Quantitative edge analysis of pancreatic margins in patients with head pancreatic tumors: correlations between pancreatic margins and the onset of postoperative pancreatic fistula.

OBJECTIVE: To assess the correlation between pancreatic quantitative edge analysis as a surrogate of parenchymal stiffness and the incidence of postoperative pancreatic fistula (POPF), in patients undergoing pancreaticoduodenectomy (PD). METHODS: All consecutive patients who underwent PD at our Institution between March 2018 and November 2019 with an available preoperative CT were included. Pancreatic margin score (PMS) was calculated through computer-assisted quantitative edge analysis on the margins of the pancreatic body and tail (the expected pancreatic remnant) on non-contrast scans with in-house software. Intraoperative assessment of pancreatic stiffness by manual palpation was also performed, classifying pancreatic texture into soft and non-soft. PMS values were compared between groups using an unpaired T-test and correlated with the intraoperative evaluation of stiffness and with the grading of postoperative pancreatic fistula according to the International Study Group on Pancreatic Surgery (ISGPS). RESULTS: Patient population included 200 patients (mean age 64.6 years), 146 without onset of POPF (73%, non-POPF group), and 54 with POPF (27%, POPF group). A significant difference in PMS values was observed between POPF and non-POPF (respectively 1.88 ± 0.05 vs 0.69 ± 0.01; p < 0.0001). PMS values of pancreatic parenchymas intraoperatively considered "soft" were significantly higher than those evaluated as "non-soft" (1.21 ± 0.04 vs 0.73 ± 0.02; p < 0.0001). A significant correlation between PMS values and POPF grade was observed (r = 0.8316), even in subgroups of patients with soft (r = 0.8016) and non-soft (r = 0.7602) pancreas (all p < 0.0001). CONCLUSIONS: Quantitative edge analysis with dedicated software may stratify patients with different pancreatic stiffness, thus potentially improving preoperative risk assessment and strategies for POPF mitigation. CLINICAL RELEVANCE STATEMENT: This study proposes quantitative pancreas edge analysis as a predictor for postoperative pancreatic fistula. The test has high accuracy and correlation with fistula grade according to the International Study Group on Pancreatic Surgery. KEY POINTS: • Prediction of postoperative pancreatic fistula (POPF) onset risk after pancreaticoduodenectomy is based only on intraoperative evaluation. • Quantitative edge analysis may preoperatively identify patients with higher risk of POPF. • Quantification of pancreatic stiffness through the analysis of pancreatic margins could be done on preoperative CT.

Superfluidity Meets the Solid State: Frictionless Mass Transport through a (5,5) Carbon Nanotube.

Superfluidity is a well-characterized quantum phenomenon which entails frictionless motion of mesoscopic particles through a superfluid, such as ^{4}He or dilute atomic gases at very low temperatures. As shown by Landau, the incompatibility between energy and momentum conservation, which ultimately stems from the spectrum of the elementary excitations of the superfluid, forbids quantum scattering between the superfluid and the moving mesoscopic particle, below a critical speed threshold. Here, we predict that frictionless motion can also occur in the absence of a standard superfluid, i.e., when a He atom travels through a narrow (5,5) carbon nanotube (CNT). Because of the quasilinear dispersion of the plasmon and phonon modes that could interact with He, the (5,5) CNT embodies a solid-state analog of the superfluid, thereby enabling straightforward transfer of Landau's criterion of superfluidity. As a result, Landau's equations acquire broader generality and may be applicable to other nanoscale friction phenomena, whose description has been so far purely classical.

Quantum-mechanical water-flow enhancement through a sub-nanometer carbon nanotube.

Experimental observations unambiguously reveal quasi-frictionless water flow through nanometer-scale carbon nanotubes (CNTs). Classical fluid mechanics is deemed unfit to describe this enhanced flow, and recent investigations indicated that quantum mechanics is required to interpret the extremely weak water-CNT friction. In fact, by quantum scattering, water can only release discrete energy upon excitation of electronic and phononic modes in the CNT. Here, we analyze in detail how a traveling water molecule couples to both plasmon and phonon excitations within a sub-nanometer, periodic CNT. We find that the water molecule needs to exceed a minimum speed threshold of ∼50 m/s in order to scatter against CNT electronic and vibrational modes. Below this threshold, scattering is suppressed, as in standard superfluidity mechanisms. The scattering rates, relevant for faster water molecules, are also estimated.

MBD + C: How to Incorporate Metallic Character into Atom-Based Dispersion Energy Schemes.

The dispersion component of the van der Waals interaction in low-dimensional metals is known to exhibit anomalous "Type-C non-additivity" [Int. J. Quantum Chem. 2014, 114, 1157]. This causes dispersion energy behavior at asymptotically large separations that is missed by popular atom-based schemes for dispersion energy calculations. For example, the dispersion interaction energy between parallel metallic nanotubes at separation D falls off asymptotically as approximately D-2, whereas current atom-based schemes predict D-5 asymptotically. To date, it has not been clear whether current atom-based theories also give the dispersion interaction inaccurately at smaller separations for low-dimensional metals. Here, we introduce a new theory that we term "MBD + C". It permits inclusion of Type C effects efficiently within atom-based dispersion energy schemes such as many body dispersion (MBD) and universal MBD (uMBD). This allows us to investigate asymptotic, intermediate, and near-contact regimes with equal accuracy. (The large contact energy of intimate metallic bonding is not primarily governed by dispersion energy and is described well by the semi-local density functional theory.) Here, we apply a simplified version, "nn-MBD + C", of our new theory to calculate the dispersion interaction for three low-dimensional metallic systems: parallel metallic chains of gold atoms, parallel Li-doped graphene sheets, and parallel (4,4) armchair carbon nanotubes. In addition to giving the correct asymptotic behavior, the new theory seamlessly gives the dispersion energy down to near-contact geometry, where it is similar to MBD but can give up to 15% more dispersion energy than current MBD schemes, in the systems studied so far. This percentage increases with separation until nn-MBD + C dominates MBD at asymptotic separations.

Quantitative Edge Analysis of Pancreatic Margins in Patients with Chronic Pancreatitis: A Correlation with Exocrine Function.

BACKGROUND: Many efforts have been made to improve accuracy and sensitivity in diagnosing chronic pancreatitis (CP), obtaining quantitative assessments related to functional data. Our purpose was to correlate a computer-assisted analysis of pancreatic morphology, focusing on glandular margins, with exocrine function-measured by fecal elastase values-in chronic pancreatitis patients. METHODS: We retrospectively reviewed chronic pancreatitis patients who underwent fecal elastase assessment and abdominal MRI in our institute within 1 year. We identified 123 patients divided into three groups based on the fecal elastase value: group A with fecal elastase > 200 µg/g; group B with fecal elastase between 100 and 200 µg/g; and group C with fecal elastase < 100 µg/g. Computer-assisted quantitative edge analysis of pancreatic margins was made on non-contrast-enhanced water-only Dixon T1-weighted images, obtaining the pancreatic margin score (PMS). PMS values were compared across groups using a Kruskal-Wallis test and the correlation between PMS and fecal elastase values was tested with the Spearman's test. RESULTS: A significant difference in PMS was observed between the three groups (p < 0.0001), with a significant correlation between PMS and elastase values (r = 0.6080). CONCLUSIONS: Quantitative edge analysis may stratify chronic pancreatitis patients according to the degree of exocrine insufficiency, potentially contributing to the morphological and functional staging of this pathology.

Experimental and Theoretical Studies toward Superior Anti-corrosive Nanocomposite Coatings of Aminosilane Wrapped Layer-by-Layer Graphene Oxide@MXene/Waterborne Epoxy.

Herein, layer-by-layer MXene/graphene oxide nanosheets wrapped with 3-aminopropyltriethoxy silane (abbreviated as F-GO@MXene) are proposed as an anti-corrosion promoter for waterborne epoxies. The GO@MXene nanohybrid is synthesized by a solvothermal reaction to produce a multi-layered 2D structure without defects. Then, the GO@MXene is modified by silane wrapping under a reflux reaction, in order to achieve chemical stability and to create active sites on the nanohybrid surface for reaction with the polymer matrix of the coating. The organic coating modified with 0.1 wt % F-GO@MXene has revealed superior corrosion protection efficiency than the organic coatings modified with either F-GO or F-MXene nanosheets. The impedance modulus at low frequency for the pure epoxy, epoxy/F-MXene, epoxy/F-GO, and epoxy/F-GO@MXene coatings is 4.17 × 105, 5.5 × 108, 4.46 × 108, and 1.14 × 1010 Ω·cm2 after 30 days of immersion in the corrosive media, respectively. The remarkable anti-corrosion property is assigned to the intense effect of the nanohybrid on the barrier performance, surface roughness, and adhesion strength of the epoxy coating. The complemental analysis based on first-principles density functional theory reveals that the adhesion strength related to the silane functional groups in its complexes follows the order F-GO@MXene > F-MXene > F-GO. The enhanced stabilization predicted on the GO@MXene nanohybrid ultimately stems from the combined role of the electrostatic and van der Waals forces, suggesting an increase in the penetration path of the corrosive media.

Exact Sum-Rule Approach to Polarizability and Asymptotic van der Waals Functionals─Derivation of Exact Single-Particle Benchmarks.

Using a sum-rule approach, we develop an exact theoretical framework for polarizability and asymptotic van der Waals correlation energy functionals of small isolated objects. The functionals require only monomer ground-state properties as input. Functional evaluation proceeds via solution of a single position-space differential equation, without the usual summations over excited states or frequency integrations. Explicit functional forms are reported for reference physical systems, including atomic hydrogen and single electrons subject to harmonic confinement, and immersed in a spherical-well potential. A direct comparison to the popular Vydrov-van Voorhis density functional shows that the best performance is obtained when density decay occurs at atomic scales. The adopted sum-rule approach implies general validity of our theory, enabling exact benchmarking of van der Waals density functionals and direct inspection of the subtle long-range correlation effects that constitute a major challenge for approximate (semi)local density functionals.

Colossal Enhancement of Atomic Force Response in van der Waals Materials Arising from Many-Body Electronic Correlations.

Understanding complex materials at different length scales requires reliably accounting for van der Waals (vdW) interactions, which stem from long-range electronic correlations. While the important role of many-body vdW interactions has been extensively documented for the stability of materials, much less is known about the coupling between vdW interactions and atomic forces. Here we analyze the Hessian force response matrix for a single and two vdW-coupled atomic chains to show that a many-body description of vdW interactions yields atomic force response magnitudes that exceed the expected pairwise decay by 3-5 orders of magnitude for a wide range of separations between perturbed and observed atoms. Similar findings are confirmed for carbon nanotubes, graphene, and delamination of graphene from a silicon substrate previously studied experimentally. This colossal force enhancement suggests implications for phonon spectra, free energies, interfacial adhesion, and collective dynamics in materials with many interacting atoms.

Optical van-der-Waals forces in molecules: from electronic Bethe-Salpeter calculations to the many-body dispersion model.

Molecular forces induced by optical excitations are connected to a wide range of phenomena, from chemical bond dissociation to intricate biological processes that underpin vision. Commonly, the description of optical excitations requires the solution of computationally demanding electronic Bethe-Salpeter equation (BSE). However, when studying non-covalent interactions in large-scale systems, more efficient methods are desirable. Here we introduce an effective approach based on coupled quantum Drude oscillators (cQDO) as represented by the many-body dispersion model. We find that the cQDO Hamiltonian yields semi-quantitative agreement with BSE calculations and that both attractive and repulsive optical van der Waals (vdW) forces can be induced by light. These optical-vdW interactions dominate over vdW dispersion in the long-distance regime, showing a complexity that grows with system size. Evidence of highly non-local forces in the human formaldehyde dehydrogenase 1MC5 protein suggests the ability to selectively activate collective molecular vibrations by photoabsorption, in agreement with recent experiments.

Many-body van der Waals interactions beyond the dipole approximation.

Long-ranged van der Waals (vdW) interactions are most often treated via Lennard-Jones approaches based on the combination of two-body and dipolar approximations. While beyond-dipole interactions and many-body contributions were separately addressed, little is known about their combined effect, especially in large molecules and relevant nanoscale systems. Here, we provide a full many-body description of vdW interactions beyond the dipole approximation, efficiently applicable to large-scale systems. Dipole-quadrupole interactions consistently exhibit large magnitude up to nm-scale separations, while many-body effects lead to system-dependent screening effects, which can reduce vdW interactions by a large fraction. Combined many-body and multipolar terms emerge as an essential ingredient for the reliable description of vdW interactions in molecular and nanoscale systems.

Tunable van der Waals interactions in low-dimensional nanostructures.

Non-covalent van der Waals interactions play a major role at the nanoscale, and even a slight change in their asymptotic decay could produce a major impact on surface phenomena, self-assembly of nanomaterials, and biological systems. By a full many-body description of vdW interactions in coupled carbyne-like chains and graphenic structures, here, we demonstrate that both modulus and a range of interfragment forces can be effectively tuned, introducing mechanical strain and doping (or polarizability change). This result contrasts with conventional pairwise vdW predictions, where the two-body approximation essentially fixes the asymptotic decay of interfragment forces. The present results provide viable pathways for detailed experimental control of nanoscale systems that could be exploited both in static geometrical configurations and in dynamical processes.

Real Space-Real Time Evolution of Excitonic States Based on the Bethe-Salpeter Equation Method.

We introduce a method for constructing localized excitations and simulating the real time dynamics of excitons at the Many-Body Perturbation Theory Bethe-Salpeter Equation level. We track, on the femto-seconds scale, electron injection from a photoexcited dye into a semiconducting slab. From the time-dependent many-body wave function we compute the spatial evolution of the electron and of the hole; full electron injection is attained within 5 fs. Time-resolved analysis of the electron density and electron-hole interaction energy hints at a two-step charge transfer mechanism through an intermediary partially injected state. We adopt the Von-Neumann entropy for analyzing how the electron and hole entangle. We find that the excitation of the dye-semiconductor model may be represented by a four-level system and register a decrease in entanglement upon electron injection. At full injection, the electron and the hole exhibit only a small degree of entanglement indicative of pure electron and hole states.

From quantum to continuum mechanics in the delamination of atomically-thin layers from substrates.

Anomalous proximity effects have been observed in adhesive systems ranging from proteins, bacteria, and gecko feet suspended over semiconductor surfaces to interfaces between graphene and different substrate materials. In the latter case, long-range forces are evidenced by measurements of non-vanishing stress that extends up to micrometer separations between graphene and the substrate. State-of-the-art models to describe adhesive properties are unable to explain these experimental observations, instead underestimating the measured stress distance range by 2-3 orders of magnitude. Here, we develop an analytical and numerical variational approach that combines continuum mechanics and elasticity with quantum many-body treatment of van der Waals dispersion interactions. A full relaxation of the coupled adsorbate/substrate geometry leads us to conclude that wavelike atomic deformation is largely responsible for the observed long-range proximity effect. The correct description of this seemingly general phenomenon for thin deformable membranes requires a direct coupling between quantum and continuum mechanics.

Trends in the Change in Graphene Conductivity upon Gas Adsorption: The Relevance of Orbital Distortion.

The experimental ability to alter graphene (G) conductivity by adsorption of a single gas molecule is promoting the development of ultra-high-sensitivity gas detectors and could ultimately provide a novel playground for future nanoelectronics devices. At present, the underpinning effect is broadly attributed to a variation of G carrier concentration, caused by an adsorption-induced Fermi-level shift. By means of first-principle Kubo-Greenwood calculations, here we demonstrate that adsorbate-induced orbital distortion could also lead to small but finite G conductivity changes, even in the absence of Fermi-level shifts. This mechanism enables a sound physical interpretation of the observed variable sensitivity of G devices to different chemical moieties, and it can be strongly enhanced by using a suitable Ni substrate, thereby opening new pathways for the optimal design of operational nanoscale detectors.

van der Waals interactions in DFT using Wannier functions without empirical parameters.

A new implementation is proposed for including van der Waals (vdW) interactions in Density Functional Theory (DFT) using the Maximally Localized Wannier Functions (MLWFs), which is free from empirical parameters. With respect to the previous DFT/vdW-WF2 method, in the present DFT/vdW-WF2-x approach, the empirical, short-range, damping function is replaced by an estimate of the Pauli exchange repulsion, also obtained by the MLWF properties. Applications to systems contained in the popular S22 molecular database and to the case of an Ar atom interacting with graphite and comparison with reference data indicate that the new method, besides being more physically founded, also leads to a systematic improvement in the description of vdW-bonded systems.

Faraday-like Screening by Two-Dimensional Nanomaterials: A Scale-Dependent Tunable Effect.

The modulation of electric fields by mono- or few-layer two-dimensional (2D) nanomaterials embodies a major challenge through vast technological areas, including 2D nanoscale electronics, ultrathin cable shielding, and nanostructured battery and supercapacitor electrodes. By a quantum-mechanical analysis of Faraday-like electrostatic screening due to diverse 2D nanolayers we demonstrate that electric field screening is triggered by charge response nonlocality. The effective screening factor is not only influenced by average polarizability but further exhibits nontrivial scalings with respect to surface distance: while ideal 2D metallic systems cause complete Faraday-cage screening, semimetallic graphene yields a finite, roughly scale-independent field reduction factor. Conversely, screening by finite-gap MoS2 appears most effective in the vicinity of the surfaces, gradually vanishing in the long-distance limit because of the intrinsic finiteness of the charge-response length scale. The variability of screening effects and of their scaling laws with respect to accessible physical parameters opens novel pathways for experimental modulation of electric fields, ionic interactions, and adsorption of charged or polar moieties.

Anomalous van der Waals-Casimir interactions on graphene: A concerted effect of temperature, retardation, and non-locality.

Dispersion forces play a major role in graphene, largely influencing adhesion of adsorbate moieties and stabilization of functional multilayered structures. However, the reliable prediction of dispersion interactions on graphene up to the relevant ∼10 nm scale is an extremely challenging task: in fact, electromagnetic retardation effects and the highly non-local character of π electrons can imply sizeable qualitative variations of the interaction with respect to known pairwise approaches. Here we address both issues, determining the finite-temperature van der Waals (vdW)-Casimir interaction for point-like and extended adsorbates on graphene, explicitly accounting for the non-local dielectric permittivity. We find that temperature, retardation, and non-locality play a crucial role in determining the actual vdW scaling laws and the stability of both atomic and larger molecular adsorbates. Our results highlight the importance of these effects for a proper description of systems of current high interest, such as graphene interacting with biomolecules, and self-assembly of complex nanoscale structures. Due to the generality of our approach and the observed non-locality of other 2D materials, our results suggest non-trivial vdW interactions from hexagonal mono-layered materials from group 14 of the periodic table, to transition metal dichalcogenides.

Communication: Enhanced chemical reactivity of graphene on a Ni(111) substrate.

Due to the unique combination of structural, mechanical, and transport properties, graphene has emerged as an exceptional candidate for catalysis applications. The low chemical reactivity caused by sp(2) hybridization and strongly delocalized π electrons, however, represents a main challenge for straightforward use of graphene in its pristine, free-standing form. Following recent experimental indications, we show that due to charge hybridization, a Ni(111) substrate can enhance the chemical reactivity of graphene, as exemplified by the interaction with the CO molecule. While CO only physisorbs on free-standing graphene, chemisorption of CO involving formation of ethylene dione complexes is predicted in Ni(111)-graphene. Higher chemical reactivity is also suggested in the case of oxidized graphene, opening the way to a simple and efficient control of graphene chemical properties, devoid of complex defect patterning or active metallic structures deposition.

Wavelike charge density fluctuations and van der Waals interactions at the nanoscale.

Recent experiments on noncovalent interactions at the nanoscale have challenged the basic assumptions of commonly used particle- or fragment-based models for describing van der Waals (vdW) or dispersion forces. We demonstrate that a qualitatively correct description of the vdW interactions between polarizable nanostructures over a wide range of finite distances can only be attained by accounting for the wavelike nature of charge density fluctuations. By considering a diverse set of materials and biological systems with markedly different dimensionalities, topologies, and polarizabilities, we find a visible enhancement in the nonlocality of the charge density response in the range of 10 to 20 nanometers. These collective wavelike fluctuations are responsible for the emergence of nontrivial modifications of the power laws that govern noncovalent interactions at the nanoscale.

Electronic properties of molecules and surfaces with a self-consistent interatomic van der Waals density functional.

How strong is the effect of van der Waals (vdW) interactions on the electronic properties of molecules and extended systems? To answer this question, we derived a fully self-consistent implementation of the density-dependent interatomic vdW functional of Tkatchenko and Scheffler [Phys. Rev. Lett. 102, 073005 (2009)]. Not surprisingly, vdW self-consistency leads to tiny modifications of the structure, stability, and electronic properties of molecular dimers and crystals. However, unexpectedly large effects were found in the binding energies, distances, and electrostatic moments of highly polarizable alkali-metal dimers. Most importantly, vdW interactions induced complex and sizable electronic charge redistribution in the vicinity of metallic surfaces and at organic-metal interfaces. As a result, a substantial influence on the computed work functions was found, revealing a nontrivial connection between electrostatics and long-range electron correlation effects.