Furthering Precision in Sentinel Node Navigational Surgery for Oral Cancer: a Novel Triple Targeting System

To describe an innovative sentinel lymph node (SLN) guidance approach using a radionuclide tracer, 3D augmented reality-guided imaging, and near infrared (NIR) fluorescence over-lay imaging with hand-held probes to optimize accuracy, efficiency, and precise navigation for sentinel node (SN) localization in head and neck cancer. In a cT1N0M0 squamous cell carcinoma of the tongue, pre-operative radionuclide lymphoscintigraphy was performed with a sentinel node-specific radiolabeled tracer. Intraoperatively, a 3D hand-held augmented reality (AR) scanning SPECT probe assessed concordance of the SN with pre-operative SPECT-CT images. The real-time optical video was linked to the SPECT-CT images for added precision. Final guidance to the SN was performed using ICG fluorescence imaging. Dynamic and SPECT-CT showed bilateral lymphatic drainage from the tumor. The 3D hand-held AR SPECT probe SN localization was concordant with pre-operative imaging. The optical video successfully demonstrated the lymphatic drainage in real-time through a unique overlay fluorescence image. The ICG localized to the same nodes identified by both the SPECT-CT and hand-held SPECT images. The use of dual radiation and fluorescence tracers improved SN detection, especially for SN close to the injection site. The hand-held probes allowed the surgeon to dissect continuously, without needing to change tools. The combination of augmented reality, nuclear medicine, and over-lay fluorescence imaging allowed greater accuracy for matching the preoperative imaging with intraoperative identification and precisely guiding the dissection. This method uniquely permitted the surgeon to efficiently dissect the SN with accurate visualization and optimal precision.     

Acoustic energy harvesting using an electromechanical Helmholtz resonator

This paper presents the development of an acoustic energy harvester using an electromechanical Helmholtz resonator (EMHR). The EMHR consists of an orifice, cavity, and a piezoelectric diaphragm. Acoustic energy is converted to mechanical energy when sound incident on the orifice generates an oscillatory pressure in the cavity, which in turns causes the vibration of the diaphragm. The conversion of acoustic energy to electrical energy is achieved via piezoelectric transduction in the diaphragm of the EMHR. Moreover, the diaphragm is coupled with energy reclamation circuitry to increase the efficiency of the energy conversion. Lumped element modeling of the EMHR is used to provide physical insight into the coupled energy domain dynamics governing the energy reclamation process. The feasibility of acoustic energy reclamation using an EMHR is demonstrated in a plane wave tube for two power converter topologies. The first is comprised of only a rectifier, and the second uses a rectifier connected to a flyback converter to improve load matching. Experimental results indicate that approximately 30 mW of output power is harvested for an incident sound pressure level of 160 dB with a flyback converter. Such power level is sufficient to power a variety of low power electronic devices.     

Metal-dielectric-metal plasmonic waveguide devices for manipulating light at the nanoscale Invited Paper

We review some of the recent advances in the development of subwavelength plasmonic devices for ma- nipulating light at the nanoscale, drawing examples from our own work in metal-dielectric-metal (MDM) plasmonic waveguide devices. We introduce bends, splitters, and mode converters for MDM waveguides with no additional loss. We also demonstrate that optical gain provides a mechanism for on/off switch- ing in MDM plasmonie waveguides. Highly efficient compact couplers between dielectric waveguides and MDM waveguides are also introduced.     

An Integer Goal Programming Model for Determining Military Aircraft Expenditures

The decision-making process involved in the procurement of military weapon systems, although quite critical and complex, still encompasses the basic characteristics of a capital budgeting problem. Given a number of expenditure items and a limited budget, it is desired to procure those weapon systems that will achieve the goals and objectives of the government and/or military in the most efficient manner. Since these objectives are typically numerous and diverse, traditional decision-making techniques are not applicable. As such, integer goal programming is suggested as a technique to be employed to determine the number of military aircraft to be procured, given conflicting expenditure, budget and effectiveness goals. This method is demonstrated via a case example in which the solution results are presented.     

The input impedance of the dielectric resonator antenna

Dielectric cylinders of very high permittivity have been used in the past as resonant cavities, but since the structure is not enclosed by metallic walls, electromagnetic fields do exist beyond the geometrical boundaries of the structure and part of the power is radiated. Through the proper choice of geometry and permittivity this radiation can become the dominant feature of the structure and become an efficient antenna for use at millimeter wave frequencies. Both experimental and theoretical investigations of a variety of these dielectric resonator antennas have been undertaken. In particular, the input impedance of a probe-fed cylindrical structure was examined in detail and a comparison of theoretical and experimental results was made.     

Improved limits on the mass of the tau neutrino

Several methods to determine (or set an upper bound on) the mass of the tau neutrino are described. The decay spectrum of \(\tau \to e\bar \nu _e \nu _\tau \) near the high center-of-mass electron-energy end is particularly sensitive to the tau-neutrino mass. It is shown that an upper bound of 20 MeV or lower may be feasible. In addition, improved limits on the mass and mixing angle of a heavy component of the tau-neutrino may be readily obtained. We also discuss the purely leptonic decays of theD andF mesons, and show how measurements of the ratiosB(D→τν_τ/B(D→μν_μ,B(F→τν_τ/B(D→μν_μ can be sensitive to tau-neutrino masses of 30 MeV or greater.     

Excitation dependent quenching of luminescence in LED phosphors

Droop, the decrease of efficiency with increased power density, became a major topic with InGaN LEDs, after its introduction in 2007. This paper provides insight into droop in localized center luminescence phosphors, exemplified here by Eu²⁺ doped materials. This topic is of increasing importance, as high brightness blue LEDs have reached outputs >1 W/mm². The nonlinearities in phosphor quantum efficiency result in drive‐dependent color point shift and reduction of overall efficiency of phosphor converted white LEDs which utilize Eu²⁺ activated phosphors. The efficiency quenching can be traced back to two processes, well‐known in laser physics, excited state absorption or/and cross relaxation by Foerster/Dexter transfer. Both processes lead to reduction in phosphor efficiency, but they can be differentiated. Understanding the root cause of efficiency quenching opens ways to minimize the practical consequences. (© 2016 WILEY‐VCH Verlag GmbH &Co. KGaA, Weinheim)     

Effects of Refractive Index and Viscosity on Fluorescence and Anisotropy Decays of Enhanced Cyan and Yellow Fluorescent Proteins

The fluorescence lifetime strongly depends on the immediate environment of the fluorophore. Time-resolved fluorescence measurements of the enhanced forms of ECFP and EYFP in water–glycerol mixtures were performed to quantify the effects of the refractive index and viscosity on the fluorescence lifetimes of these proteins. The experimental data show for ECFP and EYFP two fluorescence lifetime components: one short lifetime of about 1 ns and a longer lifetime of about 3.7 ns of ECFP and for EYFP 3.4. The fluorescence of ECFP is very heterogeneous, which can be explained by the presence of two populations: a conformation (67% present) where the fluorophore is less quenched than in the other conformation (33% present). The fluorescence decay of EYFP is much more homogeneous and the amplitude of the short fluorescence lifetime is about 5%. The fluorescence anisotropy decays show that the rotational correlation time of both proteins scales with increasing viscosity of the solvent similarly as shown earlier for GFP. The rotational correlation times are identical for ECFP and EYFP, which can be expected since both proteins have the same shape and size. The only difference observed is the slightly lower initial anisotropy for ECFP as compared to the one of EYFP.