The Tibetan plateau, like any landmass, emits energy into the atmosphere in the form of dry heat and water vapour, but its mean surface elevation is more than 5 km above sea level. This elevation is widely held to cause the plateau to serve as a heat source that drives the South Asian summer monsoon, potentially coupling uplift of the plateau to climate changes on geologic timescales. Observations of the present climate, however, do not clearly establish the Tibetan plateau as the dominant thermal forcing in the region: peak upper-tropospheric temperatures during boreal summer are located over continental India, south of the plateau. Here we show that, although Tibetan plateau heating locally enhances rainfall along its southern edge in an atmospheric model, the large-scale South Asian summer monsoon circulation is otherwise unaffected by removal of the plateau, provided that the narrow orography of the Himalayas and adjacent mountain ranges is preserved. Additional observational and model results suggest that these mountains produce a strong monsoon by insulating warm, moist air over continental India from the cold and dry extratropics. These results call for both a reinterpretation of how South Asian climate may have responded to orographic uplift, and a re-evaluation of how this climate may respond to modified land surface and radiative forcings in coming decades.

Dominant control of the South Asian monsoon by orographic insulation versus plateau heating

The Himalayan-Tibetan orogen culminated during the Cenozoic India – Asia collision, but its geological framework and initial growth were fundamentally the result of multiple, previous ocean closure and intercontinental suturing events. As such, the Himalayan-Tibetan orogen provides an ideal laboratory to investigate geological signatures of the suturing process in general, and how the Earth9s highest and largest orogenic feature formed in specific. This paper synthesizes the Triassic through Cenozoic geology of the central Himalayan-Tibetan orogen and presents our tectonic interpretations in a time series of schematic lithosphere-scale cross-sections and paleogeographic maps. We suggest that north-dipping subducting slabs beneath Asian continental terranes associated with closure of the Paleo-, Meso-, and Neo-Tethys oceans experienced phases of southward trench retreat prior to intercontinental suturing. These trench retreat events created ophiolites in forearc extensional settings and/or a backarc oceanic basins between rifted segments of upper-plate continental margin arcs. This process may have occurred at least three times along the southern Asian margin during northward subduction of Neo-Tethys oceanic lithosphere: from ∼174 to 156 Ma; 132 to 120 Ma; and 90 to 70 Ma. At most other times, the Tibetan terranes underwent Cordilleran-style or collisional contractional deformation. Geological records indicate that most of northern and central Tibet (the Hoh-Xil and Qiangtang terranes, respectively) were uplifted above sea level by Jurassic time, and southern Tibet (the Lhasa terrane) north of its forearc region has been above sea level since ∼100 Ma. Stratigraphic evidence indicates that the northern Himalayan margin of India collided with an Asian-affinity subduction complex – forearc – arc system beginning at ∼60 Ma. Both the Himalaya (composed of Indian crust) and Tibet show continuous geological records of orogenesis since ∼60 Ma. As no evidence exists in the rock record for a younger suture, the simplest interpretation of the geology is that India – Asia collision initiated at ∼60 Ma. Plate circuit, paleomagnetic, and structural reconstructions, however, suggest that the southern margin of Asia was too far north of India to have collided with it at that time. Seismic tomographic images are also suggestive of a second, more southerly Neo-Tethyan oceanic slab in the lower mantle where the northernmost margin of India may have been located at ∼60 Ma. The geology of Tibet and the India – Asia suture zone permits an alternative collision scenario in which the continental margin arc along southern Asia (the Gangdese arc) was split by extension beginning at ∼90 Ma, and along with its forearc to the south (the Xigaze forearc), rifted southward and opened a backarc ocean basin. The rifted arc collided with India at ∼60 Ma whereas the hypothetical backarc ocean basin may not have been consumed until ∼45 Ma. A compilation of igneous age data from Tibet shows that the most recent phase of Gangdese arc magmatism in the southern Lhasa terrane initiated at ∼70 Ma, peaked at ∼51 Ma, and terminated at ∼38 Ma. Cenozoic potassic-adakitic magmatism initiated at ∼45 Ma within a ∼200-km-wide elliptical area within the northern Qiangtang terrane, after which it swept westward and southward with time across central Tibet until ∼26 Ma. At 26 to 23 Ma, potassic-adakitic magmatism swept southward across the Lhasa terrane, a narrow (∼20 km width), orogen-parallel basin developed at low elevation along the axis of the India – Asia suture zone (the Kailas basin), and Greater Himalayan Sequence rocks began extruding southward between the South Tibetan Detachment and Main Central Thrust. The Kailas basin was then uplifted to >4 km elevation by ∼20 Ma, after which parts of the India – Asia suture zone and Gangdese arc experienced >6 km of exhumation (between ∼20 and 16 Ma). Between ∼16 and 12 Ma, slip along the South Tibetan Detachment terminated and east-west extension initiated in the northern Himalaya and Tibet. Potassic-adakitic magmatism in the Lhasa terrane shows a northward younging trend in the age of its termination, beginning at 20 to 18 Ma until volcanism ended at 8 Ma. We interpret the post-45 Ma geological evolution in the context of the subduction dynamics of Indian continental lithosphere and its interplay with delamination of Asian mantle lithosphere.

Mesozoic─Cenozoic geological evolution of the Himalayan-Tibetan orogen and working tectonic hypotheses

Understanding how alpine biotas formed in response to historical environmental change may improve our ability to predict and mitigate the threats to alpine species posed by global warming. In the world's richest temperate alpine ﬂora, that of the Tibet-Himalaya-Hengduan region, phylogenetic reconstructions of biome and geographic range evolution show that extant lineages emerged by the early Oligocene and diversiﬁed ﬁrst in the Hengduan Mountains. By the early to middle Miocene, accelerated diversiﬁcation and colonization of adjacent regions were likely driven jointly by mountain building and intensiﬁcation of the Asian monsoon. The alpine ﬂora of the Hengduan Mountains has continuously existed far longer than any other alpine flora on Earth and illustrates how modern biotas have been shaped by past geological and climatic events.

Ancient orogenic and monsoon-driven assembly of the world’s richest temperate alpine flora

The East Asian monsoon plays an integral role in human society, yet its geological history and controlling processes are poorly understood. Using a general circulation model and geological data, we explore the drivers controlling the evolution of the monsoon system over the past 150 million years. In contrast to previous work, we find that the monsoon is controlled primarily by changes in paleogeography, with little influence from atmospheric CO2. We associate increased precipitation since the Late Cretaceous with the gradual uplift of the Himalayan-Tibetan region, transitioning from an ITCZ-dominated monsoon to a sea breeze–dominated monsoon. The rising region acted as a mechanical barrier to cold and dry continental air advecting into the region, leading to increasing influence of moist air from the Indian Ocean/South China Sea. We show that, apart from a dry period in the middle Cretaceous, a monsoon system has existed in East Asia since at least the Early Cretaceous.

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Past East Asian monsoon evolution controlled by paleogeography, not CO2

The Miocene epoch (23.03–5.33 Ma) was a time interval of global warmth, relative to today. Continental configurations and mountain topography transitioned towards modern conditions, and many flora and fauna evolved into the same taxa that exist today. Miocene climate was dynamic: long periods of early and late glaciation bracketed a ∼2 Myr greenhouse interval – the Miocene Climatic Optimum (MCO). Floras, faunas, ice sheets, precipitation, pCO2, and ocean and atmospheric circulation mostly (but not ubiquitously) covaried with these large changes in climate. With higher temperatures and moderately higher pCO2 (∼400–600 ppm), the MCO has been suggested as a particularly appropriate analogue for future climate scenarios, and for assessing the predictive accuracy of numerical climate models – the same models that are used to simulate future climate. Yet, Miocene conditions have proved difficult to reconcile with models. This implies either missing positive feedbacks in the models, a lack of knowledge of past climate forcings, or the need for re‐interpretation of proxies, which might mitigate the model‐data discrepancy. Our understanding of Miocene climatic, biogeochemical, and oceanic changes on broad spatial and temporal scales is still developing. New records documenting the physical, chemical, and biotic aspects of the Earth system are emerging, and together provide a more comprehensive understanding of this important time interval. Here we review the state‐of‐the‐art in Miocene climate, ocean circulation, biogeochemical cycling, ice sheet dynamics, and biotic adaptation research as inferred through proxy observations and modelling studies.

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The Miocene: The Future of the Past

We reconstruct the rise of a segment of the southern flank of the Himalaya-Tibet orogen, to the south of the Lhasa terrane, using a paleoaltimeter based on paleoenthalpy encoded in fossil leaves from two new assemblages in southern Tibet (Liuqu and Qiabulin) and four previously known floras from the Himalaya foreland basin. U-Pb dating of zircons constrains the Liuqu flora to the latest Paleocene (ca. 56 Ma) and the Qiabulin flora to the earliest Miocene (21- 19 Ma). The proto-Himalaya grew slowly against a high (similar to 4 km) proto-Tibetan Plateau from similar to 1 km in the late Paleocene to similar to 2.3 km at the beginning of the Miocene, and achieved at least similar to 5.5 km by ca. 15 Ma. Contrasting precipitation patterns between the Himalaya-Tibet edifice and the Himalaya foreland basin for the past similar to 56 m.y. show progressive drying across southern Tibet, seemingly linked to the uplift of the Himalaya orogen.

Quantifying the rise of the Himalaya orogen and implications for the South Asian monsoon

Ultrasound whole abdomen revealed bilateral bulky ovaries with 12–15 follicles measuring 4–5 mm arranged peripherally. Right ovary measured 42 × 30 × 28 mm (vol 19 cc) and left ovary measured 44 × 27 × 23 mm (vol 15 cc). Twirling motion was noted within one of the follicles in the right ovary. Transvaginal ultrasonography was performed for confirmation. Transvaginal ultrasonography revealed bilateral bulky ovaries with multiple tiny follicles of varying sizes (Fig. 1). One of the follicles in the right ovary had a few echogenic foci within showing twirling movement on dynamic greyscale imaging (Video 1). Doppler signals that were non-rhythmic, non-pulsatile, and rapidly changed in size and position (Video 2) were seen on colour Doppler imaging (Fig. 2). Spectral Doppler trace showed the characteristic pattern of irregular worm (filarial dance) leading to provisional diagnosis of filarial oophritis. Blood test revealed Hb—12.9 g, total count—6400/cm and on differential count—eosinophil 19%. Prolactin level was increased 44.24 ng/ml.

Ovarian Follicle: Twirling Microfilaria's New Abode.

Objective The goal of this study was to evaluate the diagnostic yield of B-mode ultrasound and ultrasound elastography used alone and in combination for differentiating breast lesions into benign and malignant. Materials and methods Eighty-five patients were investigated with B-mode ultrasonography and elastography and provided a Breast Imaging Reporting, and Data System (BI-RADS) score based on ultrasonography, strain ratio, and elastography score (ES) based on elastography. Each lesion was then evaluated by a combination method, combining BI-RADS with strain ratio and BI-RADS with elastography score. Each modality was assessed for the successful detection and characterization of the lesion and whether combining ultrasonography B-mode imaging with strain elastography improves diagnosis and is reliable enough to replace invasive procedures such as biopsy that have been the mainstay of diagnosis. Results Of 85 lesions, 23 lesions (27%) were found to be malignant, and 62 lesions (72.9%) were benign. When used alone, BI-RADS had 100.0% sensitivity, 13% specificity, 50% and 100% positive and negative predictive values (respectively), and 72.9% accuracy. BI-RADS results were then combined with strain ratio (SR) and ES. BI-RADS with SR had 91.3% sensitivity, 95.2% specificity, 87.5% and 96.7% positive and negative predictive values (respectively), and 94.1% accuracy. Similarly, BI-RADS with ES had 91.3% sensitivity, 93.5% specificity, 84.0% and 96.7% positive and negative predictive values, and 92.9% accuracy. Conclusions The combination method performs better at diagnosing breast lesions than BI-RADS alone and can be used as an early and preliminary basis for diagnosis and in settings where invasive procedures cannot be performed. Combining strain elastography and BI-RADS also help characterize which lesions are better suited for biopsy, leading to a decline in unnecessary invasive procedures.

Characterization of Breast Lesions Using a Novel Combined Approach of Ultrasonography and Elastography Prior to Invasive Procedures: Are New Age Modalities Set to Replace the Diagnostic Giant?

Anvisha Shukla

Papers

Quantifying the rise of the Himalaya orogen and implications for the South Asian monsoon

Ovarian Follicle: Twirling Microfilaria's New Abode.

Characterization of Breast Lesions Using a Novel Combined Approach of Ultrasonography and Elastography Prior to Invasive Procedures: Are New Age Modalities Set to Replace the Diagnostic Giant?