Nanostructured and architectured copper niobium composite wires are excellent candidates for the generation of intense pulsed magnetic fields (> 90T) as they combine both high electrical conductivity ...and high strength. Multi-scaled Cu-Nb wires can be fabricated by accumulative drawing and bundling (a severe plastic deformation technique), leading to a multiscale, architectured and nanostructured microstructure providing a unique set of properties. This work presents a comprehensive multiscale study to predict the anisotropic effective electrical conductivity based on material nanostructure and architecture. Two homogenization methods are applied: a mean-field theory and a full-field approach. The size effect associated with the microstructure refinement is taken into account in the definition of the conductivity of each component in the composites. The multiscale character of the material is then accounted for through an iterative process. Both methods show excellent agreement with each other. The results are further compared, for the first time, with experimental data obtained by the four-point probe technique, and also show excellent agreement. Finally, the qualitative and quantitative understanding provided by these models demonstrates that the microstructure of Cu-Nb wires has a significant effect on the electrical conductivity.
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Nanostructured and architectured copper niobium composite wires are excellent candidates for the generation of intense pulsed magnetic fields (∼100T) as they combine both high strength and high ...electrical conductivity. Multi-scaled Cu-Nb wires are fabricated by accumulative drawing and bundling (a severe plastic deformation technique), leading to a multiscale, architectured, and nanostructured microstructure exhibiting a strong fiber crystallographic texture and elongated grain shape along the wire axis. This paper presents a comprehensive study of the effective elasto-plastic behavior of this composite material by using two different approaches to model the microstructural features: full-field finite elements and mean-field modeling. As the material exhibits several characteristic scales, an original hierarchical strategy is proposed based on iterative scale transition steps from the nanometric grain scale to the millimetric macro-scale. The best modeling strategy is selected to estimate reliably the effective elasto-plastic behavior of Cu-Nb wires with minimum computational time. Finally, for the first time, the models are confronted to tensile tests and in-situ neutron diffraction experimental data with a good agreement.
•A hierarchical homogenization strategy is proposed to describe the elastoplastic behavior of architectured and nanostructured Cu-Nb.•The mean field effective model is identified by means of full field finite element simulations.•The model accounts for the double - fiber texture in Copper and the fiber texture in Niobium.•Elastic strains were measured in the individual copper and niobium texture components by neutron diffraction during in situ tensile testing.•Experiments and theory show consistently that plastic activity occurs in oriented grains at a higher applied macroscopic stress than in grains in tensile loading along the wire direction.
To evaluate a large cohort of patients at high risk for lung cancer by using screening with low-dose spiral computed tomography (CT) of the chest.
A prospective cohort study was performed with 1,520 ...individuals aged 50 years or older who had smoked 20 pack-years or more. Participants underwent three annual low-dose CT examinations of the chest and upper abdomen. Characteristics of pulmonary nodules and additional findings were tabulated and analyzed.
Two years after baseline CT scanning, 2,832 uncalcified pulmonary nodules were identified in 1,049 participants (69%). Forty cases of lung cancer were diagnosed: 26 at baseline (prevalence) CT examinations and 10 at subsequent annual (incidence) CT examinations. CT alone depicted 36 cases; sputum cytologic examination alone, two. There were two interval cancers. Cell types were as follows: squamous cell tumor, seven; adenocarcinoma or bronchioloalveolar carcinoma, 24; large cell tumor, two; non-small cell tumor, three; small cell tumor, four. The mean size of the non-small cell cancers detected at CT was 15.0 mm. The stages were as follows: IA, 22; IB, three; IIA, four; IIB, one; IIIA, five; IV, one; limited small cell tumor, four. Twenty-one (60%) of the 35 non-small cell cancers detected at CT were stage IA at diagnosis. Six hundred ninety-six additional findings of clinical importance were identified.
CT can depict early-stage lung cancers. The rate of benign nodule detection is high.
Neoadjuvant systemic therapy (NST) is increasingly used in the treatment of breast cancer, yet it is clear that there is significant geographical variation in its use in the UK. This study aimed to ...examine stated practice across UK breast units, in terms of indications for use, radiological monitoring, pathological reporting of treatment response, and post-treatment surgical management.
Multidisciplinary teams (MDTs) from all UK breast units were invited to participate in the NeST study. A detailed questionnaire assessing current stated practice was distributed to all participating units in December 2017 and data collated securely usingREDCap. Descriptive statistics were calculated for each questionnaire item.
Thirty-nine MDTs from a diverse range of hospitals responded. All MDTs routinely offered neoadjuvant chemotherapy (NACT) to a median of 10% (range 5-60%) of patients. Neoadjuvant endocrine therapy (NET) was offered to a median of 4% (range 0-25%) of patients by 66% of MDTs. The principal indication given for use of neoadjuvant therapy was for surgical downstaging. There was no consensus on methods of radiological monitoring of response, and a wide variety of pathological reporting systems were used to assess tumour response. Twenty-five percent of centres reported resecting the original tumour footprint, irrespective of clinical/radiological response. Radiologically negative axillae at diagnosis routinely had post-NACT or post-NET sentinel lymph node biopsy (SLNB) in 73.0 and 84% of centres respectively, whereas 16% performed SLNB pre-NACT. Positive axillae at diagnosis would receive axillary node clearance at 60% of centres, regardless of response to NACT.
There is wide variation in the stated use of neoadjuvant systemic therapy across the UK, with general low usage of NET. Surgical downstaging remains the most common indication of the use of NAC, although not all centres leverage the benefits of NAC for de-escalating surgery to the breast and/or axilla. There is a need for agreed multidisciplinary guidance for optimising selection and management of patients for NST. These findings will be corroborated in phase II of the NeST study which is a national collaborative prospective audit of NST utilisation and clinical outcomes.
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