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These results provide the first evidence that coronary spasm is associated with inflammation of coronary adventitia and PVAT, where F-FDG PET/CT could be useful for disease activity assessment. (Morphological and Functional Change of Coronary Perivascular Adipose Tissue in Vasospastic Angina [ADIPO-VSA Trial]; UMIN000016675).

We propose and demonstrate a pulse compression technique using a hollow fiber with a pressure gradient. This technique improves the spatial and spectral qualities of femtosecond laser pulses spectrally broadened by self-phase modulation, and allows an increase of the pulse energy for pulse compression. Using chirped mirrors for dispersion compensation, we have successfully compressed the pulse to less than 10 fs with an energy as high as 5 mJ.

We demonstrate methods to increase the energy incident on hollow fibers for spectral broadening by self-phase modulation. We used chirped pulses for spectral broadening, lowering the optical intensity to avoid ionization of the gaseous medium. We also used helium as a nonlinear medium and demonstrated the generation of 5.0fs, 5.0mJ pulses at a repetition rate of 1kHz using a pressure gradient hollow-fiber pulse compressor.

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The generation of white-light continuum by femtosecond laser pulses in transparent condensed media is investigated comprehensively with 262-, 393-, and 785-nm pump wavelengths. We find that the ratio of the medium's bandgap energy to the photon energy of the incident wavelength determines the amount of anti-Stokes broadening, independently of the pump wavelength and the medium's bandgap. It is also shown that, although the amount of anti-Stokes broadening is greater for the longer pump wavelength, the shorter pump wavelength is more advantageous for generating shorter-wavelength continua in the UV region. In addition, a self-induced change in polarization of the white-light continuum that is generated is observed in an isotropic material with a cubic crystal structure, such as CaF2 and LiF. After the investigation of polarization, the frequency chirp of the continuum is characterized by the Kerr-gate method with 70-fs temporal and 10-nm wavelength resolution.

Aims To provide multi-national, multi-ethnic data on the clinical characteristics and prognosis of patients with microvascular angina (MVA). Methods and results The Coronary Vasomotor Disorders International Study Group proposed the diagnostic criteria for MVA. We prospectively evaluated the clinical characteristics of patients according to these criteria and their prognosis. The primary endpoint was the composite of major cardiovascular events (MACE), verified by institutional investigators, which included cardiovascular death, non-fatal myocardial infarction, non-fatal stroke, and hospitalization due to heart failure or unstable angina. During the period from 1 July 2015 to 31 December 2018, 686 patients with MVA were registered from 14 institutes in 7 countries from 4 continents. Among them, 64% were female and the main ethnic groups were Caucasians (61%) and Asians (29%). During follow-up of a median of 398 days (IQR 365–744), 78 MACE occurred (6.4% in men vs. 8.6% in women, P = 0.19). Multivariable Cox proportional hazard analysis disclosed that hypertension and previous history of coronary artery disease (CAD), including acute coronary syndrome and stable angina pectoris, were independent predictors of MACE. There was no sex or ethnic difference in prognosis, although women had lower Seattle Angina Questionnaire scores than men (P < 0.05). Conclusions This first international study provides novel evidence that MVA is an important health problem regardless of sex or ethnicity that a diagnosis of MVA portends a substantial risk for MACE associated with hypertension and previous history of CAD, and that women have a lower quality of life than men despite the comparable prognosis.

We have developed an LSI-based amperometric sensor called "Bio-LSI" with 400 measurement points as a platform for electrochemical bio-imaging and multi-point biosensing. The system is comprised of a 10.4 mm × 10.4 mm CMOS sensor chip with 20 × 20 unit cells, an external circuit box, a control unit for data acquisition, and a DC power box. Each unit cell of the chip contains an operational amplifier with a switched-capacitor type I-V converter for in-pixel signal amplification. We successfully realized a wide dynamic range from ±1 pA to ±100 nA with a well-organized circuit design and operating software. In particular, in-pixel signal amplification and an original program to control the signal read-out contribute to the lower detection limit and wide detection range of Bio-LSI. The spacial resolution is 250 μm and the temporal resolution is 18-125 ms/400 points, which depends on the desired current detection range. The coefficient of variance of the current for 400 points is within 5%. We also demonstrated the real-time imaging of a biological molecule using Bio-LSI. The LSI coated with an Os-HRP film was successfully applied to the monitoring of the changes of hydrogen peroxide concentration in a flow. The Os-HRP-coated LSI was spotted with glucose oxidase and used for bioelectrochemical imaging of the glucose oxidase (GOx)-catalyzed oxidation of glucose. Bio-LSI is a promising platform for a wide range of analytical fields, including diagnostics, environmental measurements and basic biochemistry.