Root canal irrigation system using remotely generated high-power ultrasound

Root canal treatment is performed to remove the bacteria proliferating in the root canals of a tooth. Many conventional root canal irrigation methods use an instrument inserted into the root canals. However, bacteria removal is often incomplete in the apical region of the root canal, and the treatment carries clinical risks, such as instrument fracture and extrusion of irrigation liquid through the canal apex. We here suggest a novel, remotely generated high-intensity ultrasound irrigation system that exhibits better irrigation performance and a reduced clinical risk. Our device employs powerful ultrasonic waves generated by a transducer placed outside a target tooth. The generated ultrasonic waves are guided to travel into the root canals. In the root canals of the target tooth, acoustic cavitation occurs, and vapor bubbles are created. The dynamic motions of vapor bubbles create remarkable cleaning effects. Using root canal models, we tested the cleaning performance of the proposed system and compared it with other conventional irrigation methods. The results revealed that biofilm in the apical region of the root canal models can be removed exclusively using the proposed system, thus demonstrating an improvement in cleaning performance. We also measured pressure at the apex of the root canals of an extracted tooth while operating the proposed system. Our system exhibited a smaller pressure compared to the syringe irrigation method, thus suggesting a reduced risk of apical extrusion of the irrigation liquid. Since the proposed system operates without inserting instruments into the root canal, it can clean multiple root canals in a tooth simultaneously with a single treatment. The proposed device would be a breakthrough in root canal treatment in terms of irrigation performance, clinical safety, and ease of treatment.     

Quantification of myocardial viability distribution with Gd(DTPA) bolus-enhanced, signal intensity-based percent infarct mapping

Introduction

A substantial, common shortcoming of the currently used semiautomated techniques for the quantification of myocardial infarct with delayed enhancement magnetic resonance imaging is the assumption that the whole myocardial slab that corresponds to the hyperenhanced tomographic area is 100% nonviable. This assumption is, however, incorrect. To resolve this conflict, we have recently proposed the signal intensity percent-infarct mapping method and validated it in an ex vivo, canine experiment. The purpose of the current study has been the validation of the signal intensity percent-infarct mapping method in vivo, using a porcine model of reperfused myocardial infarct.

Methods

In swines (n=6), reperfused myocardial infarct was generated occluding for 90 min by an angioplasty balloon either the left anterior descending or the left circumflex coronary artery. To obtain DE images, Gd(DTPA) enhanced inversion-recovery fast gradient-echo acquisitions were carried out on day 28 after myocardial infarction. Scanning started 15 min after intravenous injection of 0.2 mmol/kg Gd(DTPA). At the end of the MRI session, the animal was sacrificed and 2,3,5-triphenyltetrazolium chloride staining was used to validate the existence and to determine the accurate size of the myocardial infarct. Tissue samples were taken and stained with hematoxylin-eosin and Masson's trichrome for histological assessment of the infarct and the periinfarct zone. The signal intensity percent-infarct mapping data were compared with corresponding data from the delayed enhancement images analyzed with SI_remote+2S.D. thresholding, and with corresponding triphenyltetrazolium-chloride staining data using Friedman's repeated measure analysis of variance on ranks.

Results

The infarct volume determined by the triphenyltetrazolium chloride, SI_remote+2S.D. and signal intensity percent-infarct mapping methods was 3.04 ml [2.74, 3.45], 13.62 ml [9.06, 18.45] and 4.27 ml [3.45, 6.33], respectively. Median infarct volume determined by SI_remote+2S.D. significantly differed from that determined by triphenyltetrazolium chloride (P<.05). The Bland-Altman overall bias was 12.49% of the volume of the left ventricle. Median infarct volume determined by signal intensity percent-infarct mapping, however, did not differ significantly (NS) from that obtained by triphenyltetrazolium chloride. Signal intensity percent-infarct mapping yielded only a 1.99% Bland-Altman overall bias of the left ventricular volume.

Conclusions

This in vivo study in the porcine reperfused myocardial infarct model demonstrates that signal intensity percent-infarct mapping is a highly accurate method for the determination of the extent of myocardial infarct. MRI images for signal intensity percent-infarct mapping are obtained with the pulse sequence of conventional delayed enhancement imaging and are acquired within clinically acceptable scanning time. This makes signal intensity percent-infarct mapping a practical method for clinical implementation.     

近红外无创生化检测中不同光程的光谱校正模型研究

近红外无创生化检测中采用不同血流容积光谱相减的方法理论上能够消除人体组织产生的强背景干扰,但人体光谱相减后得到的血液光谱的光程是未知的,这给校正模型的建立带来了困难。通过设计模拟实验并采用正交信号校正的方法对光程信息进行校正,提高不同光程的光谱建立校正模型的预测精度。分别建立了光程校正前后的模型,模型的交叉验证标准偏差从90.17mg.dL-1下降到31.62mg.dL-1,相关系数从0.978 7提高到0.996 8。实验结果表明,采用正交信号校正的方法能够有效抑制光程信息的干扰,提高模型的预测精度,这为不同血流容积光谱相减法的实际应用提供了基础。     

搅拌法制备聚合物微球中油水相对壁厚的影响

为了研究乳液微封装技术中油水相对微球壁厚的影响,推导了在理想状态下微球壁厚、油相质量分数和油水相比这三者之间的函数关系。结果表明:当内相水滴半径和油相质量分数为常数时,微球壁厚是油水相比的单增函数;而当内相水滴半径和油水相比为常数时,微球壁厚是油相质量分数的单增函数。即提高油相质量分数或增大油水相比对增加壁厚而言具有等效性。根据此规律,在搅拌法制备小直径聚苯乙烯微球中,通过调整油水相的各参数,确定了制备小直径厚壁聚苯乙烯微球的关键工艺参数。实验表明:采用搅拌法制备10~25 m壁厚的小直径聚苯乙烯微球时,油相质量分数宜配制为5.3%~7.0%,油水相比宜控制在1.6~2.2之间,而外水相中聚乙烯醇质量分数宜控制在1%~3%之内。     

牙齿组织光热动态特性仿真与试验研究

调制激光作用牙齿组织发生散射形成光子密度波, 而由于光热效应产生热波, 基于一维介质辐射传输漫射近似方程与一维热传导方程建立了调制激光作用牙齿组织半透明混合介质的一维热波数学模型. 利用该模型仿真分析了牙齿龋损特性参数(牙釉质龋损层光吸收系数、散射系数、热扩散系数及龋损深度)对光热辐射动态响应特性的影响与规律. 利用红外探测器(HgCdTe, 2–12 μm)记录808 nm半导体激光激发牙齿组织产生的热波信号, 由锁相放大器计算热波信号的幅值与相位. 通过频率扫描试验获得了牙齿组织的光热动态响应, 利用多参数最佳统计拟合方法得到了牙齿组织特性参数. 结果表明光热辐射测量对牙齿组织不均匀性和龋损特性均具有较高敏感性与特异性.     

In vivo isotropic 3D diffusion tensor mapping of the rat brain using diffusion-weighted 3D MP-RAGE MRI

The purpose of this study was to examine the potential of diffusion-weighted (DW) three-dimensional (3D) MP-RAGE MRI for diffusion-tensor mapping of the rat brain in vivo. A DW-3D-MP-RAGE (3D-DWI) sequence was implemented at 2.0 T using six gradient orientations and a b value of 1000 s/mm2. In this sequence, the preparation sequence with a "90 degrees RF-motion proving gradient (MPG): MPG-180 degrees RF-MPG-90 degrees RF" pulse train (DW driven equilibrium Fourier transform) was used to sensitize the magnetization to diffusion. A centric k-space acquisition order was necessary to minimize saturation effects (T1 contamination) from tissues with short relaxation time. The image matrix was 128x128x128 (interpolated from 64x64x64 acquisitions), which resulted in small isotropic DW image data (voxel size: 0.273x0.273x0.273 mm3). Moreover, 3D-DWI-derived maps of the fractional anisotropy (FA), relative anisotropy (RA) and main-diffusion direction were completely free of susceptibility-induced signal losses and geometric distortions. Two well-known commissural fibers, the corpus callosum and anterior commissure, were indicated and shown to be in agreement with the locations of these known stereotaxic atlases. The experiment took 45 min, and shorter times should be possible in clinical application. The 3D-DWI sequence allows for in vivo 3D diffusion-tensor mapping of the rat brain without motion artifacts and susceptibility to distortion.     

The 3D characteristics of post‐traumatic syringomyelia in a rat model: a propagation‐based synchrotron radiation microtomography study

Many published literature sources have described the histopathological characteristics of post‐traumatic syringomyelia (PTS). However, three‐dimensional (3D) visualization studies of PTS have been limited due to the lack of reliable 3D imaging techniques. In this study, the imaging efficiency of propagation‐based synchrotron radiation microtomography (PB‐SRµCT) was determined to detect the 3D morphology of the cavity and surrounding microvasculature network in a rat model of PTS. The rat model of PTS was established using the infinite horizon impactor to produce spinal cord injury (SCI), followed by a subarachnoid injection of kaolin to produce arachnoiditis. PB‐SRµCT imaging and histological examination, as well as fluorescence staining, were conducted on the animals at the tenth week after SCI. The 3D morphology of the cystic cavity was vividly visualized using PB‐SRµCT imaging. The quantitative parameters analyzed by PB‐SRµCT, including the lesion and spared spinal cord tissue area, the minimum and maximum diameters in the cystic cavity, and cavity volume, were largely consistent with the results of the histological assessment. Moreover, the 3D morphology of the cavity and surrounding angioarchitecture could be simultaneously detected on the PB‐SRµCT images. This study demonstrated that high‐resolution PB‐SRµCT could be used for the 3D visualization of trauma‐induced spinal cord cavities and provides valuable quantitative data for cavity characterization. PB‐SRµCT could be used as a reliable imaging technique and offers a novel platform for tracking cavity formation and morphological changes in an experimental animal model of PTS.     

Increasing the speed of relaxometry-based compartmental analysis experiments in STEAM spectroscopy

In this work we present a method for improving the speed of spin-spin relaxation time (T2) measurements for compartmental analysis in stimulated echo localized magnetic resonance spectroscopy without reducing the sampling density. The technique uses a progressive repetition time (TR) to compensate for echo time (TE) dependent variations in saturation effects that would otherwise modulate the received signal at short TRs. The method was validated in T2 studies on 10 young healthy subjects in spectroscopic voxels localized along either the right or left Sylvian fissure (2 x 2 x 1.5 cm3, 10 ms mixing time (TM), 2048 data points, 819.2 ms acquisition time). The TR was automatically adjusted so that TR-TM-TE/2 was kept constant as the TE was incremented. Compared to long TR T2 experiments, the progressive TR technique consistently replicated the T2 relaxation times and reference signals of the tissue water compartment while reducing the data acquisition time by more than 50%. The percent error was on average less than 2% for estimates of T2 and S(0) for the tissue water, an indication that the progressive TR technique is a useful method for determining the tissue water signal for internal referencing.     

Sound radiation from a cylindrical transducer filled with an elastic medium

An approximate method is proposed for calculating the acoustic field produced by a finite-height cylindrical piezoceramic transducer with allowance for the radiation from the ends of its inner volume that is filled with an elastic medium characterized by an arbitrary Poisson’s ratio. Structural features of the transducer (the presence of a sealing compound and an inner baffle) are taken into account. Good agreement is obtained between calculations and experiment for two transducers (a short one with a height-to-radius ratio h/a≈1 and a long one with h/a≈3) whose inner cavities are filled with either water or foam plastic.     

Investigation of multicomponent diffusion in cat brain using a combined MTC-DWI approach

In this study, multiple-component water diffusion in the cat brain is investigated using an approach that combines diffusion-weighted images using multiple b values with magnetization transfer contrast (MTC). The MTC allows filter of signal originating from water molecules that rapidly exchange with binding sites on large macromolecular structures, and in brain white matter, it is assumed that a significant portion of the MTC is due to the interaction of water with the extraaxonal myelin sheath. Henceforth, multicomponent analysis of diffusion curves with and without MTC may shed light on the contribution of the extraaxonal water to the diffusion signal and on the relationship between diffusion components and tissue compartments in the brain. When a biexponential model was applied to the data, the volume fractions of the two diffusion components changed significantly in white matter with the application of the MTC. These changes are then discussed in the frame of tissue components and the possible interaction with the myelin sheath.     

High resolution myelin water imaging incorporating local tissue susceptibility analysis

Quantitative myelin water imaging (MWI) from signal T₂* decay acquired with multiple Gradient-Recalled Echo (mGRE) sequence has been widely used since its first report. A recent study showed that with low resolution data (2 mm isotropic voxels), direct application of complex fitting to a three-pool WM model with frequency shift terms could produce more stable parameter estimation for myelin water fraction mapping. MWI maps of higher spatial resolution resulting in more detailed tissue structures and reduced partial volume effects around white matter/gray matter (WM/GM) interface, however, is more desirable. Furthermore, as signal-to-noise ratio (SNR) of original images decreases due to reduced voxel size, the direct complex fitting procedure of myelin water imaging becomes more prone to systematic errors which severely compromised stability and reliability of the result. Instead of using the original part of T₂* decay, this work presents a new method based on the WM-induced phase from tissue susceptibility calculated with the same mGRE dataset, in a three-pool WM model (water of myelin, axonal and extracellular water), to improve high resolution MWI. Compared with direct complex fitting for the higher spatial resolution case, the proposed method is shown to provide a more stable and accurate estimation of MWI parameters, and finer details near WM/GM boundaries with greatly reduced partial volume effects.     

Fast handheld two-photon fluorescence microendoscope with a 475 microm x 475 microm field of view for in vivo imaging

A fast handheld two-photon fiber-optic fluorescence endoscope for three-dimensional (3D) in vivo cellular imaging is developed. The compact handheld probe of the two-photon endoscope can simply be placed into contact with the target tissue to reveal clear 3D surface and subsurface histological images without biopsy. The new system has, to the best of our knowledge, the largest field of view (FOV) of 475 microm x 475 microm and a 3D imaging volume larger than 475 microm x 475 microm x 250 microm. A real-time two-photon fluorescence image is displayed at 0.4 mm(2)/s. The lateral and axial resolutions of the two-photon fluorescence endoscope are better than 1 and 14.5 microm, respectively.     

Optimization and validation of a rapid high-resolution T1-w 3D FLASH water excitation MRI sequence for the quantitative assessment of articular cartilage volume and thickness

In view of follow up, survey and development of therapeutic strategies for osteoarthritis where cartilage deterioration plays an important role, a non invasive, reliable and quantitative assessment of the articular cartilage is desirable. The currently available high resolution T(1)-weighted (T1-w) 3D FLASH pulse sequences with frequency selective fat suppression are very time consuming. We have 1) optimized a high resolution T1-w 3D FLASH water excitation (WE) sequence for short acquisition time and cartilage visualization, and 2) validated this sequence for cartilage volume and thickness quantification. The spectral fat presaturation was replaced by selective water excitation. The flip angle of the WE sequence was optimized for the contrast to noise (C/N(cart)) ratio of cartilage. Sagittal datasets (voxel size: 0.31 x 0.31 x 2 mm(3)) of the knees of nine healthy volunteers were acquired both, with the 3D FLASH WE (17.2/6.6/30 degrees ) sequence (WE) and a previously validated 3D FLASH fat saturated (42/11/30 degrees ) sequence (FS). For validation of the WE sequence, cartilage volume, mean and maximal cartilage thickness of the two sequences were compared. Reproducibility was assessed by calculating the coefficient of variation (COV %) of 4 consecutive WE data sets in the volunteers. The acquisition time was reduced from 16'30" (FS) down to 7'14" for the WE sequence. Image contrast and visualization of the cartilage was very similar, but delineation of the basal layer of the cartilage was slightly improved with the WE sequence. A flip angle of 30 degrees provided the best C/N(cart) ratios (WE). Reproducibility (COV) was between 1.9 and 5.9%. Cartilage volume and thickness agreed within 4% between FS and WE sequence. The WE sequence allows for rapid, valid and reproducible quantification of articular cartilage volume and thickness, prerequisites for follow-up examinations. The reduced acquisition time (50% of FS) enables routine clinical application and thus may contribute to a broader assessment of osteoarthritis.     

Erbium:YAG (2.94 mum) laser effects on dental tissues

Past trials with soft and calcified tissues have demonstrated that long pulse train (2.5 mus) Er:YAG (2.94 mum) laser may be used to ablate tooth structure of human teeth. Determination of physical and thermal damage to surrounding tissue during removal of enamel and dentin is a primary objective of this study. Extracted human teeth with thermal probes imbedded in the pulp chambers were submitted to cavity preparation using an Erbium YAG laser with water mist. Wavelength selection as well as use of a water mist during the procedure resulted in efficient tissue removal without significant surrounding damage. Ground sections and SEM sections of teeth showed little or no melting or ash formation in adjacent dentin and enamel and no visible change in the pulp chamber. The surfaces produced by laser ablation were rough and irregular with craters and grooves. Average temperature change in the pulp chamber monitored during tooth preparation was 2.2 degrees Centigrade. These findings suggest that constantly available water aids vaporization and microexplosions, increasing the efficiency of tooth structure removal, and aids in cooling of the tooth structures. The long pulse Er:YAG (2.94 mum) laser may be an effective method for tooth reduction applications when used with a water mist.     

Weissenberg reflection high-energy electron diffraction for surface crystallography

The principle of a Weissenberg camera is applied to surface crystallographic analysis by reflection high-energy electron diffraction. By removing inelastic electrons and measuring hundreds of patterns as a function of sample rotation angle phi, kinematical analysis can be performed over a large volume of reciprocal space. The data set is equivalent to a three-dimensional stack of Weissenberg photographs. The method is applied to analysis of an Si(111)-square root of 3 x square root of 3-Ag surface, and the structural data obtained are in excellent agreement with the known atomic structure.     

工业CT切片序列任意方向剖面的绘制方法

为获得工业CT切片序列在三维空间任意方向的剖面,提出了一种基于三维纹理映射技术的任意剖面绘制方法。该方法首先把工业CT图片序列存储为体数据,然后使用传递函数对体数据进行分类,并将分类处理后的体数据定义为三维纹理,结合人机交互给出的平面参数计算出剖切多边形各顶点及其对应的纹理坐标,最后进行纹理映射得到剖面图像。该方法的特点是利用图形处理器支持的纹理映射功能完成剖面像素的采样和插值。实验结果表明,该方法成像质量较高,显示速度较快,能够满足人机交互实际应用需要。     

Identifying ultrasonic scattering sites from three-dimensional impedance maps

Ultrasonic backscattered signals contain frequency-dependent information that is usually discarded to produce conventional B-mode images. It is hypothesized that parametrization of the quantitative ultrasound frequency-dependent information (i.e., estimating scatterer size and acoustic concentration) may be related to discrete scattering anatomic structures in tissues. Thus, an estimation technique is proposed to extract scatterer size and acoustic concentration from the power spectrum derived from a three-dimensional impedance map (3DZM) of a tissue volume. The 3DZM can be viewed as a computational phantom and is produced from a 3D histologic data set. The 3D histologic data set is constructed from tissue sections that have been appropriately stained to highlight specific tissue features. These tissue features are assigned acoustic impedance values to yield a 3DZM. From the power spectrum, scatterer size and acoustic concentration estimates were obtained by optimization. The 3DZM technique was validated by simulations that showed relative errors of less than 3% for all estimated parameters. Estimates using the 3DZM technique were obtained and compared against published ultrasonically derived estimates for two mammary tumors, a rat fibroadenoma and a 4T1 mouse mammary carcinoma. For both tumors, the relative difference between ultrasonic and 3DZM estimates was less than 10% for the average scatterer size.     

Analysis of the radial and longitudinal effect in a double TE(104) and a single TE(102) rectangular cavity

The response of the cavity to the rotation of a point-like sample in the horizontal (y-z) plane passing through the center of the Bruker double TE(104) and single TE(102) rectangular cavities in concentric circles of radii rho = 0, 1, 2, 3, 4, and 5 mm from the cavity center (radial effect) has been analyzed. The experimentally observed dependencies of the EPR signal intensity, I(pp), showed the following: (i) for rho = 0 mm (a sample position in the cavity center), I(pp) is independent of the angle of rotation; (ii) for rho = 1, 2, and 3 mm, the I(pp) dependence progressively changes from circular to oval; (iii) when the radius is further increased to rho = 4 and 5 mm, the I(pp) dependence changes dramatically, giving a figure eight shape. These experimental observations are in very good agreement with the theoretical calculations, in which the response is modeled using modified Cassinian curves, K(rho, phi). Similar trends were observed for any position of the horizontal (y-z) plane at which the sample is situated along the vertical x axis of the cavity; however, the amplitude of the signal decreases with increase in the absolute value of the x coordinate, ||x ||. The variation in the signal amplitude along the cavity x axis (longitudinal effect) can be calculated theoretically using a modified sine-squared curve, G(x). In general, the response of the cavity to a point-like sample situated at any position, P(rho, phi, x), can be represented as a product of the mentioned Cassinian curve, K(rho, phi), and sine-squared curve, G(x), giving for the signal intensity I(pp)(rho, phi, x) approximately K(rho, phi)G(x). The response to a large cylindrical sample which is concentrically situated on the cavity x axis can then be obtained by integrating the above product, K(rho, phi)G(x), over the sample volume. The nonlinear radial effect may give rise to a serious source of systematic error in quantitative EPR spectroscopy and shows that accurate and precise positioning of the sample in the microwave cavity is essential.     

Three-dimensional visualization of objects in scattering medium using integral imaging and spectral analysis

This paper presents a three-dimensional visualization method of 3D objects in a scattering medium. The proposed method employs integral imaging and spectral analysis to improve the visual quality of 3D images. The images observed from 3D objects in the scattering medium such as turbid water suffer from image degradation due to scattering. The main reason is that the observed image signal is very weak compared with the scattering signal. Common image enhancement techniques including histogram equalization and contrast enhancement works improperly to overcome the problem. Thus, integral imaging that enables to integrate the weak signals from multiple images was discussed to improve image quality. In this paper, we apply spectral analysis to an integral imaging system such as the computational integral imaging reconstruction. Also, we introduce a signal model with a visibility parameter to analyze the scattering signal. The proposed method based on spectral analysis efficiently estimates the original signal and it is applied to elemental images. The visibility-enhanced elemental images are then used to reconstruct 3D images using a computational integral imaging reconstruction algorithm. To evaluate the proposed method, we perform the optical experiments for 3D objects in turbid water. The experimental results indicate that the proposed method outperforms the existing methods.     

Flattop operation of the ILC accelerating cryomodule

A 500 GeV center-of-mass International Linear Collider (ILC), currently under R&D development, is foreseen as the next-generation high-energy physics (HEP) instrument [1]. The achievement of a 31.5 MV/m average operational accelerating gradient in a single cryomodule is a proof of principle for the ILC project. However, individual cavity performance may have a large spread in operating gradients, up to 20% of the nominal value [2, 3]. In case of cavities performing below the average, the design parameters could be achieved by tweaking the RF distribution accordingly. We present a simple theoretical analysis of the ILC cryomodule operation with a gradient spread. The difference in the gradients breaks the synchronism of a transient processes in each cavity and causes nonuniform acceleration along the bunch train. A proper solution was found to maintain flattop operation of the accelerating module. Finally, we perform numerical efficiency estimations for the proposed RF distribution scheme based on real data of the gradient spread of actual cavities. The text was submitted by the authors in English.