Incidence rate and factors associated with the development of secondary cancers after radioiodine therapy in differentiated thyroid cancer: a multicenter retrospective study.

PURPOSE: The objective of this study was to estimate the incidence of secondary cancers and the factors associated with their development among patients who underwent radioiodine therapy (RIT) with differentiated thyroid cancer. METHODS: We retrospectively collected medical records for patients who underwent first RIT between January 1, 2000, and December 31, 2005, from seven tertiary hospitals in South Korea after total thyroidectomy for differentiated thyroid cancer. Cancer incidence and calculated standardized rate ratio were compared with Korean cancer incidence data. The association between the development of secondary cancers and various parameters was analyzed by Cox-proportional hazard regression. RESULTS: A total of 3106 patients were included in this study. Mean age at the time of diagnosis of thyroid cancer was 45.7 ± 13.3 years old, and 2669 (85.9%) patients were female. The follow-up period was 11.9 ± 4.6 (range, 1.2-19.6) years. A total of 183 secondary cancers, which included 162 solid and 21 hematologic cancers, occurred in 173 patients (5.6%). There was no significant difference between solid cancer incidence in our study population who underwent RIT and the overall Korean population, but the incidence of hematologic cancers and total cancer in our study was significantly higher compared with that of the Korean population. A multivariate analysis identified independent prognostic factors for the development of secondary cancer including age at 1st RIT, male, and total cumulative dose over 200 mCi. CONCLUSION: We need to assess the risk benefit for patients who receive over 200 mCi of a total cumulative dose.

Lightweight Semantic-Guided Neural Networks Based on Single Head Attention for Action Recognition.

Skeleton-based action recognition can achieve a relatively high performance by transforming the human skeleton structure in an image into a graph and applying action recognition based on structural changes in the body. Among the many graph convolutional network (GCN) approaches used in skeleton-based action recognition, semantic-guided neural networks (SGNs) are fast action recognition algorithms that hierarchically learn spatial and temporal features by applying a GCN. However, because an SGN focuses on global feature learning rather than local feature learning owing to the structural characteristics, there is a limit to an action recognition in which the dependency between neighbouring nodes is important. To solve these problems and simultaneously achieve a real-time action recognition in low-end devices, in this study, a single head attention (SHA) that can overcome the limitations of an SGN is proposed, and a new SGN-SHA model that combines SHA with an SGN is presented. In experiments on various action recognition benchmark datasets, the proposed SGN-SHA model significantly reduced the computational complexity while exhibiting a performance similar to that of an existing SGN and other state-of-the-art methods.

Development of Lateral Flow Assay Based on Size-Controlled Gold Nanoparticles for Detection of Hepatitis B Surface Antigen.

In this study, we developed lateral flow assay (LFA) biosensors for the detection of hepatitis B surface antigens using well-controlled gold nanoparticles (AuNPs). To enhance colorimetric signals, a seeded growth method was used for the preparation of size-controlled AuNPs with a narrow size distribution. Different sizes of AuNPs in the range of 342-137.8 nm were conjugated with antibodies and then optimized for the efficient detection of LFA biosensors. The conjugation stability was investigated by UV-vis spectroscopy of AuNP dispersion at various pH values and concentrations of antibody. Based on optimized conjugation conditions, the use of 42.7 ± 0.8 nm AuNPs exhibited superior performance for the detection of LFAs relative to other sizes of AuNPs.

Synthesis of bioactive microcapsules using a microfluidic device.

Bioactive microcapsules containing Bacillus thuringiensis (BT) spores were generated by a combination of a hydro gel, microfluidic device and chemical polymerization method. As a proof-of-principle, we used BT spores displaying enhanced green fluorescent protein (EGFP) on the spore surface to spatially direct the EGFP-presenting spores within microcapsules. BT spore-encapsulated microdroplets of uniform size and shape are prepared through a flow-focusing method in a microfluidic device and converted into microcapsules through hydrogel polymerization. The size of microdroplets can be controlled by changing both the dispersion and continuous flow rate. Poly(N-isoproplyacrylamide) (PNIPAM), known as a hydrogel material, was employed as a biocompatible material for the encapsulation of BT spores and long-term storage and outstanding stability. Due to these unique properties of PNIPAM, the nutrients from Luria-Bertani complex medium diffused into the microcapsules and the microencapsulated spores germinated into vegetative cells under adequate environmental conditions. These results suggest that there is no limitation of transferring low-molecular-weight-substrates through the PNIPAM structures, and the viability of microencapsulated spores was confirmed by the culture of vegetative cells after the germinations. This microfluidic-based microencapsulation methodology provides a unique way of synthesizing bioactive microcapsules in a one-step process. This microfluidic-based strategy would be potentially suitable to produce microcapsules of various microbial spores for on-site biosensor analysis.

Ultrasonic bonding method for heterogeneous microstructures using self-balancing jig.

Perfect sealing of heterogeneous microstructures in plastic-based microfluidic devices is a significant and urgent challenge to be able to apply them in various microfluidic-based applications, including biosensing, biofiltering, chemical reactors and lab-on-a-chip. In this study we report a simple but practical and effective method to bond a microstructure-incorporated microfluidic device using an ultrasonic bonding method. The specially designed hemisphere-shaped jig, which is called a self-balancing jig, provides a free motion in all x, y, and z directions. These unique properties of the jig allow us to precisely adjust and bond the heterogeneous microstructures in the device. A conventional jig shows in solution leakages around the heterogeneous microstructures while the self-balancing jig did not show any leakages in devices. Furthermore, the bonding performance was also confirmed by using a black ink and fluorescent dye solution. The micro-pillar arrays in the device also demonstrated its capability for selective filtering of microbeads. We believe that this technique would be a useful tool for producing microfluidic devices with heterogeneous microstructures.

Scalable nanopillar arrays with layer-by-layer patterned overt and covert images.

Transferring flexible and scalable nano-pillar arrays on a variety of unconventional substrates, including fabric, paper, and metals, is achieved by a single-step replication process using UV-curable polymers. Local alteration of the contact angle on the nanopillar arrays by LBL films creates selectively hidden images. They can be revealed by the breath and used as an innovative anti-counterfeit technology.

A continuous tilting of micromolds for fabricating polymeric microstructures in microinjection.

We demonstrate a practical design and integration of multidirectional tilted UV lithography and microinjection molding for microstructure-based microfluidic devices. The previously reported undercut (or T-profile) problem of photoresist causes the imperfect mirror image duplication of the microstructures to the Ni mold. This issue inevitably leads to the unstable molds in the production of microstructure-based microfluidic devices. This study presents a simple route for the successful fabrication of microstructure-based microfluidic devices by multidirectional tilted UV lithography. By changing slope angles of microstructures through tilting the chuck during the UV exposure, the slope angles (up to 30°) around the microstructures allow the effective prevention of the undercut problems of photoresist and facilitate easy releasing of the device with high durability. This technique can be easily used for the production of the microstructure-based microfluidic devices in microanalysis and lab-on-chip applications.

Sustainable fabrication of micro-structured lab-on-a-chip.

We have demonstrated a robust platform that can not only sustainably fabricate a lab-on-a-chip (LOC) device using microinjection molding but also elucidate the filling process of microstructures based on the multiscale analysis. In addition, a novel dimensionless number, i.e., the filling number µ(f) which can provide an insight into the underlying filling mechanism for micropillars, has been proposed based on the understanding of the characteristics of polymeric flow and cavity dimension. This study suggests a solid experimental and numerical tool for the production of microfluidic devices with the use of a micromolding technique, which is expected to help materialize the commercialization of the LOC devices in a more sustainable manner.

The Prevalence and Characteristics of Brown Adipose Tissue in an (18)F-FDG PET Study of Koreans.

PURPOSE: The object of this study was to evaluate the prevalence and characteristics of brown adipose tissue (BAT) in Korean subjects using (18)F-fluorodeoxyglucose positron emission tomography ((18)F-FDG PET). METHODS: Six thousand and five consecutive (18)F-FDG PET/CT scans of 5,115 patients (3,007 females and 2,108 males, mean age 53.5 years) were retrospectively reviewed. We characterized the nature of BAT, such as its location, and we assessed the influence of sex, age, body mass index (BMI), and temperature on BAT. RESULTS: The prevalence of BAT in Koreans in a single (18)F-FDG PET/CT scan in average conditions was 1.07%. The BAT detection rate was higher in females than males (1.32% vs 0.73%), and also with younger age (7.94% vs 0.73%), lower BMI (BMI with BAT, 21.1 vs BMI without BAT, 23.15) and cold outdoor temperature (1.65% vs 0.49%). The most frequent location of BAT was the supraclavicular area (left, 0.91%; right, 0.88%) and ventral neck area (left, 0.62%; right, 0.63%). CONCLUSIONS: The characteristics of BAT in Koreans are not different from those described for Caucasians. However, the low prevalence of BAT in our study might be related to some scan condition like ambient temperature, but further study is needed.