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Background: Captopril challenge test (CCT), seated saline infusion test (SSIT), oral sodium loading test (OSLT) and fludrocortisone suppression test (FST) are widely used diagnostic tests for primary aldosteronism (PA). These tests differ in terms of safety and complexity. Whether the simpler tests (CCT and SSIT) are comparable in diagnostic performance to the more complex ones (FST and OSLT) is unclear. Purpose: To compare the diagnostic accuracy of the four tests. Methods: This is a retrospective study of hypertensive patients who were screened for PA and completed at least one confirmatory test. The patients were divided into two cohorts: one including those who completed one to three tests was used for the estimation of sensitivity and specificity. The other including those who completed four tests was used for the comparison of accuracy. Bayesian method was used to obtain the sensitivity, specificity, and Youden index of each test. Results: The study included 1011 hypertensive patients. Among them, 895 patients completed one to three tests (including 889 CCT, 605 FST, 611 SSIT and 69 OSLT), and 116 patients completed four tests. SSIT had the highest sensitivity of 0.82(95% CI 0.78–0.86) but the lowest specificity of 0.76(0.70–0.80). OSLT had the lowest sensitivity of 0.65(0.56–0.75) but the highest specificity of 0.91(0.82–0.96). The sensitivity and specificity were 0.78 (95% CI, 0.75–0.82), 0.82 (95% CI, 0.78–0.85), for CCT, and 0.77 (95% CI, 0.73–0.81), 0.87 (95% CI, 0.82–0.91) for FST, respectively. The Youden index was not significantly different among the four tests[0.60(0.55–0.65) for CCT; 0.58(0.51–0.64) for SSIT; (0.64(0.57–0.69) for FST; 0.56(0.43–0.67) for OSLT]. Conclusion: The accuracy of simpler tests is comparable to the more complex ones. Considering the safety and simplicity of CCT, it may be a reasonable first choice when confirming the diagnosis of PA.

Metal-semiconductor-metal (MSM)-structured GaAs-based nanowire photodetectors have been widely reported because they are promising as an alternative for high-performance devices. Owing to the Schottky built-in electric fields in the MSM structure photodetectors, enhancements in photoresponsivity can be realized. Thus, strengthening the built-in electric field is an efficacious way to make the detection capability better. In this study, we fabricate a single GaAs nanowire MSM photodetector with superior performance by doping-adjusting the Fermi level to strengthen the built-in electric field. An outstanding responsivity of 1175 A/W is obtained. This is two orders of magnitude better than the responsivity of the undoped sample. Scanning photocurrent mappings and simulations are performed to confirm that the enhancement in responsivity is because of the increase in the hole Schottky built-in electric field, which can separate and collect the photogenerated carriers more effectively. The eloquent evidence clearly proves that doping-adjusting the Fermi level has great potential applications in high-performance GaAs nanowire photodetectors and other functional photodetectors.

Single-photon detectors that can resolve photon number play a key role in advanced quantum information technologies. Despite significant progress in improving conventional photon-counting detectors and developing novel device concepts, single-photon detectors that are capable of distinguishing incident photon number at room temperature are still very limited. We demonstrate a room-temperature photon-number-resolving detector by integrating a field-effect transistor configuration with core/shell-like nanowires. The shell serves as a photosensitive gate, shielding negative back-gated voltage, and leads to a persistent photocurrent. At room temperature, our detector is demonstrated to identify 1, 2, and 3 photon-number states with a confidence of >82%. The detection efficiency is determined to be 23%, and the dark count rate is 1.87 × 10–3Hz. Importantly, benefiting from the anisotropic nature of 1D nanowires, the detector shows an intrinsic photon-polarization selection, which distinguishes itself from existing intensity single-photon detectors. The unique performance for the single-photon detectors based on single nanowire demonstrates the great potential for future single-photon detection applications.

The ability to use infrared imaging systems with multicolor capabilities, high photoresponsivity and polarization sensitivity, is central to practical photodetectors and has been demonstrated with conventional devices based on Ⅲ-Ⅴ or Ⅱ-Ⅵ semiconductors. However, the photodetectors working at room temperature with high responsivity for polarized infrared light detection remains elusive. Here, we first demonstrate a broadband photodetector using a vertical photogate heterostructure of BP-on-WSe2(black phosphorus-on-tungsten diselenide) in which BP serves as the photogate and WSe2as the conductive channel. Ultrahigh visible and infrared photoresponsivity at room temperature can reach up to ~103A/W and ~5×10−1A/W, respectively, and ultrasensitive visible and infrared specific detectivity is obtained up to ~1014and ~1010Jones respectively at room temperature. Moreover, the high sensitivity to infrared polarization is about 40mA/W with incident light polarized along the horizontal axis (defined as 0° polarization). This performance is due to the strong intrinsic linear dichroism of BP and the device design which can sufficiently collect the photoinduced carriers isotropically, as well as the influence from the orientation of the edge of the BP-on-WSe2overlapped area which is the same for all polarizations. The high responsivity, good sensitive detectivity and highly polarization-sensitive infrared photoresponse suggest that the photodetectors based on photogate structure afford new opportunities for infrared detecting or imaging at room temperature by using two-dimensional materials.

Transition-metal dichalcogenides (TMDs) have demonstrated a wide range of novel photonic, optoelectronic, and correlated electron phenomena for more than a decade. However, the coherent dynamics of their excitons, including possibly long dephasing times and their sensitivity to spatial heterogeneities, are still poorly understood. Here we implement adiabatic plasmonic nanofocused four-wave mixing (FWM) to image the coherent electron dynamics in monolayer WSe2. We observe nanoscale heterogeneities at room temperature with dephasing ranging from T2≲ 5 to T2≳ 60 fs on length scales of 50–100 nm. We further observe a counterintuitive anticorrelation between FWM intensity and T2, with the weakest FWM emission at locations of longest coherence. We interpret this behavior as a nonlocal nano-optical interplay between spatial coherence of the nonlinear polarization and disorder-induced scattering. The results highlight the challenges associated with heterogeneities in TMDs limiting their photophysical properties, yet also the potential of their novel nonlinear optical phenomena.