Paradoxical high signal intensity of hepatocellular carcinoma in the hepatobiliary phase of Gd-EOB-DTPA enhanced MRI: initial experience

Purpose

To describe the paradoxical high signal intensity of hepatocellular carcinoma (HCC) in the hepatobiliary phase on gadolinium-ethoxybenzyl-diethylenetriamine pentaacetic acid (Gd-EOB-DTPA)-enhanced magnetic resonance imaging (MRI).

Materials and Methods

A database search was performed to identify cases of HCC that showed unusual prolonged enhancement in the hepatobiliary phase of Gd-EOB-DTPA MRI. All patients received 3.0-T liver MRI including precontrast T1-weighted images, T2-weighted images and a post Gd-EOB-DTPA-enhanced dynamic study. The signal intensity of HCC was measured at pre-enhanced, arterial, portal, delayed and hepatobiliary phase using regions of interest. Radiologic and pathologic correlation was performed for the paradoxically prolonged enhancing portion of HCC in the hepatobiliary phase.

Results

Four patients (all male, age range 44-70; mean 57.5 years) were included in this study. All patients showed HCC lesions that were low signal intensity (SI) on T1-WI, high SI on T2-WI, enhanced in arterial phase, and washed-out in delayed phase. All cases showed paradoxically high SI in hepatobiliary phase, which was unusual for HCC. Pathologically, they were all diagnosed as well-differentiated HCC with prominent cytoplasm and a bile secreting appearance.

Conclusion

HCC may demonstrate the prolonged high signal intensity at the hepatobiliary phase on Gd-EOB-DTPA enhanced MRI. These HCCs tended to be highly differentiated and to have prominent bile secretion.     

Hereditary optimal control problems: Numerical method based upon a padé approximation

In this paper, we consider a particular approximation scheme which can be used to solve hereditary optimal control problems. These problems are characterized by variables with a time-delayed argumentx(t – ). In our approximation scheme, we first replace the variable with an augmented statey(t) x(t - ). The two-sided Laplace transform ofy(t) is a product of the Laplace transform ofx(t) and an exponential factor. This factor is approximated by a first-order Padé approximation, and a differential relation fory(t) can be found. The transformed problem, without any time-delayed argument, can then be solved using a gradient algorithm in the usual way. Four problems are solved to illustrate the validity and usefulness of this technique.This research was supported in part by the National Aeronautics and Space Administration under NASA Grant NCC-2-106.     

Wide-field-angle behavior of blazed-binary gratings in the resonance domain

Blazed-binary gratings for which a blazed effect with binary etches is achieved under normal incidence offer first-order diffraction efficiencies larger than those of blazed-échelette gratings in the resonance domain [Opt. Lett. 23 1081 (1998)]. We provide further insight into the behavior of blazed-binary gratings and show that they operate efficiently under symmetrical mounting and over a wide field-angle interval. These properties are illustrated with theoretical and experimental results obtained for an approximately 1000-line/mm grating at 633 nm.     

Single-longitudinal-mode operation of a grating-based fiber-ring laser using self-injection feedback

A fiber Bragg grating- (FBG-) based fiber-ring laser that utilizes the transmitted light of the FBG as self-injection feedback for single-longitudinal-mode (SLM) oscillation is proposed and demonstrated. This laser is simply constructed by means of feeding back the transmitted light of the FBG and is coupled into the main ring cavity through an optical coupler. The self-injection feedback is the key to ensuring SLM laser oscillation. The SLM operation principle is discussed in detail, and a SLM laser with output power of 6.6 dBm, an optical signal-to-noise ratio of 57 dB at 1549.19 nm, and a short-term linewidth of 3.5 kHz is reported.     

Target fragmentation in proton-nucleus and16O-nucleus reactions at 60 and 200 GeV/nucleon

Target remnants withZ<3 from proton-nucleus and¹⁶O-nucleus reactions at 60 and 200 GeV/nucleon were measured in the angular range from 30° to 160° (?1.7<η<1.3) employing the Plastic Ball detector. The excitation energy of the target spectator matter in central oxygen-induced collisions is found to be high enough to allow for complete disintegration of the target nucleus into fragments withZ<3. The average longitudinal momentum transfer per proton to the target in central collisions is considerably higher in the case of¹⁶O-induced reactions (≈300 MeV/c) than in proton-induced reactions (≈130 MeV/c). The baryon rapidity distributions are roughly in agreement with one-fluid hydrodynamical calculations at 60 GeV/nucleon¹⁶O+Au but are in disagreement at 200 GeV/nucleon, indicating the higher degree of transparency at the higher bombarding energy. Both, the transverse momenta of target spectators and the entropy produced in the target fragmentation region are compared to those attained in head-on collisions of two heavy nuclei at Bevalac energies. They are found to be comparable or do even exceed the values for the participant matter at beam energies of about 1–2 GeV/nucleon.