phase error and the modulation. Twelve blue phase-shifted fringe patterns and a uniform blue image are utilized to obtain 3D shape of high-reflective surface. Secondly, captured images are separated into red, green and blue components. The fused Gaussian low-pass filtering method with different cut-off frequencies is used to filter and denoise the green or red components and the true intensity of the blue component in the saturated regions is calculated by the unsaturated intensity of the green or red components based on the calibrated crosstalk matrix. Then the image in saturated regions is fused and normalized with the unsaturated region. The absolute phase obtained from the fused normalized fringe patterns is converted into 3D data. Finally, experiments have been carried out on measuring. The experimental results show that the proposed method is capable of obtaining the 3D shape of the surface of a high-reflective object with fewer patterns and high measurement accuracy.

Submicron Embedded Air/GaN Diffraction Gratings for Photonic Applications

AbstractThe integration of photonic elements with nitride optoelectronic structures allows control of emitted light properties, which is advantageous for achieving, e.g., a single wavelength lasing. Positioning of the photonic structures on the top surface of GaN‐based devices is problematic, in particular, for deposition of a metal contact to p‐type top layer. In this work, custom‐shaped submicron air channels arranged periodically 150 nm below the sample surface, forming an air/GaN diffraction grating embedded within a volume of the structure is proposed and fabricated. The fabrication process includes selective area Si ion implantation, GaN regrowth using plasma‐assisted molecular beam epitaxy, ultra‐high‐pressure annealing for efficient electrical activation of implanted Si without diffusion, and electrochemical etching for the removal of selectively doped material. Embedded air/GaN diffraction gratings with periodicity of 460 and 631 nm are shown. Width of air channels ranges from 46 to 320 nm. Angle and polarization resolved reflectivity measurements combined with theoretical modeling confirm the designed optical performance of the embedded diffraction gratings in the GaN volume. The presented design and fabrication of custom‐shaped, fully integrated photonic structures buried below the surface paves the way for novel type constructions of optoelectronic devices, such as compact distributed feedback laser diodes

Laser Scan Compression for Rail Inspection

The automation of rail track inspection addresses key issues in railway transportation, notably reducing maintenance costs and improving safety. However, it presents numerous technical challenges, including sensor selection, calibration, data acquisition, defect detection, and storage. This paper introduces a compression method tailored for laser triangulation scanners, which are crucial for scanning the entire rail track, including the rails, rail fasteners, sleepers, and ballast, and capturing rail profiles for geometry measurement. The compression technique capitalizes on the regularity of rail track data and the sensors’ limited measurement range and resolution. By transforming scans, they can be stored using widely available image compression formats, such as PNG. This method achieved a compression ratio of 7.5 for rail scans used in the rail geometry computation and maintained rail gauge reproducibility. For the scans employed in defect detection, a compression ratio of 5.6 was attained without visibly compromising the scan quality. Lossless compression resulted in compression ratios of 5.1 for the rail geometry computation scans and 3.8 for the rail track inspection scans.

Resolution Improvement of Differential Phase-Contrast Microscopy via Tilt-Series Acquisition for Environmental Cell Application.

A simple method that improves the resolution of the phase measurement of differential phase-contrast (DPC) scanning transmission electron microscopy for closed-type environmental cell applications was developed and tested using a model sample simulating environmental cell observations. Because the top and bottom membranes of an environmental cell are typically far apart, the images from these membranes are shifted widely by tilt-series acquisition, and averaging the images after alignment can effectively eliminate undesired signals from the membranes while improving the signal from the object of interest. It was demonstrated that a phase precision of 2π/100 rad is well achievable using the proposed method for the sample in an environmental cell.

Dynamic sparse x-ray nanotomography reveals ionomer hydration mechanism in polymer electrolyte fuel-cell catalyst.

Tomographic imaging of time-evolving samples is a challenging yet important task for various research fields. At the nanoscale, current approaches face limitations of measurement speed or resolution due to lengthy acquisitions. We developed a dynamic nanotomography technique based on sparse dynamic imaging and 4D tomography modeling. We demonstrated the technique, using ptychographic x-ray computed tomography as its imaging modality, on resolving the in situ hydration process of polymer electrolyte fuel cell (PEFC) catalyst. The technique provides a 40-time increase in temporal resolution compared to conventional approaches, yielding 28 nm half-period spatial and 12 min temporal resolution. The results allow a quantitative characterization of the water intake process inside PEFC catalysts with nanoscale resolution, which is crucial for understanding their electrochemical mechanisms and optimizing their performance. Our technique enables high-speed operando nanotomography studies and paves the way for wider application of dynamic tomography at the nanoscale.

Predicting the impact of underwater skimming on dissolved oxygen consumption in slow sand filters for potable water treatment

In a well-functioning slow sand filter (SSF), dissolved oxygen (DO) is crucial for enabling aerobic processes and microbiota growth. Given that DO supply is predominantly via the feed water, flow pauses (e.g., during cleaning) may trigger anoxic/anaerobic conditions in the stagnant filter bed. Underwater skimming (UWS) is an advanced cleaning technique that employs a skimmer with a shrouded blade, mounted on a mobile platform, to remove the fouling layer composed of sand and particles in order to improve the efficiency of slow sand filtration. As UWS results in changes to the flow pattern of the SSF, a mathematical model was developed to predict DO utilization after a flow perturbation associated with UWS operation. The model was based on a depth resolved measurement of specific oxygen utilization derived from a full scale SSF. Pilot plant experiments monitored DO in the feed and filtrate of SSFs cleaned using underwater and conventional dry skimming techniques. The highest oxygen utilization was in the Schmutzdecke layer, with additional demand imposed by the presence of a granular activated carbon (GAC) sandwich layer. It was observed that pseudo-steady state conditions occurred following filter ripening, where DO utilization, driven by biological activity, remained relatively constant regardless of filter cleaning technique. For flow pauses between three and 24 h, the pause duration's importance decreased, while the hydraulic loading rate became the critical factor for DO recovery in the filter. Additionally, introducing a ‘sweetening flow’ during UWS ensured a continuous DO supply, facilitating quicker DO replenishment post-cleaning. The model reliably predicted filtrate DO within ±0.6 mg/L, demonstrating its operational utility, especially in the optimisation of UWS methodology. As such, UWS can be applied to clean SSFs with the methodology modified to prevent any detrimental effects to DO management within the filter. This study predicted DO dynamics in SSFs, advancing UWS techniques and could be applied for enhancing water treatment strategies by filtration.

Two-dimensional optical micro displacement sensing and crosstalk elimination based on the self-imaging effect of a grating pair

This paper proposes a straightforward method for measuring micro-displacement synchronously along two orthogonal axes. A single structure consists of a pair of two-dimensional gratings and a quadrant detector aligned with a collimated laser is used to detect the micro-displacement. The crosstalk and the common-mode noise are eliminated through a two-step differential process. Experimental results demonstrate that the displacement measurement resolution can reach 40 nm with a sensitivity of 0.483 V/µm within the linear range. The accuracy obtained is 0.29% on the X-axis and 0.31% on the Y-axis within a 500 µm range. The signal-to-noise ratio is improved by 4.56 dB after differential. The simplicity and high compactness of this measurement structure make it suitable for fabrication and alignment using microfabrication processes, which show great potential in many applications such as gyroscopes, accelerators, and multi-dimensional displacement measurements.

Distributed optical fiber sensors for real-time tracking of fouling buildup for tubular continuous polymerization reactors

Early online fouling detection is expected to be a real step forward in the operation of continuous tubular reactors. As an online technology, the Rayleigh backscatter based Distributed Optical Fiber Sensor (DOFS) technology was evaluated with respect to temperature measurement resolution, reproducibility and the best online calibration method. Different coatings and terminations were characterized for emulsion polymerization reactors. Commercially available sensors with acrylate primary coatings, dual acrylate coatings, and polyimide coatings were all compared with each other. It is shown that the presence of a secondary coating significantly alters sensor behaviour. Sensors with only a primary coating showed a temperature resolution of 0.1 °C. Online calibration for temperature readout was carried out and validation tested on segments of fiber integrated in a 3D-printed reactor channel (diameter 1.5 mm). Acrylate coated sensors showed a deviation of 20 % for the calibration coefficients when inside the reactor channel compared to the online calibration, leading to errors in temperature measurement. Polyimide coated sensors showed a deviation of just 0.6 % in this validation test, demonstrating good capabilities for online calibration with accurate temperature measurements. The possibility of spatial and temporal monitoring of fouling buildup through a heat exchanging wall equipped with DOFS was evaluated.

Magnetospheric Line Radiation: Temporal Modulation Corresponding to a Bouncing Wave

AbstractMagnetospheric line radiation (MLR) is a peculiar type of whistler‐mode emissions formed by several similarly spaced spectral lines, whose frequencies may vary with time. These emissions typically occur at frequencies between about 1 and 8 kHz and are observed in both ground‐based and satellite measurements. However, their origin and source locations are not yet understood, as their detection by spacecraft instruments is challenging due to the limited frequency resolution of onboard wave measurements. We use high‐resolution multicomponent wave data obtained by the Van Allen Probes to demonstrate that, in addition to the frequency modulation, MLR events possess a temporal modulation with periods on the order of seconds, which may be related to the wave bouncing between hemispheres. Observed modulation periods are used to estimate a tentative source L‐shell. The modulation periods are shorter for events with larger frequency spacing, and the estimated source L‐shells correlate with model plasmapause locations.

Improving the accuracy of SIF quantified from moderate spectral resolution airborne hyperspectral imager using SCOPE: assessment with sub-nanometer imagery

Hyperspectral imaging of solar-induced chlorophyll fluorescence (SIF) is required for plant phenotyping and stress detection. However, the most accurate instruments for SIF quantification, such as sub-nanometer (≤1-nm full-width at half-maximum, FWHM) airborne hyperspectral imagers, are expensive and uncommon. Previous studies have demonstrated that standard narrow-band hyperspectral imagers (i.e., 4–6-nm FWHM) are more cost-effective and can provide far-red SIF quantified at 760 nm (SIF760), which correlates strongly with precise sub-nanometer resolution measurements. Nevertheless, narrow-band SIF760 quantifications are subject to systematic overestimation owing to the influence of the spectral resolution (SR). In this study, we propose a modelling approach based on the Soil Canopy Observation, Photochemistry and Energy Fluxes (SCOPE) model with the objective of enhancing the accuracy of absolute SIF760 levels derived from standard airborne hyperspectral imagers in practical settings. The performance of the proposed method was evaluated using airborne imagery acquired from two airborne hyperspectral imagers (FWHM ≤ 0.2-nm and 5.8-nm) flown in tandem on board an aircraft that collected data from two different wheat and maize phenotyping trials. Leaf biophysical and biochemical traits were first estimated from airborne narrow-band reflectance imagery and subsequently used as SCOPE model inputs to simulate a range of top-of-canopy (TOC) radiance and SIF spectra at 1-nm FWHM. The SCOPE simulated radiance spectra were then convolved to match the spectral configuration of the narrow-band imager to compute the 5.8-nm FWHM SIF760. A site-specific model was constructed by employing the convolved 5.8-nm SR SIF760 as the independent variable and the 1-nm SR SIF760 directly simulated by SCOPE as the dependent variable. When applied to the airborne dataset, the estimated SIF760 at 1-nm SR from the standard narrow-band hyperspectral imager matched the reference sub-nanometer quantified SIF760 with root mean square error (RMSE) less than 0.5 mW/m2/nm/sr, yielding R2 = 0.93–0.95 from the two experiments. These results suggest that the proposed modelling approach enables the interpretation of SIF760 quantified using standard hyperspectral imagers of 4–6 nm FWHM for stress detection and plant physiological condition assessment.

Prediction of Energy Resolution in the JUNO Experiment

Abstract This paper presents the energy resolution study in the JUNO experiment, incorporating the latest knowledge acquired during the detector construction phase. The determination of neutrino mass ordering in JUNO requires an exceptional energy resolution better than 3% at 1 MeV. To achieve this ambitious goal, significant efforts have been undertaken in the design and production of the key components of the JUNO detector. Various factors affecting the detection of inverse beta decay signals have an impact on the energy resolution, extending beyond the statistical fluctuations of the detected number of photons, such as the properties of liquid scintillator, performance of photomultiplier tubes, and the energy reconstruction algorithm. To account for these effects, a full JUNO simulation and reconstruction approach is employed. This enables the modeling of all relevant effects and the evaluation of associated inputs to accurately estimate the energy resolution. The study reveals an energy resolution of 2.95% at 1 MeV. Furthermore, the study assesses the contribution of major effects to the overall energy resolution budget. This analysis serves as a reference for interpreting future measurements of energy resolution during JUNO data taking. Moreover, it provides a guideline in comprehending the energy resolution characteristics of liquid scintillator-based detectors. Content from this work may be used under the terms of the Creative Commons Attribution 3.0 licence. Any further distribution of this work must maintain attribution to the author(s) and the title of the work, journal citation and DOI. Article funded by SCOAP3 and published under licence by Chinese Physical Society and the Institute of High Energy Physics of the Chinese Academy of Science and the Institute of Modern Physics of the Chinese Academy of Sciences and IOP Publishing Ltd.

7094 Post Unilateral Adrenalectomy Hyporeninemic Hypoaldosteronism: Requiring Long Term Fludrocortisone In Managing Hyperkalemia And Renal Dysfunction

Abstract Disclosure: R. Rani: None. K. Bidani: None. R. Roy: None. Adrenalectomy, seen as a potentially curative measure for unilateral aldosterone-producing adenoma (APA), targets both biochemical and clinical resolution. However, postoperative challenges may arise, including acute renal failure and hyperkalemia, due to inadequate aldosterone secretion, a consequence of prolonged suppression of the renin-angiotensin-aldosterone system (RAAS) on the contralateral side. Our case underscores the postoperative challenge of isolated aldosterone deficiency leading to renal function deterioration and hyperkalemia, necessitating fludrocortisone therapy. We are presenting case of 71-year-old male with a history of uncontrolled hypertension for over 30 years with hypokalemia (taking KCL 20mEq daily). Initial laboratory findings revealed elevated aldosterone levels 79ng/dL and an aldosterone-to-renin ratio (ARR)> 20, K- 3.2mmol/L, creatinine 1.32mg/dl, Na-145 mmol/L with normal cortisol and plasma metanephrines levels. CT abdomen disclosed a 21 x 18 mm right adrenal adenoma, with subsequent confirmation of lateralization through Adrenal vein sampling. The patient underwent right adrenalectomy. Two weeks post-surgery, he presented to the emergency department with symptoms of fatigue and weakness. Laboratory results indicated hyperkalemia (K- 6.5 mmol/L) and elevated creatinine (3.52mg/dl) with undetectable aldosterone and renin levels. Urinalysis and CT abdomen ruled out other causes of acute renal injury. Initial management included intravenous fluids and Potassium supplementation. However, due to persistent hypokalemia, the patient was initiated on fludrocortisone (0.1 mcg daily). Subsequent follow-up demonstrated improvement in renal function and potassium levels, however, his aldosterone and renin levels remain undetectable. Hyperkalemia incidence post-adrenalectomy in primary aldosteronism (PA) ranges from 6.3% to 29.1%. Notably, older age and preexisting impaired renal function, particularly in cases with prolonged hypertension are identified as potential risk factors for postoperative hyperkalemia and renal failure. Understanding the potential for a further decline in the glomerular filtration rate (GFR) post-surgery becomes crucial. This decline might manifest as a transient or permanent issue, necessitating prolonged fludrocortisone treatment. This case highlights the importance of tailored preoperative assessment and postoperative management to mitigate complications in high-risk populations. Presentation: 6/1/2024