We sought to compare native T1 mapping to conventional Late gadolinium enhancement (LGE) and T2-STIR techniques in a cohort of consecutive patients undergoing cardiac MRI (CMR).. CMR was performed in 323 patients, 206 males (64%), mean age 54±8 years and in 27 age- and sex- matched healthy controls. At T2-STIR images myocardial hyperintensity suggesting edema was found in 41 patients (27%). LGE images were positive in 206 patients (64%). T1 mapping was abnormal in 171 (49%). In 206 patients (64%) a matching between LGE and native T1 was found. T1 was abnormal in 32 out of 41 (78%) with edema at T2-STIR. Overall, LGE and/or T2-STIR were abnormal in 209 patients, whereas native T1 in 154(52%). Conventional techniques and T1 mapping were concordant in 208 patients (64%). In 39 patients T1 mapping was positive despite negative conventional techniques (12%). T1 mapping was able in conditions with diffuse myocardial damage as cardiac amyloidosis, scleroderma and Fabry disease (additive role in 42%). On contrast, T1 mapping was less effective in cardiac disease with regional distribution of myocardial damage as myocardial infarction, HCM, myocarditis. In conclusion, conventional LGE/T2-STIR and T1 mapping are complementary techniques and should be used together in every CMR examination.

Atopic dermatitis (AD), a T2 inflammatory skin condition, is widely recognized as one of the most prevalent chronic and recurrent skin disorders. One of the most effective therapy for treating moderate-to-severe AD is Dupilumab, a monoclonal antibody that blocks both IL-4 and IL-13 signaling. At the same time, no comprehensive analysis of cytokines profile was made in AD patients undergoing Dupilumab therapy. The primary objective of our research was to examine the levels of main cytokines to better understanding systemic immune response in AD and to identify potential biomarkers of the effectiveness of Dupilumab treatment. AD patients demonstrated significant clinical improvements one year after initializing of Dupilumab therapy. We identified 16 cytokines that showed major difference between Dupilumab-treated patients and patients without Dupilumab therapy. Six cytokines showed correlation with AD severity and the efficacy of Dupilumab therapy. Jointly revealed cytokines could potentially predict the effectiveness of Dupilumab treatment and help to choose the precision target therapy in AD patients as well.

There is an increase towards reducing the weight of structures through the use of aluminium alloys in different industries like aerospace, automotive, etc. This growing interest would lead towards using dissimilar aluminium alloys which would require welding. TIG and friction stir welding are the well-known techniques that are currently suitable for joining dissimilar aluminium alloys. The welding of dissimilar alloys has its own dynamics which impact on the quality of the weld. This then suggests that there should be a process which can be used to improve the dissimilar alloys welds post their production. Friction stir processing is viewed as one of the techniques that could be used to improve the mechanical properties of the material. This paper reports on the status and the advancement of FSW, TIG and FSP technique. It further looks at the variation use of FSP on TIG and FSW welded joints with the purpose of identifying the knowledge gap.

In this paper, the effect of multi-pass friction stir processing on the mechanical properties of AZ91 alloy has been studied. For the numerical investigation, this process has been simulated with the three-dimensional numerical modeling based on the ABAQUS/Explicit. This simulation involves the Johnson-Cook models for defining the material behavior during this intense plastic deformation and investigating the fracture criterion. The tool plunging and stirring phases in the two-pass process has been simulated. To prevent too much distortion of elements during modeling, the Arbitrary Lagrangian-Eulerian technique for automatically re-meshing of distorted elements has been used. The model was calibrated using the experimental results from the previous works. This model can predict the transient temperature distribution and residual stress field during FSP on AZ91. The results show that the maximum temperature in the advancing-side region is more than that in the retreating-side region. In addition, numerical results show that at the end position of the process, the tool during the lift-up leaves the keyhole region in the compressive stress state. The experimental results investigated the effect of multi-pass FSP on the microstructure, microhardness, tensile and creep properties of AZ91 magnesium alloy. The FSP is performed by applying 50% overlapping. The tensile, and creep tests are conducted at several temperatures from 25 to 210 °C. The optical microscopy and scanning electron micrograph (SEM) were used to study the microstructure of the samples after performing multi-pass friction stir processing. The experimental results indicate that on average, the tensile strength, microhardness, and creep strength of the processed samples increased by about 29, 23, and 38 %, respectively compared to the unprocessed ones.

Reproductive abnormalities have been observed in fallow deer populations in Hungary. We supposed mycotoxin contamination to be one of the possible causes because multi-mycotoxin contamination is known to be dangerous even at low toxin levels, especially for young animals. We investigated the spatial pattern of mycotoxin occurrences and the relation of maternal and foetal mycotoxin levels. 72 fallow deer embryos and their mothers were sampled in seven forested regions in Hungary in the 2020/2021 hunting season. We analyzed Aflatoxin (AF), Zearalenone (ZEA), Fumonizin B1 (FB1), DON, T2-toxin concentrations in maternal and foetal liver by ELISA. AF was present in 70% and 82%, ZEA in 41% and 96%, DON in 90% and 98%, T2 in 96% and 85%, FB1 in 84% and 3% of hind and foetus livers, respectively. All mycotoxins passed into the foetus, but Fumonizin B1 only rarely. The individual variability of mycotoxin levels was extremely high, but the spatial differences were moderate. We could not prove a relation between the maternal and foetal mycotoxin concentrations, but we found accumulation of ZEA and DON in the foetuses. These results reflect the possible threats of mycotoxins to the population dynamics and reproduction of wild fallow deer.

Bobbin Tool Friction Stir Welding (BTFSW) is a variant of FSW process using the special two shoulder tool that forms the top and bottom weld surface. As such, a significant simplification of welding setup is achieved. One of the dominant parameters of BTFSW process is the interference between tool shoulder pinch gap and weld metal thickness. In this research, the influence of interference of the square pin tool with convex shoulders on process temperature, microstructure, tensile, impact and bend performance were studied, and appropriate correlations were devised. The base metal was aluminum-magnesium alloy, with the interference varied in the range of 0.1 to 0.5 mm. The worm defects and irregularities were found in all specimens except in specimen welded with 0.4 mm interference. Optimal interference of 0.4 mm resulted in the highest mechanical properties, which, in terms of tensile strength and reduction of area were similar to the base metal. Furthermore, impact strength was significantly higher, which was attributed to grain refinement effect in the nugget zone.

Friction stir alloying (FSA) of commercially pure Cu with Ni, Zn, and Mg is implemented in the current study. The successfully fabricated alloy structure has been scrutinized in terms of mechanical and micro-structural standpoints. Energy-dispersive X-ray spectroscopy revealed a uniform distribution of alloying elements and coalescence at the atomic level. The compositional and grain size heterogeneity is managed in the stir zone, which pave way for microstructural control using FSA. Thus, the present study carries significance for the development of novel materials whose fabrication requires temperature far below the melting point of base metals. Ultra-refinement of grains is found to accompany the alloying process, with ~ 440 nm being the smallest grain size. Maximum and average micro-hardness enhancement of 18.4 % and 6 % is observed for the fabricated alloy. Tensile properties have also been investigated and co-related with the micro-structural morphology. The shift towards grain bimodality has also been reported, which is a highly sought property in the present day, especially to overcome the strength-ductility trade-off.

Intrusion detection is generally carried out by matching network traffic patterns with known attack patterns or by identifying abnormal network traffic patterns. One statistical methodological approach used in intrusion detection is Statistical Process Control (SPC) by constructing a control chart. Hotelling’s T2 control chart is a multivariate control chart commonly used to monitor the mean process. The performance of the T2 chart in monitoring mean shifts can be increased if a robust estimator is utilized. Based on previous research, T2 based on the Fast-MCD estimator has good performance in monitoring low to medium outlier contaminated data. Therefore, the MRCD estimator can be used to detect intrusion. On the other hand, this research focuses on developing a bootstrap-based robust Hotelling’s T2 charts with Fast-MCD and MRCD estimators for evaluating performance in detecting intrusion on intrusion detection datasets. Based application of UNSW-NB15, the proposed chart has better performance than the conventional T2 and Fast-MCD-based T2 despite the longer execution time.

Purpose: ETV is indicated for treating obstructions of major CSF pathways. The outcome evaluation often yields success rates of only +- 70% for shunt independency. Hence, compromised CSF absorption seems to occur more often than expected. We searched for parameters suitable to assess the involved CSF dynamics. Material and Methods: This was a prospective study in 58 paediatric patients (7.7 yrs. mean age) between 2000 and 2020 with aqueductal stenosis (11/58), obstruction of the aqueduct due to tumor growth (22/58),and connatal hydrocephalus (9/58). The average follow-up interval was 4.7 years. Head circumferences, Evans- and fronto-occipital horn ratios before and 3 months after ETV were obtained as Delta-indices. Furthermore ETV success score (ETVSS), the patency of the aqueduct pre- and postoperatively as well as of the stoma were assessed by flow void signs on MRI. Evaluation on MRI also included the shape of the floor of the 3^rd ventricle and whether or not the septum pellucidum showed signs of perforation. Four patients were analysed pre- and postoperatively via real-time MRI. At least the educational status regarding protected or unprotected education was analyzed. Results:The prevalence of a bowing of the floor of the 3^rd ventricle was 72%, and the ETVSS was 71.0%. In 26 children a septal perforations or an open aqueduct prior to ETV (19) could be identified. Mean ER and FOHR were reduced by 0.03 and 0.05 , respectively. Maintained open (flow void on postop MRI) or perforation could successfully be carried out during endoscopic surgery in 44 patients (79%). The disproportionate increase of head circumference abated in 79.4% of patients. New shunt insertion occurred in 16 patients (27.5%). Intraoperatively upward CSF flow was detected in all cases. Statistical analyses(ANOVA) showed significant results for unprotected education, postoperative ER and FOHR but not for open stoma. Conclusion: The identification of flow through the stoma on postoperative MRI seems to be a necessary but not sufficient condition for ETV success. In our study, ventricular volumes were used as parameters to determine success rates as well as unprotected education. Furthermore, enabling upward CSF flow driven by inspiration seems crucial for successful ETV.

In this paper, the effect of preheating on the mechanical properties and micro structure of similar friction stir welded AA6061 aluminum alloys sheets was investigated. Aluminum alloy 6061 sheets with a thickness of 5 mm and threaded cylindrical pins were used. Rotation and traverse speeds were 1200 rpm and 75 mm/min, respectively. The results of tensile tests performed on the welded samples showed that compared to the non-preheated samples, preheating had increased the strength and elongation of the joints by 58% and 46%, respectively. In the present study, during the welding process preheating cause emerged heat with lower slope from stir zone. This phenomenon may result in Increase the deformation resistance of material and consequently decrease of grain size. This grain refinement can improve the mechanical properties of welds. Accordingly, hardness and strength of the material will be increased.

Aluminum alloy Al 2024-T3 were successfully joined using friction stir spot jwelding joining (FSSW). Satisfactory joint strengths were obtained at different welding parameters (tool rotational speed, tool plunge depth, dwell time) and tool pin profile (straight cylindrical, triangular and tapered cylindrical). Resulting joints were welded with welded zone. The different tools significantly influenced the evolution on the stir zone in the welds. Lap-shear tests were carried out to find the weld strength. Weld cross section appearance observations were also done. The macrostructure shows that the welding parameters have a determinant effect on the weld strength (x: the nugget thickness, y: the thickness of the upper sheet and SZ: stir zone). The main fracture mode was pull out fracture modes in the tensile shear test of joints. The results of tensile shear tests showed that the tensile-shear load increased with increasing rotational speed in the shoulder penetration depth of 0.2 mm. Failure joints were obrerved in the weld high shoulder penetration depth and insufficient tool rotation.

Structural evolution, mechanical and tribological properties of Al-Mg alloy admixed with 5, 10 and 15 vol.% of iron powder using multi-pass friction stir processing (FSP) have been studied. Homogeneous distribution of intermetallic compound (IMC) particles were achieved after 4 FSP passes what resulted in increasing the stir zone hardness and ultimate tensile stress with simultaneous loss in the ductility. The reinforcement of the aluminum alloy matrix with IMCs allowed reducing wear at the same magnitude of friction. Subsurface composite tribological layer was formed on the FSPed samples as a result of rubbing against a steel counterbody.

Fat and oils plays one of the major roles in Sri Lankan modern unhealthy diet. The study was guided to collect, analyze, and interpret data about the awareness of general community on edible fat and oil products available in the market and their knowledge about healthy ways of usage. A total of 250 purchasing women were surveyed with a welldeveloped questionnaire. Results revealed that, Coconut oil (71%) is the leading supermarket oil product purchased and consumption of animal fats and oil are very limited (<3%) in Kandy. Educational level affects significantly (P<0.05) on purchasing behavior. Regardless of educational level and working status, price (73%) will be the most significant factor look at during purchasing edible oils. Total of 57% of purchasing women use the same oil for both deep frying and stir frying. Besides, 43% of women keep two different types. From all respondents, 83% use oil more than one time after first cooking. Working women prefer internet and facebook (38%) as the major food related information searching resource, while newspapers (35%) are among non-working women. All in all, lowering the price of healthy fat and community awareness programs will encourage healthy fat and oil purchasing behavior in Sri Lanka.

Welding of dissimilar aluminium alloys has been a challenge for a long period until the discovery of the solid state welding technique called friction stir welding (FSW). The discovery of this technique encouraged different research interests revolving around the optimization of this technique. This involves the welding parameters optimization and this optimization is categorized into two classes i.e. similar alloys and dissimilar alloys. This paper reports about the mechanical properties of the friction stir welded dissimilar AA1050-H14 and AA5083-H111 joint. The main focus is to compare the mechanical properties of specimens extracted from different locations of the welds i.e. the beginning, middle and the end of the weld. The specimen extracted at the beginning of the weld showed low tensile properties compared to specimens extracted from different locations of the weld. There was no certain trend noted through the bending results. All three specimens showed dimpled fracture which is the characterization of the ductile fracture.

Among all the processing technologies of heat-treatable aluminum alloys like 2219 aluminum alloy, using friction stir welding (FSW) as the joining technology and using electromagnetic forming (EMF) for plastic forming technology both have obvious advantages and successful applications. Therefore, there is a broad prospect for the compound technologies which can be used on the 2219 aluminum alloy to manufacture the large-scale thin-wall parts in the astronautic industry. The microstructure and mechanical properties of 2219 aluminum alloy under the process compounded of FSW, heat treatment, and EMF were investigated by means of tensile test, optical microscope (OM), and scanning electron microscope (SEM). The results show that the reduction of strength, which was caused during the FSW process, can be recovered effectively by the post-welding heat treatment composed of solid solution and aging, while the ductility was still reduced after heat treatment. Under the compound technology of FSW, heat treatment, and EMF, the forming limit of 2219 aluminum alloy decreased distinctly due to the poor ductility of the welding joint. A ribbon-pattern, which was formed due to the banded structure caused by FSW process, was found on the fracture surface of welded 2219 aluminum alloy after EMF treatment. During the EMF process, because of the effects of induced eddy current, a unique structure, which was manifested as a molted-surface appearance under the SEM observation, was formed as the material fractured.

The article describes machine learning using artificial neural networks (ANN) to develop the parameters of the friction stir welding (FSW) process for three types of aluminum joints (EN AW 7075). A total of 608 experimental data were used to build the ANN. Two types of networks were built: the first one was used to classify good/bad connections with the MLP 7-19-2 topology, the second one was used to regress the tensile load-bearing capacity with the MLP 7-19-1 topology. Selected parameters of the FSW process were used as input data for ANN training: rotational speed, welding speed, joint and tool geometry. Based on a case study, the quality of the FSW joint was assessed in terms of microstructure and mechanical properties. The usefulness of both trained neural networks has been demonstrated. For the regression network, the quality of the validation set was approximately 93.6%. In the case of confusion matrix for the test set, errors never exceeded 6%. Only 184 epochs were needed to train the regression network. The quality of the validation set was approximately 87.1%. On their basis, predictive maps were developed and presented in the work allowing for the selection of optimal parameters of the FSW process for three types of joints.

The aim of this work is to assess the influence of Friction Stir Welding (FSW), process parameters, optimized tool traveling speed, and corrosion resistance of the 0.95 Mg-Al-alloy and pure copper weldment. Samples of aluminum-copper with and without deformation were characterized to investigate the metallurgical effects created during the welding deformation process. Effect of process parameters on microstructure and corrosion rate have been investigated for all the samples. All the electrochemical and polarization tests were done in 3.5 wt.% NaCl solution. Scanning Kelvin Probe (SKP) was done to detect the localized corrosion on the surface. Optical micrography observation indicated that the primary α-Al phase, which was formed during solidification can effectively limit the growth of Cu₉Al₄ phase. Finer acicular α-Al precipitates were observed in CuAl matrix during joining process that tends to coarser with the increase in tools travel speed. The electrochemical and polarization results showed that among all the tool travelling speed the specimen joined at tool travelling speed of 40 mm/min shows the best non-corrosive property.

The research paper investigates the synthesis of metal matrix composites (MMCs) through the amalgamation of aluminum and silicon carbide particles, employing a two-step mixing methodology called the stir casting method. Metal matrix composites are materials that enhance the capabilities of a metallic matrix by incorporating another material. This leads to better characteristics such as tensile and shear moduli, fatigue and fracture properties, thermal expansion coefficient, and more. Aluminum-matrix composites are a class of materials that possess distinct characteristics that may be modified by altering factors such as the type of reinforcing material, the amount of reinforcement, and the fabrication technique employed to produce the composite. The concept aims to combine the desirable properties of metals and ceramics by incorporating durable refractory particles into a malleable metal structure. The fabrication process employs the stir casting technique, where reinforcing phases are mechanically stirred into a molten matrix to create cast composites with reinforcement volume percentages of up to 30%. The study utilizes Response Surface Methodology to enhance the mechanical properties of the composites through the optimization of manufacturing parameters, including stirring temperature, time, and speed. The study entails analyzing the correlation between different casting conditions and the resulting changes in hardness and tensile strength.

Keywords: friction stir processing; additive manufacturing; wire; titanium alloy; material transfer; microstructure; microhardness

The present decade has witnessed numerous investigations focussed on the determination of the mechanical properties of Fly ash composites. These composites have attracted attention, especially in the form of reinforcements owing to their excellent tensile and compressive properties coupled with impact and hardness response. A number of techniques viz. in-situ deposition, hand-up lay and compo-casting techniques have been reported to fabricate these composites. However, in the context of these composites, a systematic structure-property correlation has not been established till date. The present review is aimed at highlighting the current state of research in the avenue of Fly ash composites from two different viewpoints, viz. (i) fabrication technique and (ii) mechanical properties of the fabricated composites. Moreover, the necessity of establishing systematic structure-property correlation in these materials has also been briefly discussed from the author’s viewpoint.

Employing numerical methods to simulate manufacturing processes and study their influential factors is increasing. The development of computers and engineering software has increased the ability and accuracy of numerical methods in simulating various aspects of different processes. One of the manufacturing processes that has been considered by many industries in recent years to join metals in solid-state with unique properties is called friction stir welding. It is challenging and, in some cases, impossible to experimentally study the various aspects of this process, such as temperature distribution, stress distribution, and material flow, due to severe plastic deformation in the weld zone. In this case, numerical methods are used to investigate these parameters and better understand the process. This study first investigates various numerical methods researchers use to simulate the process. The ability, pros, and cons of these methods to simulate the process are also examined. Then, the applications of numerical models in simulating the temperature distribution during the process as well as the effects of input parameters on the temperature history of the process, are deeply considered. Next, the application of numerical methods in material flow modeling during the process is investigated. Finally, the modeling of the microstructure of the welding zone is investigated using numerical methods that help significantly in predicting the weld microstructure.

There always exist steel cuttings, holes and cracks at the interfaces in the explosive composite plate. Multi-pass friction stir processing (M-FSP) is proposed in this research to optimize the interface microstructure and the interface connection for 1060Al/Q235 explosive composite plate. Results show that the microstructures of 1060Al after M-FSP are fine and uniform owing to the strong stirring effect and recrystallization. Micro-defects formed by the explosive welding can be repaired by the M-FSP. However, M-FSP can also form tunnel defects in the aluminum, especially when the passes are one and two. The melting block and the melting lump in the composite plates are easy to become source of crack. The shear strengths and the bending properties for the 1060Al/Q235 explosive composite plate after M-FSP are the best when the passes are three, with the tool rotation speed of 1200rpm and the forward speed of 60mm/min. The optimized interfaces for the explosive composite plate after M-FSP are mainly by the metallurgical bondings, with a certain thickness and are discontinuous. Therefore, the crack extension stress is the largest and the mechanical properties are the best.

While Spinal Cord Stimulation (SCS) provides satisfaction to almost 2/3 of Persistent Spinal Pain Syndrome-Type 2 (PSPS-T2) patients implanted for refractory chronic back and/or leg pain when not adequately addressed the back pain component, leaves patients in a therapeutic cul-de-sac. Peripheral Nerve field Stimulation (PNfS) has shown interesting results addressing back pain in the same population. Far from placing these two techniques in opposition, we suggest that these approaches could be combined to better treat PSPS-T2 patients. We designed a RCT (CUMPNS), with a 12-month follow-up, to assess the potential added value of PNfS, as a salvage therapy, in PSPS-T2 patients experiencing a “Failed SCS Syndrome” in the back pain component. Fourteen patients were included in this study and randomized into 2 groups (“SCS + PNfS” group/n=6 vs “SCS only” group/n=8). The primary objective of the study was to compare the percentage of back pain surface decrease after 3 months, using a computerized interface to obtain quantitative pain mappings, combined with multi-dimensional SCS outcomes. Back pain surface decreased significantly greater for the ”SCS+PNfS” group (80.2% ± 21.3%) compared to the “SCS only” group (13.2% ± 94.8%) (p=0.012), highlighting the clinical interest of SCS+PNfS, in cases where SCS fails to address back pain.

Friction stir welding (FSW) is a solid state welding process for joining metallic alloys and dissimilar metals. It has emerged as an alternative technology for welding high strength alloys that are difficult to join with conventional techniques. FSW is used to produce products with better mechanical properties. Now a days aluminum alloys have been widely used in several industrial applications such as aerospace, marine, automobile and commercial applications due to their light weight structure, better mechanical properties and high corrosion resistance.In this work, three welding parameters such as spindle speed, welding speed and plunge depth were considered for friction stir welding. FSW was carried out between dissimilar aluminum alloy plates (AA6061 and AA 8011) to produce butt joint.A Box-Behnken design with three factors and three levels was chosen to minimize the number of experimental conditions .The tensile strength and hardness of the welded regions were evaluated. The optimum level settings and the major parameters that influence the joint strength were obtained by Box-Behnken design.

In response to a threefold increase in osteoporotic vertebral fractures (OVF) at our institution over the past decade and the subsequent development of new fractures within a year in a third of cases, we evaluated the effectiveness of STIR MRI scans in conjunction with CT scans for initial OVF diagnosis. This study, conducted over five months, involved full spine sagittal STIR MRI scans alongside CT scans for patients over 50 with minor injury-related vertebral fractures. The independent assessments by radiologists and neurosurgeons of 64 patients revealed that while CT scans identified 161 fresh fractures, of which only 68 were previously reported, MRI detected 266 fractures, 1.65 times more than CT. CT scans showed single fractures in 27% of patients and multiple fractures in 73%, whereas MRI identified single fractures in 9% and multiple fractures in 91% of patients. Additionally, MRI demonstrated a 1.5-fold increase in adjacent fracture detection. The use of MRI influenced treatment plans in 67% of cases. Given these findings, we advocate for including a STIR MRI of the entire spine alongside CT scans in OVF cases, as it significantly enhances fracture detection and can alter treatment strategies.

Immunostaining of transcription factors allows a more exact classification of pituitary neuroendocrine tumours (PitNETs), but not a better prediction of their clinical behaviour. This retrospective, single-centre study aims to classify a series of PitNETs using Trouillas et al.’s clinicopathological classification from 2013. We analysed 166 patients undergoing PitNET surgery in 2013–2023. Tumours were identified according to the gene and immunohistochemical expression of PitNET transcription factors plus adenohypophyseal hormones. Tumours were classified according to a grading system based on MRI invasion and Ki-67 index. Eighty-one (48.8%) patients had grade 2a tumours; 71 (42.8%), grade 1a; 8 (4.8%), 2b; and 6 (3.6%), 1b. At a mean follow-up of 57.8 (standard deviation 30) months, 13.9% (n=23) showed recurrence/progression; independent predictors of recurrence were tumour volume (p=0.031) and T2 signal intensity ratio (SIR) (p&lt;0.001). This risk was 18.6-fold higher for a T2 SIR of 2 or more. Grade 2a and 2b tumours, T2 SIR, and silent corticotroph adenomas (SCAs) were associated with lower progression-free survival. Our results add more evidence to the prognostic value of the five-grade PitNET classification and suggest higher clinical surveillance of patients with SCAs is warranted. The MRI findings highlight the increasing value of radiological evaluation for managing PitNETs.

Thyroid hormones, their metabolites and synthetic analogues are potential anti-steatotic drug candidates considering that subclinical and manifest hypothyroidism is associated with hepatic lipid accumulation, non-alcoholic fatty liver disease, and its pandemic sequelae. Thyromimetically active compounds stimulate hepatic lipogenesis, fatty acid beta-oxidation, cholesterol metabolism and metabolic pathways of glucose homeostasis. Many of these effects are mediated by T3 receptor β1-dependent modulation of transcription. However, rapid non-canonical mitochondrial effects have also been reported, especially for the metabolite 3,5-diiodothyronine (3,5-T2), which does not elicit the full spectrum of “thyromimetic” actions inherent to T3. Most preclinical studies in rodent models of obesity and first human clinical trials are promising with respect to the antisteatotic hepatic effects, but potent agents exhibit unwanted thyromimetic effects on the heart and/or suppress feedback regulation of the hypothalamus-pituitary-thyroid-periphery axis and the fine-tuned thyroid hormone system. This review focusses on 3,5-T2 effects on hepatic lipid and glucose metabolism and (non-)canonical mechanisms of action including its mitochondrial targets. Various high fat diet animal models with distinct thyroid hormone status indicate species- and dose-dependent efficiency of 3,5-T2 and its synthetic analogue TRC150094. No convincing evidence has been presented for their clinical use in prevention or treatment of obesity and related metabolic conditions.