Patterns of Occult Metastasis to Level Va and Vb in Clinically Lateral Node-Positive Papillary Thyroid Carcinoma.

BACKGROUND: The optimal extent of therapeutic lateral neck dissection (ND) in papillary thyroid carcinoma (PTC) continues to be debated. We analyzed the frequency, patterns, and predictive factors of occult level Va and Vb metastasis in clinically lateral node-positive PTC patients. METHODS: We reviewed the data of PTC patients who underwent thyroidectomy and therapeutic lateral ND from level II to V between May 2008 and August 2020. In our study, 46 patients without clinically positive metastatic lymph nodes (LNs) at level V on the preoperative evaluation were included to analyze occult metastasis at level Va and Vb, respectively. Patient demographics, including age, sex, distribution of pathologic LNs, and characteristics of the primary tumors, were reviewed. In addition, clinicopathologic factors associated with occult level Va and Vb metastasis were analyzed. RESULTS: Of the 46 patients, 14 (30.4%) patients had occult metastases at level Vb. No occult metastases were found at level Va. Clinically positive level II metastasis (p = 0.015) and simultaneous level II, III, and IV metastases (p = 0.010) in the preoperative evaluation were significantly associated with occult level Vb metastasis. Patients without LN metastasis at level IV or with three or fewer metastatic LNs in the lateral neck never had occult LN metastases at level Vb. CONCLUSIONS: Occult metastasis at level Va is rare in PTC with lateral LN metastasis. Occult metastasis at level Vb may occur in PTC patients with multilevel involvement, including level II and/or four or more lateral LN metastases.

Facile Fabrication of Anisotropic Multicompartmental Microfibers Using Charge Reversal Electrohydrodynamic Co-Jetting.

Anisotropic microstructures are utilized in various fields owing to their unique properties, such as reversible shape transitions or on-demand and sequential release of drug combinations. In this study, anisotropic multicompartmental microfibers composed of different polymers are prepared via charge reversal electrohydrodynamic (EHD) co-jetting. The combination of various polymers, such as thermoplastic polyurethane, poly(D,L-lactide-co-glycolide), poly(vinyl cinnamate), and poly(methyl methacrylate), results in microfibers with distinct compositional boundaries. Charge reversal during EHD co-jetting enables facile fabrication of multicompartmental microfibers with the desired composition and tunable inner architecture, broadening their spectrum of potential applications, such as functional microfibers and cell scaffolds with multiple physical and chemical properties.

Chatter Monitoring of Machining Center Using Head Stock Structural Vibration Analyzed with a 1D Convolutional Neural Network.

Real-time chatter detection is crucial for the milling process to maintain the workpiece surface quality and minimize the generation of defective parts. In this study, we propose a new methodology based on the measurement of machine head stock structural vibration. A short-pass lifter was applied to the cepstrum to effectively remove components resulting from spindle rotations and to extract structural vibration modal components of the machine. The vibration modal components include information about the wave propagation from the cutter impact to the head stock. The force excitation from the interactions between the cutter and workpiece induces structural vibrations of the head stock. The vibration magnitude for the rigid body modes was smaller in the chatter state compared to that in the stable state. The opposite variation was observed for the bending modes. The liftered spectrum was used to obtain this dependence of vibration on the cutting states. The one-dimensional convolutional neural network extracted the required features from the liftered spectrum for pattern recognition. The classified features allowed demarcation between the stable and chatter states. The chatter detection efficiency was demonstrated by application to the machining process using different cutting parameters. The classification performance of the proposed method was verified with comparison between different classifiers.

3D engineered scaffold for large-scale Vigil immunotherapy production.

Previously, we reported successful cellular expansion of a murine colorectal carcinoma cell line (CT-26) using a three-dimensional (3D) engineered extracellular matrix (EECM) fibrillar scaffold structure. CCL-247 were grown over a limited time period of 8 days on 3D EECM or tissue culture polystyrene (TCPS). Cells were then assayed for growth, electroporation efficiency and Vigil manufacturing release criteria. Using EECM scaffolds, we report an expansion of CCL-247 (HCT116), a colorectal carcinoma cell line, from a starting concentration of 2.45 × 105 cells to 1.9 × 106 cells per scaffold. Following expansion, 3D EECM-derived cells were assessed based on clinical release criteria of the Vigil manufacturing process utilized for Phase IIb trial operation with the FDA. 3D EECM-derived cells passed all Vigil manufacturing release criteria including cytokine expression. Here, we demonstrate successful Vigil product manufacture achieving the specifications necessary for the clinical trial product release of Vigil treatment. Our results confirm that 3D EECM can be utilized for the expansion of human cancer cell CCL-247, justifying further clinical development involving human tissue sample manufacturing including core needle biopsy and minimal ascites samples.

Stretchable Electrodes Based on Over-Layered Liquid Metal Networks.

Liquid metals are attractive materials for stretchable electronics owing to their high electrical conductivity and near-zero Young's modulus. However, the high surface tension of liquid metals makes it difficult to form films. A novel stretchable film is proposed based on an over-layered liquid-metal network. An intentionally oxidized interfacial layer helps to construct uninterrupted indium and gallium nanoclusters and produces additional electrical pathways between the two metal networks under mechanical deformation. The films exhibit gigantic negative piezoresistivity (G-NPR), which decreased the resistance up to 85% during the first 50% stretching. This G-NPR property is due to the rupture of the metal oxides, which allows the formation of liquid eutectic gallium-indium (EGaIn) and the connection of the over-layered networks to build new electrical paths. The electrodes exhibiting G-NPR are complementarily combined with conventional electrodes to amplify their performance or achieve some unique operations.

3D jet writing of mechanically actuated tandem scaffolds.

The need for high-precision microprinting processes that are controllable, scalable, and compatible with different materials persists throughout a range of biomedical fields. Electrospinning techniques offer scalability and compatibility with a wide arsenal of polymers, but typically lack precise three-dimensional (3D) control. We found that charge reversal during 3D jet writing can enable the high-throughput production of precisely engineered 3D structures. The trajectory of the jet is governed by a balance of destabilizing charge-charge repulsion and restorative viscoelastic forces. The reversal of the voltage polarity lowers the net surface potential carried by the jet and thus dampens the occurrence of bending instabilities typically observed during conventional electrospinning. In the absence of bending instabilities, precise deposition of polymer fibers becomes attainable. The same principles can be applied to 3D jet writing using an array of needles resulting in complex composite materials that undergo reversible shape transitions due to their unprecedented structural control.

Compartmentalized Microhelices Prepared via Electrohydrodynamic Cojetting.

Anisotropically compartmentalized microparticles have attracted increasing interest in areas ranging from sensing, drug delivery, and catalysis to microactuators. Herein, a facile method is reported for the preparation of helically decorated microbuilding blocks, using a modified electrohydrodynamic cojetting method. Bicompartmental microfibers are twisted in situ, during electrojetting, resulting in helical microfibers. Subsequent cryosectioning of aligned fiber bundles provides access to helically decorated microcylinders. The unique helical structure endows the microfibers/microcylinders with several novel functions such as translational motion in response to rotating magnetic fields. Finally, microspheres with helically patterned compartments are obtained after interfacially driven shape shifting of helically decorated microcylinders.

Syringeless Electrospinning toward Versatile Fabrication of Nanofiber Web.

Although electrospinning is considered a powerful and generic tool for the preparation of nanofiber webs, several issues still need to be overcome for real-world applications. Most of these issues stem from the use of a syringe-based system, where the key factor influencing successful electrospinning is the maintenance of several subtle balances such as those of between the mass and the electrical state. It is extremely difficult to maintain these balances throughout the spinning process until all the polymeric solution in the syringe has been consumed. To overcome these limitations, we have developed a syringeless electrospinning technique as an alternative and efficient means of preparing a nanofiber web. This new technique uses a helically probed rotating cylinder. This technique can not only cover conventional methods, but also provides several advantages over syringe-based and needless electrospinning in terms of productivity (6 times higher) and processibility. For example, we can produce nanofibers with highly crystalline polymers and nanofiber-webs comprising networks of several different polymers, which is sometimes difficult in conventional electrospinning. In addition, this method provides several benefits for colloidal electrospinning as well. This method should help expand the range of applications for electrospun nanofiber webs in the near future.