Thyroid isthmus agenesis and its clinical significance in a large-scale multidetector CT-based study.

OBJECTIVE: The purpose of this study was to estimate the incidence and clinical significance of thyroid isthmus agenesis based on multi-detector CT imaging in a large-scale study. METHODS: Data from 1601 patients who underwent neck multi-detector CT at our institution from January 2015 to March 2016 were included in this retrospective study. The morphology of each patient's thyroid gland was evaluated. We classified thyroid isthmus agenesis into two subgroups according to the thickness of the medial margin: clear-cut type (>4 mm) or tapering-edge type (≤4 mm). Associated thyroid pathologies were also evaluated. RESULTS: Thyroid isthmus agenesis was present in 69 patients (41 males, 28 females), and its incidence was 4.77%. Eleven patients (0.76%) had the clear-cut type and 58 patients (4.01%) had the tapering-edge type. Papillary thyroid carcinoma was diagnosed in 4 patients (5.7% of isthmus agenesis patients). A total of 7 patients underwent thyroid function testing during the course of this study; 1 of these patients presented with borderline hyperthyroidism, and the remaining 6 were in a euthyroid state. The clear-cut type showed a statistically significant narrow gap and a high incidence of pyramidal lobes compared to the tapering-edge type. CONCLUSION: Thyroid isthmus agenesis is not a rare developmental anomaly of the thyroid gland on multi-detector CT. Based on the metastatic pathophysiology of differentiated thyroid cancer, more extended indications for lobectomy are expected in differentiated thyroid cancer patients with thyroid isthmus agenesis.

Herpes Simplex Mastitis in an Adolescent Woman: Clinical and Ultrasound Features.

Herpetic mastitis is extremely rare, and its imaging findings remain unclear. We report a case of herpes simplex mastitis in an adolescent woman and describe the clinical and ultrasound features. The patient showed unilateral nipple and areolar skin thickening and axillary lymphadenopathy on B-mode ultrasonography. Doppler ultrasonography revealed multiple linear and branching blood flows in the areolar area. The lesion was verified as herpes simplex mastitis via a skin biopsy. This report shows that the radiologic features of herpes simplex mastitis may be similar to those of Paget's disease because of localized nipple and areolar skin thickening and increased vascularity.

Accuracy of Model-Based Iterative Reconstruction for CT Volumetry of Part-Solid Nodules and Solid Nodules in Comparison with Filtered Back Projection and Hybrid Iterative Reconstruction at Various Dose Settings: An Anthropomorphic Chest Phantom Study.

OBJECTIVE: To investigate the accuracy of model-based iterative reconstruction (MIR) for volume measurement of part-solid nodules (PSNs) and solid nodules (SNs) in comparison with filtered back projection (FBP) or hybrid iterative reconstruction (HIR) at various radiation dose settings. MATERIALS AND METHODS: CT scanning was performed for eight different diameters of PSNs and SNs placed in the phantom at five radiation dose levels (120 kVp/100 mAs, 120 kVp/50 mAs, 120 kVp/20 mAs, 120 kVp/10 mAs, and 80 kVp/10 mAs). Each CT scan was reconstructed using FBP, HIR, or MIR with three different image definitions (body routine level 1 [IMR-R1], body soft tissue level 1 [IMR-ST1], and sharp plus level 1 [IMR-SP1]; Philips Healthcare). The SN and PSN volumes including each solid/ground-glass opacity portion were measured semi-automatically, after which absolute percentage measurement errors (APEs) of the measured volumes were calculated. Image noise was calculated to assess the image quality. RESULTS: Across all nodules and dose settings, the APEs were significantly lower in MIR than in FBP and HIR (all p < 0.01). The APEs of the smallest inner solid portion of the PSNs (3 mm) and SNs (3 mm) were the lowest when MIR (IMR-R1 and IMR-ST1) was used for reconstruction for all radiation dose settings. (IMR-R1 and IMR-ST1 at 120 kVp/100 mAs, 1.06 ± 1.36 and 8.75 ± 3.96, p < 0.001; at 120 kVp/50 mAs, 1.95 ± 1.56 and 5.61 ± 0.85, p = 0.002; at 120 kVp/20 mAs, 2.88 ± 3.68 and 5.75 ± 1.95, p = 0.001; at 120 kVp/10 mAs, 5.57 ± 6.26 and 6.32 ± 2.91, p = 0.091; at 80 kVp/10 mAs, 5.84 ± 1.96 and 6.90 ± 3.31, p = 0.632). Image noise was significantly lower in MIR than in FBP and HIR for all radiation dose settings (120 kVp/100 mAs, 3.22 ± 0.66; 120 kVp/50 mAs, 4.19 ± 1.37; 120 kVp/20 mAs, 5.49 ± 1.16; 120 kVp/10 mAs, 6.88 ± 1.91; 80 kVp/10 mAs, 12.49 ± 6.14; all p < 0.001). CONCLUSION: MIR was the most accurate algorithm for volume measurements of both PSNs and SNs in comparison with FBP and HIR at low-dose as well as standard-dose settings. Specifically, MIR was effective in the volume measurement of the smallest PSNs and SNs.

Optical injection locking of a singly resonant continuous-wave optical parametric oscillator.

We report on experimental realization of optical injection locking of a singly resonant continuous-wave optical parametric oscillator (OPO) based on a thermally induced waveguide in a magnesium-oxide doped periodically poled lithium niobate. An external cavity diode laser is used to control the frequency of the resonant signal output of the OPO at 795 nm. The key to successful injection locking was the improvement of the OPO spatial modes by a special operating condition with a thermally induced waveguide. The phase coherence of injection locking is confirmed by recording a high-contrast interference fringe between the injection laser and the OPO output. High-resolution measurement of the frequency spectrum of the nonresonant idler output by the delayed self-heterodyne technique shows that the spectral linewidth of the OPO is reduced from 4.5 to 0.4 MHz by injection locking. The full locking range is assumed to be less than 1.7 MHz.

Spatial uniformity inspection apparatus for solar cells using a projection display.

We demonstrate a measurement apparatus to inspect spatial uniformity of quantum efficiency of solar cells using a beam projector. Deviation of irradiance from the used beam projector over the area of 1.5×0.8 m on the cell plane was flattened within ±2.6% through gray scale adjustment, which was originally about 200%. Scanning a small square image with an area of 3×3 mm over a square-shaped photovoltaic cell with an area of 15.6×15.6 cm, we could identify the locations according to efficiency level and showed that the cell had quantum efficiency deviation of more than 10%. Utilizing the advantageous feature of a projection display, we also demonstrated that this apparatus can inspect the spatial uniformity of solar modules and panels consisting of multiple solar cells.

Continuous-wave 532 nm pumped MgO:PPLN optical parametric oscillator with external power regulation and spatial mode filtering.

We report a continuous-wave (CW) optical parametric oscillator (OPO) based on a MgO-doped periodically poled LiNbO(3) (MgO:PPLN) crystal. The 532 nm pump generates coherent radiation that is tunable from 800 to 920 nm for the signal and from 1250 to 1580 nm for the idler, respectively. The OPO output power exhibits a slowly varying instability that we attribute to a thermal effect induced by the pump. This instability is truncated by means of a low-pass servo that includes a single-mode fiber that filters the beam into a single spatial mode. The resulting output characteristics are promising for radiometric applications in the near infrared including most fiber-optic communication bands.

Coherence effect on the measurement of optical fiber nonlinear coefficient.

We investigated a source coherence effect on the measurement of the optical fiber nonlinear coefficient by use of dual optical frequencies. We produced coherent and incoherent dual optical frequencies with a self-heterodyne Mach-Zehnder interferometer with and without a delay line, respectively. Our measurement results included both an electrostrictive and a Kerr nonlinear coefficient because of the low modulation frequency. Comparing the coherent case with an incoherent case, we obtained a nonlinear coefficient that was more than 3% higher in the coherent case.

Threshold features of a Brillouin Stokes comb generated in a distributed fiber Raman amplifier.

We study threshold features of a Brillouin-shifted Stokes comb generated in a distributed fiber Raman amplifier. When the input power of Brillouin pump is linearly increased in high Raman gain, the first Stokes wave grows exponentially at much lower threshold power and then experiences an appreciable power decrease in the vicinity of the Brillouin comb's threshold. This power reduction of the first Brillouin Stokes, which we did not see mentioned in previous reports, was caused by a power transfer to higher-order lines and initiated Brillouin comb generation. Moreover, the effects of Raman pump power and pumping direction on the threshold of a Brillouin comb are investigated.