Design of polarizers for a mega-watt long-pulse millimeter-wave transmission line on the large helical device

The polarizer is one of the critical components in a high-power millimeter-wave transmission line. It requires full and highly efficient coverage of any polarization states, high-power tolerance, and low-loss feature. Polarizers with rounded shape at the edge of the periodic groove surface are designed and fabricated by the machining process for a mega-watt long-pulse millimeter-wave transmission line of the electron cyclotron resonance heating system in the large helical device. The groove shape of λ/8- and λ/4-type polarizers for an 82.7 GHz transmission line is optimally designed in an integral method developed in the vector theories of diffraction gratings so that the efficiency to realize any polarization state can be maximized. The dependence of the polarization states on the combination of the two polarizer rotation angles (Φλ/8, Φλ/4) is examined experimentally in a low-power test with the newly developed polarization monitor. The results show that the measured polarization characteristics are in good agreement with the calculated ones.

Flux growth of patterned LiCoO2 crystal arrays directly on a Pt substrate in molten LiNO3

We demonstrate a new way to prepare hollow-structured LiCoO₂ crystals directly on a Pt substrate for the first time through a combination of semi-additive electrodeposition of a Co core and subsequent flux growth in molten LiNO₃.

Meteorology in ruptured abdominal aortic aneurysm: an institutional study and a meta-analysis of published studies reporting atmospheric pressure

The aim of this paper was to determine whether weather factors including atmospheric pressure are associated with the occurrence of ruptured abdominal aortic aneurysm (RAAA). We investigated our institutional experiences of RAAA in more than 150 patients during 8 years. Further, we performed a meta-analysis of published studies reporting the influence of atmospheric pressure on RAAA. We retrospectively evaluated 152 patients who underwent surgery for RAAA (including ruptured iliac arterial aneurysm) at our institute between 1 January 2006 and 31 December 2013. Daily regional meteorological data (in the nearest weather station located 3.5 km from the hospital) were obtained online from Japan Meteorological Agency. To identify comparative studies of mean atmospheric pressure on the day with RAAA versus that on the day without RAAA, MEDLINE and EMBASE were searched through January 2014 using Web-based search engines (PubMed and OVID). Mean sea level atmospheric pressure, delta mean atmospheric pressure (difference between mean sea level atmospheric pressure on the day and that on the previous day), and sunshine duration on the day with RAAA were significantly lower than those on the day without RAAA: 1012.43±7.44 versus 1013.71±6.49 hPa, P=0.039, -1.18±5.15 versus 0.05±5.62 hPa, P=0.005; and 4.76±3.76 versus 5.47±3.88 h, P=0.026; respectively. A pooled analysis of 8 studies (including our institutional study) demonstrated that mean atmospheric pressure on the day with RAAA was significantly lower than that on the day without RAAA: standardized mean difference, -0.09; 95% confidence interval, -0.14 to -0.04; P=0.0009. Atmospheric pressure on the day with RAAA appears lower than that on the day without RAAA. Atmospheric pressure may be associated with the occurrence of RAAA.

Long-term safety and sustained efficacy of extended-release pramipexole in early and advanced Parkinson's disease

BACKGROUND AND PURPOSE

To assess the long-term safety and efficacy of pramipexole as a once-daily (q.d.) extended-release oral formulation in early or advanced Parkinson's disease (PD).

METHODS

In two double-blind (DB) studies of early PD and one of advanced PD,active-treatment arms received pramipexole immediate release (IR) or extended release (ER), with exposure lasting up to 33 weeks. In open-label (OL) extensions that followed immediately, subjects took ER q.d. for up to 80 weeks, with dosage adjustment permitted (range 0.375-4.5 mg q.d.).

RESULTS

Of 590 subjects completing an early-PD DB study, 511 entered the early-PD OL extension; 408 completed it. Reported adverse events (AEs) with incidence ≥10.0% were somnolence (15.1%), peripheral edema (11.7%) and back pain (10.6%). Of 465 subjects completing the advanced-PD DB study, 391 entered the advanced-PD OL extension; 329 completed it. Reported AEs with incidence ≥10.0%were dyskinesia (27.4%) and somnolence (13.6%). Impulse control disorders were identified by semi-structured interview in 13 subjects (1.4% of 902). In exploratory analyses, adjusted mean Unified Parkinson's Disease Rating Scale (UPDRS) PartsII + III scores (excluding ex-placebo recipients) remained substantially improved from DB baseline scores prior to pramipexole introduction, at -6.6 and -6.3 points amongst ex-DB-ER and ex-DB-IR recipients after 113 weeks of pramipexole (33 DB plus 80 OL) in early PD, and -11.5 and -9.1 after up to 113 weeks (up to 33 DB plus 80 OL) in advanced PD.

CONCLUSIONS

These results support the long-term safety and efficacy of pramipexole ER in early and advanced PD. AEs were typical for dopaminergic medications, and UPDRS scores suggested sustained symptomatic benefit.

Electron cyclotron beam measurement system in the Large Helical Device

In order to evaluate the electron cyclotron (EC) heating power inside the Large Helical Device vacuum vessel and to investigate the physics of the interaction between the EC beam and the plasma, a direct measurement system for the EC beam transmitted through the plasma column was developed. The system consists of an EC beam target plate, which is made of isotropic graphite and faces against the EC beam through the plasma, and an IR camera for measuring the target plate temperature increase by the transmitted EC beam. This system is applicable to the high magnetic field (up to 2.75 T) and plasma density (up to 0.8 × 10(19) m(-3)). This system successfully evaluated the transmitted EC beam profile and the refraction.

Development of fast steering mirror control system for plasma heating and diagnostics

A control system for a fast steering mirror has been newly developed for the electron cyclotron heating (ECH) launchers in the large helical device. This system enables two-dimensional scan during a plasma discharge and provides a simple feedback control function. A board mounted with a field programmable gate array chip has been designed to realize feedback control of the ECH beam position to maintain higher electron temperature by ECH. The heating position is determined by a plasma diagnostic signal related to the electron temperature such as electron cyclotron emission and Thomson scattering.

Long-term complete remission of multiple extranodal natural killer/T-cell-type posttransplant lymphoproliferative disorder after surgical resection: a case report

BACKGROUND

Posttransplant lymphoproliferative disorder (PTLD) is a life-threatening complication of organ transplantation that results from immunosuppression therapy. Most cases of PTLD derive from the B-cell lineage. T-cell PTLD, particularly natural killer (NK)/T-cell PTLD, is quite rare; only a few cases have been described.

CASE REPORT

A 42-year-old woman received a living-related renal allograft from her father. Sixteen years after transplantation, the patient presented with a 1-week history of low-grade fever and epigastralgia. Computed tomography revealed intestinal masses and a right upper lung lobe mass. Gallium scintigraphy showed uptake in the abdominal mass. Epstein-Barr virus-related antibody was not detected in the patient's serum sample. We performed extirpation of the jejunum and ileum tumors. The pathologic findings showed that these 2 tumors were NK/T-cell lymphoma. After the operation, the lung mass rapidly enlarged, and right upper lobectomy was performed. The right upper lung lobe tumor showed the same histopathologic findings as the small bowel tumor. The final histologic diagnosis was established as multiple extranodal NK/T cell type PTLD of the small bowel and right upper lung lobe.

CONCLUSIONS

After reduction of the immunosuppressive agent, no recurrence of PTLD has been observed for the past 9 years.

Association between serum uric acid and lumbar spine bone mineral density in peri- and postmenopausal Japanese women

SUMMARY

Previous studies on the association between uric acid and bone mineral density yielded conflicting results. In this study, we demonstrated positive association between uric acid and lumbar spine bone mineral density in peri- and postmenopausal Japanese women. Further research is needed to elucidate the underlying mechanism.

INTRODUCTION

Oxidative stress has been implicated in the pathogenesis of osteoporosis. Uric acid, a potent antioxidant substance, has been associated with bone mineral density but previous studies have yielded conflicting results. The objective of the study was to examine the association between serum uric acid and lumbar spine bone mineral density (BMD).

METHODS

This was a retrospective analysis of medical records of 615 women, aged 45-75 years, who had lumbar spine BMD measurement by dual-energy X-ray absorptiometry as a part of health checkup from August 2011 to July 2012.

RESULTS

Mean serum uric acid level was 4.7 mg/dL. Serum uric acid level was positively and significantly associated with lumbar spine BMD independent of age, body mass index, smoking, drinking, physical activity, years after menopause, diabetes mellitus, hypertension, serum calcium, estimated glomerular filtration rate, plasma C-reactive protein, and serum alkaline phosphatase (standardized beta = 0.078, p = 0.049). Uric acid rapidly increased until the age of 60 years, and then decelerated but continued to increase thereafter. The association between lumbar spine BMD and uric acid remained significantly positive after excluding women older than 60 years.

CONCLUSION

The present study showed that higher uric acid levels were linearly associated with higher lumbar spine BMD in peri- and postmenopausal Japanese women. Further research is needed to elucidate the underlying mechanism of the association between uric acid and BMD.

PET findings of intramedullary tumors of the spinal cord using [18F] FDG and [11C] methionine

BACKGROUND AND PURPOSE

Only a few reports on intramedullary tumors of the spinal cord using PET have been published. We report findings of PET by using [(18)F] fluorodeoxyglucose and [(11)C] methionine and discuss the usefulness of the findings in patients with intramedullary tumors of the spinal cord.

MATERIALS AND METHODS

PET/CT was performed in 9 patients with intramedullary tumors of the spinal cord: Six had ependymomas, 1 had an anaplastic astrocytoma, 1 had a hemangioblastoma, and 1 had a cavernous angioma. The maximum standardized uptake value of the tumor was measured and compared with pathologic findings.

RESULTS

The SUVmax of FDG and MET in a case of anaplastic astrocytoma was high. The SUVmax of FDG and MET was relatively high in 4 of 6 cases of ependymoma (excluding myxopapillary ependymomas). A case of hemangioblastoma showed decreased uptake of both FDG and MET (SUVmax = 2.0 and 1.4, respectively). Three cases with hemorrhage (1 case of ependymoma, 1 case of cellular ependymoma, and 1 case of cavernous angioma) showed a relatively increased uptake of FDG.

CONCLUSIONS

Both FDG and MET accumulated to a large degree in an anaplastic astrocytoma and accumulated in ependymomas (excluding a myxopapillary ependymoma). FDG can accumulate in tumors with hemorrhage. More investigation of a larger number of patients is required to evaluate the diagnostic value of PET with FDG and MET for imaging intramedullary tumors of the spinal cord.

Persistent spontaneous pneumothorax for four years: a case report

Pneumothorax, defined as the presence of air in the pleural space, is usually classified as spontaneous or traumatic; it is unusual for pneumothorax to be categorized as being acute or chronic. Even if conservative treatment is chosen, the pneumothorax is cured when air in the pleural space dissolves into the venous blood. A 50-years-old Japanese man with no prior medical history was referred to our department with a right pneumothorax and two rightsided pulmonary nodules on chest X-ray and CT. The chest radiographs of past mass screening which was taken four years ago showed right pneumothorax and right-sided pulmonary nodules. From then, all chest radiograph and chest computed tomography showed right pneumothorax and pulmonary nodules. But he underwent no medical interventions. We designed to perform an operation for a treatment of right pneumothorax and the diagnosis of pulmonary tumors. We underwent right upper lobectomy and pleural decortication under video assisted thoracic surgery. We obtained pathological diagnosis of inflammatory pseudotumor and surrounding atelectasis. He was cured from pneumothorax and pulmonary tumors. A unique case of spontaneous pneumothorax presenting with a pleural air space that was confirmed by chest radiographs and computed tomography examinations over a 4-year period is reported.

Abstract PD06-02: Standardized Assessment of Ki-67 Using Virtual Slides and Automated Analyzer for Breast Cancer Patients: Comparison of Automated and Central/Local Pathology Assessment

Background: Ki-67 is useful in determining the effect of hormonal therapy and also as a prognostic factor. However, the method for its evaluation has not been standardized, and the results vary depending on the assessment by pathologists. We reported that the discordance rate of Ki-67 in preoperative core needle biopsy and the surgical specimens was higher than that of other biological markers, and this was considered to be due to the discrepancies in the evaluation methods (SABCS 2011). In this report, we reviewed the possibility of introducing an automated analyzer by comparing the diagnosis made by local pathologists and reassessment by central review to standardize the evaluation method for Ki-67.

Subjects and Method: Of the 354 cases of primary breast cancer that had their first operation from October 2008 to March 2012, 225 cases that had preoperative core needle biopsy at Tokyo-West Tokushukai Hospital were selected as the subjects of this study. Cases with ductal carcinoma in situ (DCIS) and cases with neoadjuvant chemotherapy were excluded. A cut-off value of 20% was used for Ki-67 positive criteria. The concordance rates of estrogen receptors (ER), progesterone receptor (PgR), human epidermal growth factor receptor 2 (HER2), and Ki-67 by local pathologists were reviewed, and in cases of non-matching Ki-67, tumor diameter (≈ heterogeneity) and operative method (≈ condition of formalin fixation) were studied. Next, non-matching cases (∼ to October 2011) were reassessed both by central review and by an automated analyzer (Ventana Digital Pathology) using virtual slides, and the results were studied and compared with the evaluation by local pathologists. The Wilcoxon-t test was used to review the p value for statistical analysis. Parameters such as tumor diameter, operative method were analyzed by χ2 analysis.

Results: The concordance rate of Ki-67 in preoperative core needle biopsy and surgical specimens was 76.9% in 225 cases of local pathology assessment from October 2008 to March 2012. This rate was significantly lower (p < 0.001) than that of ER (95.6%), PgR (88.0%), and HER2 (91.5%). In non-matching cases, no difference was observed in tumor diameter and operative method. Reassessment of the 39 cases of non-matching Ki-67 to October 2011 using central review and an automated analyzer resulted in matching 27 cases (94.8%) and 32 (96.3%) out of 39 cases, respectively.

Conclusion: The concordance rate of Ki-67 in preoperative core needle biopsy and surgical specimens was lower compared with other biological markers. However, they were nearly equal with reassessment using central review and an automated analyzer. Clinical application of Ki-67 and its standardization are challenging due to variable counting methods and measurement sites. Conducting central reviews in general clinical facilities is difficult, but introducing an automated analyzer with a Ki-67 labeling index is shown to achieve that goal.

Citation Information: Cancer Res 2012;72(24 Suppl):Abstract nr PD06-02.

Akinesia and axial rigidity without limb rigidity: an intermediate form between progressive supranuclear palsy and pure akinesia of Imai and Narabayashi

We report five patients with atypical parkinsonism characterized by freezing phenomenon, akinesia and axial rigidity without limb rigidity or tremor. These patients were selected from 252 patients with parkinsonism who were referred to our clinic from 1986 to 1993. They have common clinical features consisting of freezing phenomena involving all four extremities, especially in the initiation of walking, and marked axial rigidity; otherwise, neither supranuclear ophthalmoparesis nor nuchal dystonia was noted. Their clinical features did not change over several years except in one patient who later developed typical manifestations of progressive supranuclear palsy (PSP). Levodopa was of no effect on their symptoms. After excluding other possibilities, it is our conclusion that they represent an atypical form of PSP lying between the pure akinesia of Imai and Narabayashi and the typical form of PSP.

Selective high expression of protein phosphatase pp1-alpha messenger-RNA in rat poorly differentiated ascites hepatomas

We have examined the mRNA levels for the catalytic subunits of three phosphoseryl/phosphothreonyl protein phosphatases PP1alpha, PP2Aalpha and PP2C by Northern blot analysis in the three primary hepatomas and the three poorly differentiated ascites hepatomas. The mRNA levels were compared with those in regenerating rat livers. In regenerating rat livers, the mRNA levels of PP1alpha, PP2Aalpha and PP2C at 24 h after partial hepatectomy were elevated 5, 14 and 10 times as compared to those of the control livers. But in the three primary hepatomas induced by 3'-methyl-4-dimethyl-aminoazobenzene(3'-Me-DAB), 2-acetylaminofluorene(2-AAF), and induced by the Solt-Farber model, the mRNA levels of PP1alpha, PP2Aalpha and PP2C were almost the same as those of the control livers. On the other hand, in the three poorly differentiated ascites hepatomas, AH13, AH66F and AH130, PP1alpha mRNA levels were 10 times higher than that of the control livers. In these ascites hepatomas, PP2Aalpha mRNA levels were distinctively lower than that of the control livers. PP2C mRNA levels were the same in AH13 and lower in AH66F and AH130 compared to the controls. From these results, it was demonstrated that PP1alpha mRNA levels were selectively increased in poorly differentiated ascites hepatoma cells.