Search

We assessed the benefit of combining stress cardiac CT perfusion (CCTP) myocardial blood flow (MBF) with coronary CT angiography (CCTA) using our innovative CCTP software. By combining CCTA and CCTP, one can uniquely identify a flow limiting stenosis (obstructive-lesion + low-MBF) versus MVD (no-obstructive-lesion + low-MBF. We retrospectively evaluated 104 patients with suspected CAD, including 18 with diabetes, who underwent CCTA+CCTP. Whole heart and territorial MBF was assessed using our automated pipeline for CCTP analysis that included beam hardening correction; temporal scan registration; automated segmentation; fast, accurate, robust MBF estimation; and visualization. Stenosis severity was scored using the CCTA coronary-artery-disease-reporting-and-data-system (CAD-RADS), with obstructive stenosis deemed as CAD-RADS>=3. We established a threshold MBF (MBF=199-mL/min-100g) for normal perfusion. In patients with CAD-RADS>=3, 28/37(76%) patients showed ischemia in the corresponding territory. Two patients with obstructive disease had normal perfusion, suggesting collaterals and/or a hemodynamically insignificant stenosis. Among diabetics, 10 of 18 (56%) demonstrated diffuse ischemia consistent with MVD. Among non-diabetics, only 6% had MVD. Sex-specific prevalence of MVD was 21%/24% (M/F). On a per-vessel basis (n=256), MBF showed a significant difference between territories with and without obstructive stenosis (165 +/- 61 mL/min-100g vs. 274 +/- 62 mL/min-100g, p <0.05). A significant and negative rank correlation (rho=-0.53, p<0.05) between territory MBF and CAD-RADS was seen. CCTA in conjunction with a new automated quantitative CCTP approach can augment the interpretation of CAD, enabling the distinction of ischemia due to obstructive lesions and MVD.

Despite recent numerical evidence, one of the fundamental theoretical mysteries of polaritonic chemistry is how and if collective strong coupling can induce local changes of the electronic structure to modify chemical properties. Here we present non-perturbative analytic results for a model system consisting of an ensemble of $N$ harmonic molecules under vibrational strong coupling (VSC) that alters our present understanding of this fundamental question. By applying the cavity Born-Oppenheimer partitioning on the Pauli-Fierz Hamiltonian in dipole approximation, the dressed many-molecule problem can be solved self-consistently and analytically in the dilute limit. We discover that the electronic molecular polarizabilities are modified even in the case of vanishingly small single-molecule couplings. Consequently, this non-perturbative local polarization mechanism persists even in the large-$N$ limit. In contrast, a perturbative calculation of the polarizabilities leads to a qualitatively erroneous scaling behavior with vanishing effects in the large-$N$ limit. Nevertheless, the exact (self-consistent) polarizabilities can be determined from single-molecule strong coupling simulations instead. Our fundamental theoretical observations demonstrate that hitherto existing collective-scaling arguments are insufficient for polaritonic chemistry and they pave the way for refined single- (or few-) molecule strong-coupling ab-initio simulations of chemical systems under collective strong coupling.

Features of pericoronary adipose tissue (PCAT) assessed from coronary computed tomography angiography (CCTA) are associated with inflammation and cardiovascular risk. As PCAT is vascularly connected with coronary vasculature, the presence of iodine is a potential confounding factor on PCAT HU and textures that has not been adequately investigated. Use dynamic cardiac CT perfusion (CCTP) to inform contrast determinants of PCAT assessment. From CCTP, we analyzed HU dynamics of territory-specific PCAT, myocardium, and other adipose depots in patients with coronary artery disease. HU, blood flow, and radiomics were assessed over time. Changes from peak aorta time, Pa, chosen to model the time of CCTA, were obtained. HU in PCAT increased more than in other adipose depots. The estimated blood flow in PCAT was ~23% of that in the contiguous myocardium. Comparing PCAT distal and proximal to a significant stenosis, we found less enhancement and longer time-to-peak distally. Two-second offsets [before, after] Pa resulted in [ 4-HU, 3-HU] differences in PCAT. Due to changes in HU, the apparent PCAT volume reduced ~15% from the first scan (P1) to Pa using a conventional fat window. Comparing radiomic features over time, 78% of features changed >10% relative to P1. CCTP elucidates blood flow in PCAT and enables analysis of PCAT features over time. PCAT assessments (HU, apparent volume, and radiomics) are sensitive to acquisition timing and the presence of obstructive stenosis, which may confound the interpretation of PCAT in CCTA images. Data normalization may be in order., Comment: 13 pages, 8 figures

In this paper, we investigate the strong coupling quantum thermodynamics of the hybrid quantum system far away from equilibrium. The strong coupling hybrid system consists of a cavity and a spin ensemble of the NV centers in diamond under external driving that has been realized experimentally. We apply the renormalization theory of quantum thermodynamics we developed recently to study the transient quantum heat and work in this hybrid system. We find that the dissipation and fluctuation dynamics of the system induce the transient quantum heat current which involve the significant non-Markovian effects. On the other hand, the energy renormalization and the external driving induce the quantum work power. The driving-induced work power also manifests non-Markovian effects due to the feedback of non-Markovian dynamics of the cavity due to its strong coupling with the spin ensemble., Comment: 10 pages, 9 figures

By solving the exact master equation of open quantum systems, we formulate the quantum thermodynamics from weak to strong couplings. The open quantum systems exchange matters, energies and information with their reservoirs through quantum particles tunnelings that are described by the generalized Fano-Anderson Hamiltonians. We find that the exact solution of the reduced density matrix of these systems approaches a Gibbs-type state in the steady-state limit for both the weak and strong system-reservoir coupling strengths. When the couplings become strong, thermodynamic quantities of the system must be renormalized. The renormalization effects are obtained nonperturbatively after exactly traced over all reservoir states through the coherent state path integrals. The renormalized system Hamiltonian is characterized by the renormalized system energy levels and interactions, corresponding to the quantum work done by the system. The renormalized temperature is introduced to characterize the entropy production counting the heat transfer between the system and the reservoir. We further find that only with the renormalized system Hamiltonian and other renormalized thermodynamic quantities, can the exact steady state of the system be expressed as the standard Gibbs state. Consequently, the corresponding exact steady-state particle occupations in the renormalized system energy levels obey the Bose-Einstein and the Fermi-Dirac distributions for bosonic and fermionic systems, respectively. Thus, the conventional statistical mechanics and thermodynamics are thereby rigorously deduced from quantum dynamical evolution., Comment: 24 pages, 7 figures, a huge extension version of arXiv:2010.01828

We develop the strong coupling quantum thermodynamics based on the solution of the exact master equation. We find that both the Hamiltonian and the temperature must be renormalized due to the system-reservoir couplings. With the renormalized Hamiltonian and temperature, the exact steady state of open quantum systems can be expressed as a standard Gibbs state. The exact steady-state particle distributions obey the Bose-Einstein distribution or the Fermi-Dirac distribution only for the renormalized energy and temperature. In this formulation, heat and work are quantum mechanically defined, from which we compute the specific heat and examine the consistency of the theory. Consequently, thermodynamic laws and statistical mechanics emerge naturally and rigorously from quantum evolution of open systems., Comment: 6 pages, 3 figures

Classical thermodynamics is built with the concept of equilibrium states. However, it is less clear how equilibrium thermodynamics emerges through the dynamics that follows the principle of quantum mechanics. In this paper, we develop a theory to study the exact nonequilibrium thermodynamics of quantum systems that is applicable to arbitrary small systems, even for single particle systems, in contact with a reservoir. We generalize the concept of temperature into nonequilibrium regime that depends on the detailed dynamics of quantum states. When we apply the theory to the cavity system and the two-level atomic system interacting with a heat reservoir, the exact nonequilibrium theory unravels unambiguously (1) the emergence of classical thermodynamics from quantum dynamics in the weak system-reservoir coupling regime, without introducing equilibrium hypothesis; (2) the breakdown of classical thermodynamics in the strong coupling regime, which is induced by non-Markovian memory dynamics; and (3) the occurrence of dynamical quantum phase transition characterized by inflationary dynamics associated with a negative nonequilibrium temperature, from which the third law of thermodynamics, allocated in the deep quantum realm, is naturally proved. The corresponding dynamical criticality provides the border separating the classical and quantum thermodynamics. The inflationary dynamics may also provide a simple picture for the origin of big bang and universe inflation., Comment: 26 pages, 6 figures