Prospective evaluation of functional outcomes in 395 patients with an ileal neobladder 1 year after radical cystectomy.

PURPOSE: This study aims to report on functional outcomes in a large cohort of patients who underwent inpatient rehabilitation (IR) in a highly specialized, high-volume German urologic rehabilitation center after radical cystectomy (RC) and creation of an ileal neobladder (INB). METHODS: Data for 842 patients, who underwent three weeks of IR after RC and urinary diversion between April 2018 and December 2019 were prospectively collected. INB patients were surveyed on continence and sexual function. Data were collected at 4 weeks (T1), 6 months (T2), and 12 months (T3) after RC. Multivariate logistic regressions were performed to identify predictors of better functional outcomes. RESULTS: INB was chosen as urinary diversion in 395 patients (357 male, 38 female). Social continence (maximum of one safety pad/24 h) was reported by 78.3% of men and 64.0% of women at T3. Severe incontinence was reported by 27.3% of men and 44.0% of women. Male sex was identified as an independent predictor for the use of no pads at T3 (OR 4.110; 95% CI 1.153-14.655; p = 0.029). Nerve-sparing surgery was identified as an independent predictor both for the use of only a safety pad (OR 1.918; 95% CI 1.031-3.569; p = 0.040) and good erectile function at T3 (OR 4.377; 95% CI 1.582-12.110; p = 0.004). CONCLUSION: Urologists should aspire for nerve-sparing surgery. When advising patients before RC, functional outcomes (continence, sexual function) should be given special attention. Women should be counseled on potentially prolonged urinary incontinence.

Design and performance characterization of a new LISA-like (laser interferometer space antenna-like) gravitational reference sensor and torsion pendulum testbed.

In this paper, we present the design and performance of the upgraded University of Florida torsion pendulum facility for testing inertial sensor technology related to space-based gravitational wave observatories and geodesy missions. In particular, much work has been conducted on inertial sensor technology related to the Laser Interferometer Space Antenna (LISA) space gravitational wave observatory mission. A significant upgrade to the facility was the incorporation of a newly designed and fabricated LISA-like gravitational reference sensor (GRS) based on the LISA Pathfinder GRS. Its LISA-like geometry has allowed us to make noise measurements that are more representative of those in LISA and has allowed for the characterization of the mechanisms of noise induced on a LISA GRS and their underlying physics. Noise performance results and experiments exploring the effect of temperature gradients across the sensor will also be discussed. The LISA-like sensor also includes unique UV light injection geometries for UV LED based charge management. Pulsed and DC charge management experiments have been conducted using the University of Florida charge management group's technology readiness level 4 charge management device. These experiments have allowed for the testing of charge management system hardware and techniques as well as characterizations of the dynamics of GRS test mass charging. The work presented here demonstrates the upgraded torsion pendulum's ability to act as an effective testbed for GRS technology.

High volume UV LED performance testing.

There is increasing interest in deep UV Light-Emitting Diodes (LEDs) for applications in water purification, virus inactivation, sterilization, bioagent detection, and UV curing, as well as charge management control in the Laser Interferometer Space Antenna (LISA), which will be the first gravitational wave detector in space. To fully understand the current state of commercial UV LEDs and assess their performance for use on LISA, large numbers of UV LEDs need to be tested across a range of temperatures while operating in air or in a vacuum. We describe a new hardware system designed to accommodate a high volume of UV LED performance tests and present the performance testing results from over 200 UV LEDs with wavelengths in the 250 nm range.

Probing the nature of black holes: Deep in the mHz gravitational-wave sky.

Black holes are unique among astrophysical sources: they are the simplest macroscopic objects in the Universe, and they are extraordinary in terms of their ability to convert energy into electromagnetic and gravitational radiation. Our capacity to probe their nature is limited by the sensitivity of our detectors. The LIGO/Virgo interferometers are the gravitational-wave equivalent of Galileo's telescope. The first few detections represent the beginning of a long journey of exploration. At the current pace of technological progress, it is reasonable to expect that the gravitational-wave detectors available in the 2035-2050s will be formidable tools to explore these fascinating objects in the cosmos, and space-based detectors with peak sensitivities in the mHz band represent one class of such tools. These detectors have a staggering discovery potential, and they will address fundamental open questions in physics and astronomy. Are astrophysical black holes adequately described by general relativity? Do we have empirical evidence for event horizons? Can black holes provide a glimpse into quantum gravity, or reveal a classical breakdown of Einstein's gravity? How and when did black holes form, and how do they grow? Are there new long-range interactions or fields in our Universe, potentially related to dark matter and dark energy or a more fundamental description of gravitation? Precision tests of black hole spacetimes with mHz-band gravitational-wave detectors will probe general relativity and fundamental physics in previously inaccessible regimes, and allow us to address some of these fundamental issues in our current understanding of nature.

The missing link in gravitational-wave astronomy: A summary of discoveries waiting in the decihertz range.

Since 2015 the gravitational-wave observations of LIGO and Virgo have transformed our understanding of compact-object binaries. In the years to come, ground-based gravitational-wave observatories such as LIGO, Virgo, and their successors will increase in sensitivity, discovering thousands of stellar-mass binaries. In the 2030s, the space-based LISA will provide gravitational-wave observations of massive black holes binaries. Between the ∼ 10 -103 Hz band of ground-based observatories and the ∼ 1 0 - 4 -10- 1 Hz band of LISA lies the uncharted decihertz gravitational-wave band. We propose a Decihertz Observatory to study this frequency range, and to complement observations made by other detectors. Decihertz observatories are well suited to observation of intermediate-mass ( ∼ 1 0 2 -104 M ⊙) black holes; they will be able to detect stellar-mass binaries days to years before they merge, providing early warning of nearby binary neutron star mergers and measurements of the eccentricity of binary black holes, and they will enable new tests of general relativity and the Standard Model of particle physics. Here we summarise how a Decihertz Observatory could provide unique insights into how black holes form and evolve across cosmic time, improve prospects for both multimessenger astronomy and multiband gravitational-wave astronomy, and enable new probes of gravity, particle physics and cosmology.

Ultrastable optical components using adjustable commercial mirror mounts anchored in a ULE spacer.

This paper describes a novel, to the best of our knowledge, approach to build ultrastable interferometers using commercial mirror mounts anchored in an ultralow expansion (ULE) base. These components will play a critical role in any light particle search (ALPS) and will also be included in ground testing equipment for the upcoming laser interferometer space antenna (LISA) mission. Contrary to the standard ultrastable designs where mirrors are bonded to the spacers, ruling out any later modifications and alignments, our design remains flexible and allows the alignment of optical components at all stages to be optimized and changed. Here we present the dimensional stability and angular stability of two commercial mirror mounts characterized in a cavity setup. The long-term length change in the cavity did not exceed 30 nm and the relative angular stability was within 2 µrad, which meet the requirements for ALPS. We were also able to demonstrate 1pm/Hz length noise stability, which is a critical requirement for various subsystems in LISA. These results have led us to design similar opto-mechanical structures, which will be used in ground verification to test the LISA telescope.

A new torsion pendulum for gravitational reference sensor technology development.

We report on the design and sensitivity of a new torsion pendulum for measuring the performance of ultra-precise inertial sensors and for the development of associated technologies for space-based gravitational wave observatories and geodesy missions. The apparatus comprises a 1 m-long, 50 µm-diameter tungsten fiber that supports an inertial member inside a vacuum system. The inertial member is an aluminum crossbar with four hollow cubic test masses at each end. This structure converts the rotation of the torsion pendulum into translation of the test masses. Two test masses are enclosed in capacitive sensors which provide readout and actuation. These test masses are electrically insulated from the rest of the crossbar and their electrical charge is controlled by photoemission using fiber-coupled ultraviolet light emitting diodes. The capacitive readout measures the test mass displacement with a broadband sensitivity of 30 nm∕Hz and is complemented by a laser interferometer with a sensitivity of about 0.5 nm∕Hz. The performance of the pendulum, as determined by the measured residual torque noise and expressed in terms of equivalent force acting on a single test mass, is roughly 200 fN∕Hz around 2 mHz, which is about a factor of 20 above the thermal noise limit of the fiber.

Overview of Advanced LIGO adaptive optics.

This is an overview of the adaptive optics used in Advanced LIGO (aLIGO), known as the thermal compensation system (TCS). The TCS was designed to minimize thermally induced spatial distortions in the interferometer optical modes and to provide some correction for static curvature errors in the core optics of aLIGO. The TCS is comprised of ring heater actuators, spatially tunable CO2 laser projectors, and Hartmann wavefront sensors. The system meets the requirements of correcting for nominal distortion in aLIGO to a maximum residual error of 5.4 nm rms, weighted across the laser beam, for up to 125 W of laser input power into the interferometer.

The advanced LIGO input optics.

The advanced LIGO gravitational wave detectors are nearing their design sensitivity and should begin taking meaningful astrophysical data in the fall of 2015. These resonant optical interferometers will have unprecedented sensitivity to the strains caused by passing gravitational waves. The input optics play a significant part in allowing these devices to reach such sensitivities. Residing between the pre-stabilized laser and the main interferometer, the input optics subsystem is tasked with preparing the laser beam for interferometry at the sub-attometer level while operating at continuous wave input power levels ranging from 100 mW to 150 W. These extreme operating conditions required every major component to be custom designed. These designs draw heavily on the experience and understanding gained during the operation of Initial LIGO and Enhanced LIGO. In this article, we report on how the components of the input optics were designed to meet their stringent requirements and present measurements showing how well they have lived up to their design.

Feedback control of optical beam spatial profiles using thermal lensing.

A method for active control of the spatial profile of a laser beam using adaptive thermal lensing is described. A segmented electrical heater was used to generate thermal gradients across a transmissive optical element, resulting in a controllable thermal lens. The segmented heater also allows the generation of cylindrical lenses, and provides the capability to steer the beam in both horizontal and vertical planes. Using this device as an actuator, a feedback control loop was developed to stabilize the beam size and position.

Experimental verification of clock noise transfer and components for space based gravitational wave detectors.

The Laser Interferometer Space Antenna (LISA) and other space based gravitational wave detector designs require a laser communication subsystem to, among other things, transfer clock signals between spacecraft (SC) in order to cancel clock noise in post-processing. The original LISA baseline design requires frequency synthesizers to convert each SC clock into a 2 GHz signal, and electro-optic modulators (EOMs) to modulate this 2 GHz clock signal onto the laser light. Both the frequency synthesizers and the EOMs must operate with a phase fidelity of 2×10(-4)cycles/√Hz. In this paper we present measurements of the phase fidelity of frequency synthesizers and EOMs. We found that both the frequency synthesizers and the EOMs meet the requirement when tested independently and together. We also performed an electronic test of the clock noise transfer using frequency synthesizers and the University of Florida LISA Interferometry (UFLIS) phasemeter. We found that by applying a time varying fractional delay filter we could suppress the clock noise to a level below our measurement limit, which is currently determined by timing jitter and is less than an order of magnitude above the LISA requirement for phase measurements.

Thermal effects in the Input Optics of the Enhanced Laser Interferometer Gravitational-Wave Observatory interferometers.

We present the design and performance of the LIGO Input Optics subsystem as implemented for the sixth science run of the LIGO interferometers. The Initial LIGO Input Optics experienced thermal side effects when operating with 7 W input power. We designed, built, and implemented improved versions of the Input Optics for Enhanced LIGO, an incremental upgrade to the Initial LIGO interferometers, designed to run with 30 W input power. At four times the power of Initial LIGO, the Enhanced LIGO Input Optics demonstrated improved performance including better optical isolation, less thermal drift, minimal thermal lensing, and higher optical efficiency. The success of the Input Optics design fosters confidence for its ability to perform well in Advanced LIGO.

Adaptive control of modal properties of optical beams using photothermal effects.

We present an experimental demonstration of adaptive control of modal properties of optical beams. The control is achieved via heat-induced photothermal actuation of transmissive optical elements. We apply the heat using four electrical heaters in thermal contact with the element. The system is capable of controlling both symmetrical and astigmatic aberrations providing a powerful means for in situ correction and control of thermal aberrations in high power laser systems. We demonstrate a tunable lens with a focusing power varying from minus infinity to -10 m along two axes using SF57 optical glass. Applications of the proposed system include laser material processing, thermal compensation of high laser power radiation, and optical beam steering.

Optical design of the proposed Australian International Gravitational Observatory.

Marginally stable power recycling cavities are being used by nearly all interferometric gravitational wave detectors.With stability factors very close to unity the frequency separation of the higher order optical modes is smaller than the cavity bandwidth. As a consequence these higher order modes will resonate inside the cavity distorting the spatial mode of the interferometer control sidebands. Without losing generality we study and compare two designs of stable power recycling cavities for the proposed 5 kilometer long Australian International Gravitational Observatory (AIGO), a high power advanced interferometric gravitational wave detector. The length of various optical cavities that form the interferometer and the modulation frequencies that generate the control sidebands are also selected.

On the interference of two Gaussian beams and their ABCD matrix representation.

Gaussian beam propagation is well described by the q-parameter and the ABCD matrices. A variety of ABCD matrices are available that represent commonly occurring scenarios/components in optics. One important phenomenon that has not been studied in detail is the interference of two optical beams with different q-parameters undergoing interference. In this paper, we describe the effect of interference of two Gaussian beams. We derive an ABCD matrix for the addition of two beams that takes into account both the amplitude and phase difference between two beams. This ABCD matrix will help greatly in determining the propagation of beams inside complex interferometers and finding the solutions for the coupled cavity Eigenmodes.

Design of the Advanced LIGO recycling cavities.

The current LIGO detectors will undergo an upgrade which is expected to improve their sensitivity and bandwidth significantly. These advanced gravitational-wave detectors will employ stable recycling cavities to better confine their spatial eigenmodes instead of the currently installed marginally stable power recycling cavity. In this letter we describe the general layout of the recycling cavities and give specific values for a first possible design. We also address the issue of mode mismatch due to manufacturing tolerance of optical elements and present a passive compensation scheme based upon optimizing the distances between optical elements.

Adaptive beam shaping by controlled thermal lensing in optical elements.

We describe an adaptive optical system for use as a tunable focusing element. The system provides adaptive beam shaping via controlled thermal lensing in the optical elements. The system is agile, remotely controllable, touch free, and vacuum compatible; it offers a wide dynamic range, aberration-free focal length tuning, and can provide both positive and negative lensing effects. Focusing is obtained through dynamic heating of an optical element by an external pump beam. The system is especially suitable for use in interferometric gravitational wave interferometers employing high laser power, allowing for in situ control of the laser modal properties and compensation for thermal lensing of the primary laser. Using CO(2) laser heating of fused-silica substrates, we demonstrate a focal length variable from infinity to 4.0 m, with a slope of 0.082 diopter/W of absorbed heat. For on-axis operation, no higher-order modes are introduced by the adaptive optical element. Theoretical modeling of the induced optical path change and predicted thermal lens agrees well with measurement.

Beam jitter coupling in advanced LIGO.

Fluctuations in the position or propagation direction of the laser beam (beam jitter) is one of the most critical technical noise sources in an interferometric gravitational wave detector. These fluctuations couple to spurious misalignments of the mirrors forming the interferometer and potentially decrease the sensitivity. In this paper we calculate the transfer function of beam jitter into the gravitational wave channel for the Advanced LIGO detector and derive a first expression for the requirements on beam jitter for Advanced LIGO.

First step toward a benchtop model of the Laser Interferometer Space Antenna.

A technique for simulating large optical path lengths by use of digital delay buffers is presented. This technique is used to generate a synthetic interferometer with one arm having an arbitrary length. The response of the interferometer to phase and frequency modulation is measured and found to be in agreement with predictions. This technique could be used to simulate long-baseline interferometric space missions such as the Laser Interferometer Space Antenna.