Terahertz quantum-cascade lasers as high-power and wideband, gapless sources for spectroscopy.

Terahertz (THz) quantum-cascade lasers (QCLs) are powerful radiation sources for high-resolution and high-sensitivity spectroscopy with a discrete spectrum between 2 and 5 THz as well as a continuous coverage of several GHz. However, for many applications, a radiation source with a continuous coverage of a substantially larger frequency range is required. We employed a multi-mode THz QCL operated with a fast ramped injection current, which leads to a collective tuning of equally-spaced Fabry-Pérot laser modes exceeding their separation. A continuous coverage over 72 GHz at about 4.7 THz was achieved. We demonstrate that the QCL is superior to conventional sources used in Fourier transform infrared spectroscopy in terms of the signal-to-noise ratio as well as the dynamic range by one to two orders of magnitude. Our results pave the way for versatile THz spectroscopic systems with unprecedented resolution and sensitivity across a wide frequency range.

Threshold changes of ABR results in toddlers and children.

INTRODUCTION: Auditory brainstem response (ABR) is a clinically established method to identify the hearing threshold in young children and is regularly performed after hearing screening has failed. Some studies have shown that, after the first diagnosis of hearing impairment in ABR, further development takes place in a spectrum between progression of hearing loss and, surprisingly, hearing improvement. OBJECTIVE: The aim of this study is to evaluate changes over time of auditory thresholds measured by ABR among young children. MATERIAL AND METHODS: For this retrospective study, 459 auditory brainstem measurements were performed and analyzed between 2010 and 2014. Hearing loss was detected and assessed according to national guidelines. 104 right ears and 101 left ears of 116 children aged between 0 and 3 years with multiple ABR measurements were included. The auditory threshold was identified using click and/or NB-chirp-stimuli in natural sleep or in general anesthesia. The frequency of differences of at least more than 10dB between the measurements was identified. RESULTS: In 37 (35%) measurements of right ears and 38 (38%) of left ears there was an improvement of the auditory threshold of more than 10dB; in 27 of those measurements more than 20dB improvement was found. Deterioration was seen in 12% of the right ears and 10% of the left ears. Only half of the children had stable hearing thresholds in repeated measurements. The time between the measurements was on average 5 months (0 to 31 months). CONCLUSION: Hearing threshold changes are often seen in repeated ABR measurements. Therefore multiple measurements are necessary when ABR yields abnormal. Hearing threshold changes should be taken into account for hearing aid provision.

Evidence of subcortical and cortical aging of the acoustic pathway: a diffusion tensor imaging (DTI) study.

RATIONALE AND OBJECTIVES: During aging, there is evidence of microstructural changes in certain cortical and subcortical brain regions. Diffusion tensor imaging (DTI) is used to study age related microstructural changes in the acoustic pathway. MATERIALS AND METHODS: Twenty healthy volunteers (mean age 28.5 years) and 15 healthy volunteers (mean age 61.3 years) were examined using a 1.5-T MR system with a high-resolution T1-weighted sequence and an integrated parallel imaging technique DTI Echo-planar-imaging (EPI) sequence. For reliability, 10 subjects underwent a second examination 2 days later. The fractional anisotropy (FA) and the apparent diffusion coefficient (ADC) were measured in six brain regions of the auditory pathway. RESULTS: We found no left/right asymmetry in the selected brain structures. There were no significant differences (P < .05) in the ADC and FA in the lateral lemniscus and medial geniculate body of young and elderly subjects. However, FA was significantly increased (P < .05) in the inferior colliculus and decreased in the auditory radiation, the superficial temporal gyrus, and the transverse temporal gyrus in the elder subjects than in the younger ones. There were no significant differences in anisotropy in subsequent examinations in the younger individuals. CONCLUSIONS: These findings suggest evidence of age-related changes in the acoustic pathway. These changes are associated with a decrease in anisotropy mainly in the cortical grey and white matter rather than in the subcortical regions. Our DTI measurements were reproducible.

Delineation of temporal bone anatomy: feasibility of low-dose 64-row CT in regard to image quality.

The aim of our present study was to evaluate the visualization of anatomical landmarks of the temporal bone using a low-dose 64-slice computed tomography (CT) technique. A total of 120 patients were evaluated, 60 patients (mean age 47.1 years; 36 male, 24 female) underwent examination with a 4-slice CT scanner: 180 mAs, 120 kV, 1 s rotation time, 2 x 0.5 mm collimation, 0.5 mm slice thickness. Another 60 consecutive patients (mean age 37.4 years; 43 male, 37 female) were examined using a 64-slice CT low-dose protocol: 140 mAs, 120 kV, 1 s rotation time, 12 x 0.6 mm collimation, 0.6 mm slice thickness. The visibility of 42 landmarks was scored by two blinded radiologists using a five-point quality rating scale. Mean equivalent dose was significantly lower for the 64-slice CT protocol (0.31 mSv +/- 0.12 mSv) compared to the 4-slice CT protocol (0.61 mSv +/- 0.08 mSv). Despite increased image noise, only 19% of the anatomical landmarks were delineated significantly better on the axial sections of the 4-slice CT and only 9.5% of the anatomical landmarks on the reformatted coronal images. The interobserver agreement did not differ significantly between the two modalities. Low-dose 64-slice CT technique facilitates temporal bone imaging with sufficient anatomical detail.

CT of the normal temporal bone: comparison of multi- and single-detector row CT.

PURPOSE: To evaluate multi- and single-detector row computed tomographic (CT) depiction of anatomic landmarks of temporal bone. MATERIALS AND METHODS: Institutional review board approval and written informed consent were obtained. In 50 temporal bones, transverse and coronal single-detector row CT images were compared with transverse and reformatted coronal multi-detector row CT images obtained of additional 50 temporal bones. Two radiologists evaluated images. Visibility of 50 landmarks was scored with a five-point quality rating scale. Fisher exact test, kappa statistics, and Mann-Whitney U test were used to evaluate imaging technique and landmark visibility. RESULTS: In delineating landmarks, total interobserver agreement was higher (P < .001) for transverse multi- than for single-detector row CT images. In 60% of landmarks, interobserver agreement was higher (P < .001) for transverse multi- than for single-detector row CT images. In 20% of landmarks, there was no difference, and in another 20% of landmarks, interobserver agreement was higher (P < .01) for single-detector row CT. Total interobserver agreement was higher (P < .01) for coronal multi-detector row reformations than for coronal single-detector row images. In 58% of landmarks, interobserver agreement was higher (P < .001) for coronal multi-detector row reformations than for coronal single-detector row images, while there was no difference in 8%. In 34% of landmarks, interobserver agreement was higher (P < .001) for coronal single-detector row images. Frequency of detected landmarks was higher for transverse (82%) and coronal (88%) multi-detector row images than for corresponding single-detector row images. In 72% of landmarks, transverse multi-detector row images were (P < .05) superior to corresponding transverse single-detector row images in landmark delineation. In 56% of landmarks, reformatted coronal multi-detector row images were (P < .05) superior to coronal single-detector row images in landmark delineation. CONCLUSION: Multi-detector row CT images, including reformations, better delineate temporal bone anatomy than do single-detector row CT images.