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PURPOSE: To dynamically assess the evolution of live birth predictive factors' impact throughout the in vitro fertilization (IVF) process, for each fresh and subsequent frozen embryo transfers. METHODS: In this multicentric study, data from 13,574 fresh IVF cycles and 6,770 subsequent frozen embryo transfers were retrospectively analyzed. Fifty-seven descriptive parameters were included and split into four categories: (1) demographic (couple's baseline characteristics), (2) ovarian stimulation, (3) laboratory data, and (4) embryo transfer (fresh and frozen). All these parameters were used to develop four successive predictive models with the outcome being a live birth event. RESULTS: Eight parameters were predictive of live birth in the first step after the first consultation, 9 in the second step after the stimulation, 11 in the third step with laboratory data, and 13 in the 4th step at the transfer stage. The predictive performance of the models increased at each step. Certain parameters remained predictive in all 4 models while others were predictive only in the first models and no longer in the subsequent ones when including new parameters. Moreover, some parameters were predictive in fresh transfers but not in frozen transfers. CONCLUSION: This work evaluates the chances of live birth for each embryo transfer individually and not the cumulative outcome after multiple IVF attempts. The different predictive models allow to determine which parameters should be taken into account or not at each step of an IVF cycle, and especially at the time of each embryo transfer, fresh or frozen.
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Tasa de Natalidad , Nacimiento Vivo , Transferencia de Embrión , Femenino , Fertilización In Vitro , Humanos , Nacimiento Vivo/epidemiología , Embarazo , Índice de Embarazo , Estudios RetrospectivosRESUMEN
Trapping of mesoscopic particles by optical forces usually relies on the gradient force, whereby particles are attracted into optical wells formed by landscaping the intensity of an optical field. This is most often achieved by optical Gaussian beams, interference patterns, general phase contrast methods, or other mechanisms. Hence, although the simultaneous trapping of several hundreds of particles can be achieved, these particles remain mostly independent with negligible interaction. Optical matter, however, relies on close packing and binding forces, with fundamentally different electrodynamic properties. In this Letter, we build ensembles of optically bound particles to realize a reflective surface that can be used to image an object or to focus a light beam. To our knowledge, this is the first experimental proof of the creation of a mirror by optical matter, and represents an important step toward the realization of a laser-trapped mirror (LTM) in space. From a theoretical point of view, optically bound close packing requires an exact solver of Maxwell's equations in order to precisely compute the field scattered by the collection of particles. Such rigorous calculations have been developed and are used here to study the focusing and resolving power of an LTM.
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By considering a perfect reflector submerged in a dielectric fluid, we show that the Minkowski formulation describes the optical momentum transfer to submerged objects. This result is required by global energy conservation, regardless of the phase of the reflected wave. While the electromagnetic pressure on a submerged reflector can vary with phase of the mirror reflection coefficient between twice the Abraham momentum and twice the Minkowski momentum, the Minkowski momentum is always restored due to the additional pressure on the dielectric surface. This analysis also gives further evidence for use of the Minkowski stress tensor at the boundary of a dielectric interface, which has been the subject of a long-standing debate in physics and the source of uncertainty in the modeling of optical forces on submerged particles.
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A closed-form analytical expression of the force on an infinite lossless dielectric cylinder due to multiple plane wave incidences is proposed. The formula for a TE polarization is derived and completes our previous work which was limited to TM polarizations. A unified form of the analytical expression of the force is proposed and used to study the curvature of the one dimensional potential of an optical lattice created by the interference of three plane waves. It is shown that the points of zero curvature yield optical vortices which can be used to stably trap particles of particular sizes and index contrasts with the background. Under these circumstances, the trajectories of the particles can be assimilated to spirals whose centers correspond to the points of undetermined phase in the optical landscape.
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In this paper, we experimentally realize a one-dimensional RHM (Right-handed Material)-LHM (Left-handed Material) multi-frequency resonator that consists of a dual-negative-band LHM and air arranged in an X-band waveguide. Multi-resonant frequencies are observed within two left-handed bands of the LHM. The effects of the loss and the hyperbolic dispersion relation of LHM layer are discussed. The incorporation of such a LHM into the resonator design allows more flexibility to realize multi-resonance.
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Finite-size left-handed material (LHM) slabs are studied both analytically and numerically. The analytical method is based on Huygens' principles using truncated current sheets that cover only the apertures of the slabs. It is shown that the main effects on the images' spectra due to the size of the slabs can be predicted by the proposed analytical method, which can, therefore, be used as a fast alternative to the numerical simulations. Furthermore, the property of negative-energy streams at the image plane is explained. This unique property is found to be due to the interactions between propagating and evanescent waves and can only occur with LHM slabs, both finite size and infinite.
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The ability of the Finite-Difference Time-Domain method to model a perfect lens made of a slab of homogeneous left-handed material (LHM) is investigated. It is shown that because of the frequency dispersive nature of the medium and the time discretization, an inherent mismatch in the constitutive parameters exists between the slab and its surrounding medium. This mismatch in the real part of the permittivity and permeability is found to have the same order of magnitude as the losses typically used in numerical simulations. Hence, when the LHM slab is lossless, this mismatch is shown to be the main factor contributing to the image resolution loss of the slab.
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We propose a method to retrieve the effective constitutive parameters of a slab of bianisotropic metamaterial composed of split-ring resonators from the measurement of the S parameters. Analytical inversion equations are derived for homogeneous loss-less bianisotropic media, and a numerical retrieval approach is presented for the case of lossy bianisotropic media. The method is verified both analytically and numerically, and it is shown that the results for various split-ring resonator metamaterials qualitatively corroborate the conclusions found in published papers. The proposed retrieval method can be used as a valuable tool for the study of anisotropic and bianisotropic properties of metamaterials.
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We propose an improved method to retrieve the effective constitutive parameters (permittivity and permeability) of a slab of metamaterial from the measurement of S parameters. Improvements over existing methods include the determination of the first boundary and the thickness of the effective slab, the selection of the correct sign of effective impedance, and a mathematical method to choose the correct branch of the real part of the refractive index. The sensitivity of the effective constitutive parameters to the accuracy of the S parameters is also discussed. The method has been applied to various metamaterials and the successful retrieval results prove its effectiveness and robustness.
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We analyze an S-shaped inclusion for the realization of metamaterials exhibiting left-handed properties. Unlike most of the conventional inclusions used so far that are composed of two separate geometries-typically a split ring and a rod-the inclusion proposed in this paper is made of only one S-shaped element which yields an overlapping negative permittivity and negative permeability response over a frequency band of about 2.6 GHz. By adopting this geometry, we manage to lower the negative permittivity frequency band down to the level of the negative permeability frequency band, thus allowing the overlapping to occur. Therefore, the structure works as a stand alone and does not require the use of an additional rod. A theoretical analysis is carried out to study this inclusion and numerical simulations, as well as a Snell refraction experiment, clearly show that the material indeed exhibits a negative index of refraction at some frequencies. The simple pattern of the inclusion, the wide left-handed frequency band exhibited, and the low losses measured indicate the superiority of this inclusion in the realization of left-handed metamaterials.
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Microwave breast imaging (using electromagnetic waves of frequencies around 1 GHz) has mostly remained at the research level for the past decade, gaining little clinical acceptance. The major hurdles limiting patient use are both at the hardware level (challenges in collecting accurate and noncorrupted data) and software level (often plagued by unrealistic reconstruction times in the tens of hours). In this paper we report improvements that address both issues. First, the hardware is able to measure signals down to levels compatible with sub-centimeter image resolution while keeping an exam time under 2 min. Second, the software overcomes the enormous time burden and produces similarly accurate images in less than 20 min. The combination of the new hardware and software allows us to produce and report here the first clinical 3-D microwave tomographic images of the breast. Two clinical examples are selected out of 400+ exams conducted at the Dartmouth Hitchcock Medical Center (Lebanon, NH). The first example demonstrates the potential usefulness of our system for breast cancer screening while the second example focuses on therapy monitoring.
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Neoplasias de la Mama/diagnóstico , Interpretación de Imagen Asistida por Computador/métodos , Imagenología Tridimensional/métodos , Microondas , Tomografía/métodos , Adulto , Algoritmos , Mama/anatomía & histología , Mama/patología , Neoplasias de la Mama/patología , Femenino , Humanos , Imagen por Resonancia Magnética , Persona de Mediana Edad , Modelos Teóricos , Tomografía/instrumentaciónRESUMEN
Microwave image reconstruction is typically based on a regularized least-square minimization of either the complex-valued field difference between recorded and modeled data or the logarithmic transformation of these field differences. Prior work has shown anecdotally that the latter outperforms the former in limited surveys of simulated and experimental phantom results. In this paper, we provide a theoretical explanation of these empirical findings by developing closed form solutions for the field and the inverted electromagnetic property parameters in one dimension which reveal the dependency of the estimated permittivity and conductivity on the absolute (unwrapped) phase of the measured signal at the receivers relative to the source transmission. The analysis predicts the poor performance of complex-valued field minimization as target size and/or frequency and electromagnetic contrast increase. Such poor performance is avoided by logarithmic transformation and preservation of absolute measured signal phase. Two-dimensional experiments based on both synthetic and clinical data are used to confirm these findings. Robustness of the logarithmic transformation to variation in the initial guess of the reconstructed target properties is also shown. The results are generalizable to three dimensions and indicate that the minimization form with logarithmic transformation offers image reconstruction performance characteristics that are much more desirable for medial microwave imaging applications relative to minimizing differences in complex-valued field quantities.
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We demonstrate that by utilizing displacement currents in simple dielectric resonators instead of conduction currents in metallic split-ring resonators and by additionally exciting the proper modes, left-handed properties can be observed in an array of high dielectric resonators. Theoretical analysis and experimental measurements show that the modes, as well as the subwavelength resonance, play an important role in the origin of the left-handed properties. The proposed implementation of a left-handed metamaterial, based on a purely dielectric configuration, opens the possibility of realizing media at terahertz frequencies since scaling issues and losses, two major drawbacks of metal-based structures, are avoided.
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Various trapping configurations have been realized so far, either based on the scattering force or the gradient force. In this Letter, we propose a new trapping regime based on the equilibrium between a scattering force and optical binding forces only. The trap is realized from the interaction between a single plane wave and a series of fixed small particles, and is efficient at trapping multiple free particles. The effects are demonstrated analytically upon computing the exact scattering from a collection of cylindrical particles and calculating the Lorentz force on each free particle via the Maxwell stress tensor.
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We demonstrate the possibility of serially guiding and sorting nanometer-sized particles without the use of any external control. The working principle is based on an equilibrium between scattering and binding forces, the latter depending on the properties of the particles. A configuration is proposed that utilizes this property and is shown to efficiently sort small particles as function of their size.
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The Mie theory and the Foldy-Lax multiple-scattering equations are applied to compute the scattered field of an arbitrary number of infinite dielectric cylinders of arbitrary size, subject to in-plane incidences. The Maxwell stress tensor is then used to compute the force on each cylinder. Trapping and binding forces are studied as a function of particle size, number, permittivity, and separation. Finally, the formulation is applied to a system of 20 particles, and the results show clear similarities with known experimental reports. The formulation presented here extends the capabilities of modeling particle interaction and optical matter beyond the simple cases of the Rayleigh regime and two-particle systems.
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The momentum transfer to absorbing particles is derived from the Lorentz force density without prior assumption of the momentum of light in media. We develop a view of momentum conservation rooted in the stress tensor formalism that is based on the separation of momentum contributions to bound and free currents and charges consistent with the Lorentz force density. This is in contrast with the usual separation of material and field contributions. The theory is applied to predict a decrease in optical momentum transfer to Mie particles due to absorption, which contrasts the common intuition based on the scattering and absorption by Rayleigh particles.