7 T versus 3 T contrast-enhanced breast Magnetic Resonance Imaging of invasive ductulolobular carcinoma: First clinical experience

Purpose

Here we describe our first experience with contrast-enhanced (CE) MRI of breast cancer at 7 tesla (T), compared to 3 T and histopathology.

Materials and Methods

A 52 year old female patient with a mammographically suspicious breast mass (BI-RADS V) underwent 7 T CE-MRI. Results were described according to the BI-RADS-MRI criteria and compared to 3 T and histopathology.

Results

After contrast administration, a homogeneously enhancing, irregular spiculated mass was depicted at both 3 T and 7 T; sizes were identical. The most malignant kinetic curve was characterized by a rapid initial rise followed by a wash-out pattern in the delayed phase, i.e. a type 3 curve, at both field strengths. Even though T1-effects of contrast agents are suggested to be reduced at higher fields, quantification of contrast enhancement-to-noise ratio showed a ratio of 4.6 at 7 T and 2.8 at 3 T when comparing contrast-to-noise of the mass before and after contrast administration. Both examinations, using a single dose of gadolinium-based contrast agent, achieved good image quality. Final histopathological evaluation showed an invasive ductulolobular carcinoma with an intraductal component.

Conclusion

This initial experience suggests that clinical contrast-enhanced 7 T MRI of the breast is technically feasible and may allow BI-RADS-conform analysis.     

The ep -->e'p eta reaction at and above the S11(1535) baryon resonance

New cross sections for the reaction e p-->e p eta are reported for total center of mass energy W = 1.5--1.86 GeV and invariant momentum transfer Q2 = 0.25--1.5 (GeV/c)(2). This large kinematic range allows extraction of important new information about response functions, photocouplings, and eta N coupling strengths of baryon resonances. Newly observed structure at W approximately 1.65 GeV is shown to come from interference between S and P waves and can be interpreted with known resonances. Improved values are derived for the photon coupling amplitude for the S11(1535) resonance.     

Identical Quantum Particles and Weak Discernibility

Saunders has recently claimed that “identical quantum particles” with an anti-symmetric state (fermions) are weakly discernible objects, just like irreflexively related ordinary objects in situations with perfect symmetry (Black’s spheres, for example). Weakly discernible objects have all their qualitative properties in common but nevertheless differ from each other by virtue of (a generalized version of) Leibniz’s principle, since they stand in relations an entity cannot have to itself. This notion of weak discernibility has been criticized as question begging, but we defend and accept it for classical cases likes Black’s spheres. We argue, however, that the quantum mechanical case is different. Here the application of the notion of weak discernibility indeed is question begging and in conflict with standard interpretational ideas. We conclude that the introduction of the conceptual resource of weak discernibility does not change the interpretational status quo in quantum mechanics.     

Computational estimates of the gas-phase basicities,proton affinities and ionization potentials of the six isomers of dihydroxybenzoic acid

The gas-phase basicities (GBs), gas-phase proton affinities (PAs) and ionization potentials (IPs) of all six isomers of dihydroxybenzoic acid have been calculated using density functional theory at the B3LYP/6-311++G(2df,p)//B3LYP/6-31+G** level. A detailed conformational analysis of each isomer was performed, and the calculated thermodynamic properties were Boltzmann averaged over all conformations. Respectively, the GBs and the gas-phase PAs vary from 803.8 and 832.5?kJ?mol^?1 for the least basic species (3,5-DHB) to 830.1 and 861.4?kJ?mol^?1 for the most basic isomer (2,4-DHB). The reported GBs and gas-phase PAs of 2,3-DHB and 2,4-DHB, are in excellent agreement with previous experimental measurements. Agreement for the 2,5-DHB and 3,4-DHB isomers are not as good, but still close to or within the experimental error estimates. The calculated values for the GB and gas-phase PA of 2,6-DHB and especially 3,5-DHB are significantly outside the experimental error brackets. Repeating these calculations on the lowest energy conformation of each isomer at the MP2/6-311++G(2df,p)//MP2/6-31+G** level yielded significantly worse results. Our results indicate that protonation in all isomers takes place on the carboxylic sites. The vertical IPs vary from 8.14 eV for 2,5-DHB to 8.56 eV for 2,4-DHB.